ECC Deck Flashcards Preview

Third Year > ECC Deck > Flashcards

Flashcards in ECC Deck Deck (28):
1

Complication of splints

1. ischeima
2. heat injury
3. pressure sores
4. infxn
5. dermatitis
6. jt stiffness

2

Splint care and discharge instructions

1. keep plaster dry
2. useless to apply ice over plaster
3. elevate, minimize wt bearing
4. return to ED if increased pain, numbness, pallor, weakness

3

5 types shock

1. hypovolemic
2. distributive
3. cardiogenic
4. neurogenic
5. obstructive

4

Hypovolemic shock

-

5

Distributive shock

-

6

Cardiogenic shock

-

7

Neurogenic shock

-

8

Obstructive shock

-

9

Cholinergic toxidrome

- SLUDGE (salivation, lacrimation, urination, diarrhea, emesis, etc)

10

AntiACh toxidrome

- HUGE pupils (blind as a bat)
- red, flushed skin
- DRY
- mad as a hatter
- tachycardia
- decreased bowel sounds

11

Opiates toxidrome

- depressed MS
- general ANS depression
- BRADYPNEA (RR <12)
- Miosis (pinpoint pupils)

12

Sedative-hypnotic toxidrome

- depressed MS
- general ANS depression (hypoTN, decrease temp, bradycardia)

13

Sympathomimetic toxidrome

MATHSS
- mydriasis (dilated)
- agitation
- tachycardia
- HTN/hi temp
- seizures
- sweating

14

Triage- red

-

15

Triage- yellow

-

16

Triage- green

-

17

Triage- black

-

18

5HT syndrome causes

- MAOIs, linezolid, cocaine, dextrmethorphan, fentanyl, SSRIs/SNRIs, provigil

19

5HT syndrome

- fever
- myoclonus/hyperrflexia
- AMS
- muscle rigidity

20

Decontamination methods

- activated charcoal
- whole bowel irrigation
- gastric lavage

21

How to reverse ACh poisoning (SLUDGE)

- atropine
- pralidoxime

22

APAP Progression (4 phases)

Phase 1 (0-1 days): N/V, diaphoresis, malaise
Phase 2 (1-2 days): RUQ pain, LFTs abnml
Phase 3 (2-3 days): enceph, coagulopathy, hypoclyemia, extreme LFTs
Phase 4 (>3 days): declining hepatic enzymes, recovery v necrosis

23

Secondary survey history (AMPLE)

- allergies
- meds
- past illnesses
- last meal
- events/environ/mech of injury

24

Secondary survey exam

nml physical exam

25

GCS 15 (nml)

Eyes 4- spont
Verbal 5- orientated
Motor 6- obeys

26

Primary survey disability AVPU

alert, voice, pain, unresponsive

27

How does ASA OD cause temporary alkalosis?

Phase 1: stimulating respiration center (respiratory alkalosis)

28

Earliest sign of ASA OD?

N/V, diaphoresis, tinnitus, increase RR, HR, and agitations, hyperthermia