FOEM Procedures Flashcards

(46 cards)

1
Q

depth of CPR

A

5cm = adults
1/3 AP chest diameter = children

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2
Q

EtCo2 indicates adequate compresssions

A

10-20; >15 is best

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3
Q

Vfib/Vtach arrest meds + dosing

A

epi: 1mg q3min
amio: 300mg x1
lidocaine: 1-1.5mg/kg > repeat 0.5mg/kg
mg: 2mg
calcium chloride 1 amp
bicarb

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4
Q

Vtach defib levels

A

monophasic: 360
biphasic 150-200

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5
Q

criteria for therapeutic hypothermia

A

vfib/vtach arrest, ROSC <60 mins, GCS <9, MAP >80
PEA with ROSC < 30 mins

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6
Q

contraindications to therapeutic hypothermia

A

DNR, sepsis, CA with brain mets, active bleeding, advanced dementia

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7
Q

temp goal for therapeutic hypothermia

A

33-36C

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8
Q

class that is inappropriate for procedural sedation

A

Class III

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9
Q

vol of pericardial fluid that can be identified on bedside US

A

15mL

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10
Q

factors causing difficulty with ventilation with BVM

A

obesity, preggo, facial hair, >55y,

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11
Q

pretreatment intubation medications and benefits

A

Lidocaine: blunt increased ICP, bronchospasm
Fentanyl: blunt sympathetic response
Atropine: prevent reflex brady in kids

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12
Q

Complications of fentanyl that cannot be reversed with narcan

A

wooden chest syndrome > chest wall rigidity

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13
Q

succinylcholine contraindications

A

hyperkalemia
denervation injuries (>5 days to 6 months post injury)
Neuromuscular disease
intra-abdominal sepsis >5d until resolution
cholinergic toxidromes (prolong paralysis)

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14
Q

etomidate side effects

A

myoclonus
adrenal suppression
resp depression
hypotension

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15
Q

ketamine side effects

A

emergence rxn
laryngospasm
nystagmus
vomiting

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16
Q

Fentanyl/Midazolam side effects

A

resp depression
cardiac depression

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17
Q

propofol side effects

A

hypotension
apnea

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18
Q

contraindication for ketamine

A

schizophrenia > increased pyschosis

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19
Q

depth of R and L IJ and subclavian lines

A

R SC: 14cm
L SC: 17cm
R IJ: 15cm
L IJ: 18cm

R< L
SC < IJ

20
Q

equipment for needle cric

A

3 or 5ml syringe
ETT 3mm
14G catheter

21
Q

block to anesthetize: ipsilat forehead and scalp

22
Q

block to anesthetize: area between lower eyelid and upper lip

23
Q

block to anesthetize: ipsilat lower lip and chin

24
Q

block to anesthetize: ipsilat maxillary molar

A

posterior superior alveolar

25
block to anesthetize: ipsilat mandibular teeth, lower lip, chin
inferior alveolar
26
Arthrocentesis location: ankle
medial to anterior tibial tendon and directed to anterior edge of medial malleolus
27
Arthrocentesis location: elbow
medially in groove between lateral epicondyle, radial head, and olecranon
28
neck escharotomies
incise from clavicle to mastoid process
29
extremity escharotomies
incise on medial and lateral aspects 1cm proximal to 1cm distal to burn
30
chest wall escharotomies
incise along anterior axillary line form 2nd to 12th rib
31
Lidocaine AE
sz, hypotension
32
benzocaine AE
cardiotoxicity and methemoglobinemia
33
location for intracavernosal aspiration for priapism
2 or 10 o'clock
34
structure at risk while draining peritonsillar abscess
internal carotid artery 2.5cm posterolateral to tonsil
35
which portion of peritonsillar abscess is drained first
superior pole > middle > inferior
36
LP contraindications
increased ICP, bleeding diathesis, cardiopul instability, soft tissue infection at LP site, vertebral trauma
37
CT prior to LP
AMS, immunocompromised, focal neuro deficit, increased ICP, h/o CNS lesion, new onset sz within one week, suspected SAH
38
LP locations
adults: L2-3 or L5-S1 kids: L4-5 or L5-S1
39
how old does a g tube need to be for a safe replacement in the ED
>3 weeks
40
how long does it take a tracheostomy to mature
2 weeks
41
tx chronic paronychia
topical corticosteroidsp
42
paronychia drainage
longitudinal incision of ulnar aspect
43
telemetry findings of successful transvenous pacer
LBB B with L axis
44
Air leak
continuous bronchial injury or problem with tube mechanics Test: pt cough and bubbles will form
45
re-expansion pul edema after chest tube placement
ssx: worsening dyspnea and hypoxia dx: CXR with pul edema Tx: supportive > turn off suction and keep tube to water seal
46
FB on US
hyperechoic with acoustic shadowing