Environmental Emergencies

Question 1

When using the Parkland Equation to calculate fluid resuscitation in burn victims in the first 24 hours, the timing is calculated from?

Answer 1

the time of injury

Question 2

If a near drowning victim is brought into the ER but is not altered and has an O2 saturation of 95%, how long do they have to stay in the hospital?

Answer 2

can be discharged after 4-6 hours

Question 3

A pt comes into the ER for being electrocuted by a normal household item (110-220V). EKG and PE findings are all normal. Can the pt be discharged?

Answer 3

YES!

Question 4

True or False: Near-drowning victims, diving reflex leads to parasympathetic activation, is protective and only transient

Answer 4

TRUE

Question 5

True or False: Drownings in warm water can be hypothermic

Answer 5

TRUE

Question 6

True or False: It is important to understand the circumstances of near-drowning and to treat those situations too (underlying medical conditions or trauma)

Answer 6

TRUE

Question 7

True or False: All near-drowning patients develop non-cardiogenic pulmonary edema from aspiration

Answer 7

FALSE

Question 8

What rule is used to calculate the percentage of a patient’s body surface area that has been burned? Is this the same for adults and kids?

Answer 8

Rule of 9’s

NO! Kids have funny proportions