Random #1

Question 1

Commotio Cordis

Answer 1

Unexpected blunt force (non-penetrating) to L lateral chest. Pericardium in vulnerable state of ventricular repolarization, causes ventricular arrhythmia and sudden cardiac death.

Question 2

1st line treatment to slow DIC in trauma

Answer 2

Platelets, cryoprecipitate, FFP
-remember: treat initial cause: hemorrhage. Stop hemorrhage. PRBC FP& NS flush clotting factors. Want clotting factors to stop hemorrhage

Question 3

Chest tube: when should it be clamped?

Answer 3

Loss of greater than 1500 ml blood: massive hemothorax

Question 4

Oxygen Toxicity cause & presentation

Answer 4

Free Radicals leak into cytosol, out from cell. Cellular damage.

Substernal CP, exacerbated by deep breathing, dry cough and dyspnea follow.

Question 5

Normal UO in ml/hr,

Rhabdo UO in ml/hr

Answer 5

30-50 ml/hr

100 ml/hr

Question 6

Coronary perfusion Pressure

Answer 6

CorPP= DBP - PCWP

Question 7

Cor pulmonale

Answer 7

Hypertrophied R Ventricle due to increased pulmonary pressures, emphysema, .chronic hypoxia