Flashcards in Random Deck (28):
What are the 3 components for the Glasgow Coma Scale?
Eye opening response GCS scoring?
4 - spontaneously
3 - to speech
2 - to pain
1 - no response
Verbal response GCS scoring?
5 - AAO x 3
4 - confused
3 - inappropriate words - random or exclamatory speech
2 - incomprehensible sounds (moaning)
1 - no response
Motor response GCS scoring?
6 - obeys commands
5 - moves to LOCALIZED pain
4 - flexion withdrawal from pain
3 - abnormal flexion (decorticate)
2 - abnormal extension (decerebrate)
1 - No response
What are the 6 H’s of PEA?
H+ Ion excess (acidosis)
What are the 5 T’s of PEA?
How many unsuccessful intubation attempts = failed airway?
How much is the usual tube length in men?
How much should it be above the carina?
What 5 things constitute a POSSIBLE difficult bagging?
How much succinylcholine should be given in RSI?
How much etomidate used in RSI?
Absolute contraindications to succinylcholine?
Denervation injury older than 7 days
Severe burns older than 5 days bc of hyperkalemia
How many PVCs in a row = nonsustained Vtach?
Give PVC characteristics:
Premature and wide QRS
No preceding p wave
ST segment and T wave of the PVC are directed in opposite directions
Hemodynamically unstable pt w/PVCs you can give what?
Lidocaine 1 to 1.5 mg/kg IV
#1 - acute MI and ischemic Heart disease
Drug toxicity (anti-arrhythmic)
Treatment of VFib?
1) unsynced defibrillation at 200J biphasic, 360J monophasic and 5 cycles of CPR if it persists
2) if 2 cycles unsuccessful, give Amiodarone 300 mg Push
3) after 3rd cycle give Epinephrine 1 mg Push
4) Refractory Give Mag Sulfate 1-2g IV over 60-90s
What is long QT syndrome in men?
> 470 msec
> 480 msec
What is the minimum volume for ventilation bags for infants and children?
How much ventilation should you give infants?
What is the MC rhythm seen in pediatric pts leading to arrest?
Bradycardia leading to asystole
What are the ABCDEs of trauma?
Airway and c-spine
Disability - Neuro status
Exposure - burns, toxins
Intubation is indicated when?
GCS < 8
What is the MC cause of death in children older than 1?
Signs of hypoxemia in a child?
Poor capillary refill
Desaturation by pulse ox
ET tube size formula for children?
Size = 4 + (age/4)
Pain control in children w/trauma?
Fentanyl 1 microgram/kg
Morphine .05 to .1 mg/kg