Flashcards in Topics in EM Deck (28)
Loading flashcards...
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
