Trauma / Critical Care

Question 1

What vital sign changes are seen with acute spinal cord injury?

Answer 1

Bradycardia, hypotension and decreased PVR

Question 2

Describe CVP, PCWP, CI and SVR for septic shock, pericardial tamponnade, cardiogenic shock and massive hemorrhage

Answer 2

Septic shock: low CVP, low PCWP, high CI, low SVR

Pericardial Tamponnade: High CVP, high PCWP, low CI, high SVR

Cardiogenic shock: high CVP, high PCWP, low CI, high SVR

Hemorrhage: low CVP, low PCWP, low CI, high SVR

Question 3

What is a side effect of Phenylepherine?

Answer 3

Reflex bradycardia

Question 4

Should you prescribe a low protein / nitrogen diet in a critical care patient with azotemia?

Answer 4

Appropriate caloric/protein needs outweigh the theoretical increases in azotemia with protein supplementation in the critically ill

Question 5

What protein requirements are recommended for patients in the ICU?

Answer 5

1.5 - 2 g/kg/day

Question 6

What does the CRASH-3 trial tell us about the use of TXA in patients with intra-cranial hemorrhage?

Answer 6

TXA is safe in patients with TBI and should be given within 3 hours of the injury to reduce head-injury related death

Question 7

What is the fluid bolus in ml/kg required for early, goal-directed resuscitation in adults?

Answer 7

30 ml/kg

Question 8

What dosage of epinephrine is given during anaphylaxis?

Answer 8

0.3 mg (1:1000)