critical care

Question 1

what is the dx?

child with recent sepsis now with hypoxemia and CXR with fine reticular infiltrate

Answer 1

ARDS

Question 2

what is the management/treatment of ARDS

Answer 2

supportive - ventilatory support with PEEP

steroids

Question 3

what is flail chest

Answer 3

2 or more rib fx in 2 or more locations resulting in paradoxical chest movements

Question 4

how do you dx splenic rupture

Answer 4

CT with con

Question 5

what is the ejection fraction of a child in acute heart failure

Answer 5

<25%

Question 6

what is the immediate medical management of acute heart failure

Answer 6

furosemide

Question 7

how do you diagnose chronic heart fail

Answer 7

EKG and echo

Question 8

what is the initial treatment for chronic heart fail

Answer 8

dobutamine

Question 9

what are 2 studies that can be performed to document brain death?

Answer 9

radionucleotide scan
angiography
these tests will demonstrate the absence of vertebral and carotid a brain flow c/w brain death

Question 10

what is the depth of chest compressions for a child

Answer 10

1/3-1/2 AP diameter of chest or 2 in/5 cm

Question 11

what is the rate for one rescuer CPR? 2 rescuer?

Answer 11

30-2
15-2

always 30-2 for adolescents and adults

Question 12

what is the depth of chest compressions for an infant

Answer 12

1 1/2 in or 4 cm

Question 13

what is the ventilation rate during CPR

Answer 13

1 breath every 6-8 s (or 8-10 breaths/min)

Question 14

what is the rate for rescue breaths without CPR

Answer 14

1 breath every 3-5 s (12-20 breaths/min)

Question 15

at what age can you start using an AED

Answer 15

1 yo