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Flashcards in Topics in EM Deck (28)
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1

Massive hemothorax: dx and tx

chest tube >1500cc immediate return
tx: volume resuscitation and chest decompression; operative management

2

Open pneumothorax tx

occlusive dressing
secure 3 sides only, place thoracostomy tube

3

JVD, hypotension, muffled heart sounds: dx and tx

cardiac tamponade
immediate pericardiocentesis

4

Trauma fluidresuscitation

Isotonic (LR or NS) repletion in 3:1 ration (fluids to blood loss)
1-2L bolus, reassess
Consider PRBCs if continue to be unstable

5

Immediate tx penetrating chest wound

1. intubate
2. empiric bilat chest tubes
3. open thoracotomy if cardiac arrest

6

New diastolic murmur after chest trauma

aortic dissection

7

Reasons for ex lap in abd trauma pts

below 4th intercostal
peritoneal signs, hemodynamically unstable

8

trauma penetrating platysma

admit + surgical exploration

9

upper extremit hypertension, hoarse voice
CXR: widented mediastinum, loss aortic knob: dx + workup

Aortic dissection (ligamentum arteriosum for rabid-decel injury)
CT/TEE
Aortography= gold standard

10

Subdural vs epidural hematoma

Subdural: can cross suture lines, crescentic (bridging veins)
Epidural: biconvex, middle meningeal

11

Fever, tachypnea, rash on upper extremities, conjunctival hemorrhage after trauma

fat embolism

12

Retroperitoneal air in trauma pt

duodenum perf
confirm with CT

13

bood urethral meatus, ballotable or nonpalpable prostate

suspect urethral injury
retrograde urethrogram before foley placement

14

Tx: asystole or PEA

epinephrine or vasopressine
5Hs 5Ts

15

Tx: Vfib, pulseless vtach

Defib 200J x2->epi->defib->ami->defib->epi

16

Afib/aflutter tx

synchronized cardiversion (120-200J)
diltiazem or bblock

17

SVT: tx

vagal maneuver
adenosine
AV-nodal blocker (bblock, cachblock)

18

J wave

classic sign of hypothermia

19

cranial nerve dysfunction, excessive motor acitivity, resp compromise after hiking: tx and dx

scorpion bite
benzodiazepine and analgiesic
atropine for hypersalivation and resp distress
IV scorpion-specific ab

20

spider bite side effects

necrosis, hypocalcemia

21

Angular stomatitis, cheliosis, corneal vascularization

B2 (riboflavin deficiencey)

22

diarrhea, dementia, dermatitis

B2 (niacin)

23

Convulsion, hyperirritability, INH

B6 (pyridoxine)

24

Dermatitis, enteritis, alopecia, adrenal insufficiency

B5 (pantothenate)

25

Dermatitis, enteritis, raw egg consumption/abx use

biotin def

26

Keshan cardiomyopathy

selenium def

27

weakness, muscle cramps, CNS hyperritiability, choreoathetoid mvmt

Mg def

28

What avoid with cocaine/ amphetamine withdrawal

bblock- unopposed a activity, HTN