FOEM Procedures Flashcards
(46 cards)
depth of CPR
5cm = adults
1/3 AP chest diameter = children
EtCo2 indicates adequate compresssions
10-20; >15 is best
Vfib/Vtach arrest meds + dosing
epi: 1mg q3min
amio: 300mg x1
lidocaine: 1-1.5mg/kg > repeat 0.5mg/kg
mg: 2mg
calcium chloride 1 amp
bicarb
Vtach defib levels
monophasic: 360
biphasic 150-200
criteria for therapeutic hypothermia
vfib/vtach arrest, ROSC <60 mins, GCS <9, MAP >80
PEA with ROSC < 30 mins
contraindications to therapeutic hypothermia
DNR, sepsis, CA with brain mets, active bleeding, advanced dementia
temp goal for therapeutic hypothermia
33-36C
class that is inappropriate for procedural sedation
Class III
vol of pericardial fluid that can be identified on bedside US
15mL
factors causing difficulty with ventilation with BVM
obesity, preggo, facial hair, >55y,
pretreatment intubation medications and benefits
Lidocaine: blunt increased ICP, bronchospasm
Fentanyl: blunt sympathetic response
Atropine: prevent reflex brady in kids
Complications of fentanyl that cannot be reversed with narcan
wooden chest syndrome > chest wall rigidity
succinylcholine contraindications
hyperkalemia
denervation injuries (>5 days to 6 months post injury)
Neuromuscular disease
intra-abdominal sepsis >5d until resolution
cholinergic toxidromes (prolong paralysis)
etomidate side effects
myoclonus
adrenal suppression
resp depression
hypotension
ketamine side effects
emergence rxn
laryngospasm
nystagmus
vomiting
Fentanyl/Midazolam side effects
resp depression
cardiac depression
propofol side effects
hypotension
apnea
contraindication for ketamine
schizophrenia > increased pyschosis
depth of R and L IJ and subclavian lines
R SC: 14cm
L SC: 17cm
R IJ: 15cm
L IJ: 18cm
R< L
SC < IJ
equipment for needle cric
3 or 5ml syringe
ETT 3mm
14G catheter
block to anesthetize: ipsilat forehead and scalp
supraorbital
block to anesthetize: area between lower eyelid and upper lip
infraorbital
block to anesthetize: ipsilat lower lip and chin
mental
block to anesthetize: ipsilat maxillary molar
posterior superior alveolar