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Flashcards in Trauma/Emergency Deck (29)
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1
Q

Cushing’s triad?

A

Bradycardia, HTN, Wide pulse pressure

2
Q

Dose of adrenaline in anaphylaxis?

A

0.5mg 1:1000 IM

3
Q

Dose of adrenaline in cardiac arrest?

A

1mg - 10ml 1:10000 IV
1ml 1:1000

4
Q

In a non-urgent scenario how quickly should 1 unit of RBCs be transfused?

A

90 -120 minutes

5
Q

4 criteria for brainstem testing?

A
  1. Deep coma of unknown cause
  2. Reversible causes excluded
  3. No sedation
  4. Normal electrolytes
6
Q

6 tests to confirm brainstem death?

A

Pupillary light reflex
Corneal reflex
Ocular vesitublar reflex
Cough reflex
Absent response to super-orbitl pressure
No spontaneous respiratory effort

7
Q

ABG in salicylate poisoning?
1. Immediately
2. A few hours later

A
  1. Respiratory alkalosis
  2. Metabolic acidosis
8
Q

Respiratory alkalosis affect in calcium and phosphate?

A

Hypocalcaemia
Normal phosphate

9
Q

Brainstem testing should be carried out by?

A

2 separate doctors on separate occasions

10
Q

What deficiency increases risk of anaphylactic reaction to a blood transfusion?

A

IgA deficiency

11
Q

Management of patients on anticoagulation with head injury?

A

CT head within 8 hours

12
Q

At what paracetamol OD should NAC be started before return of plasma-paracetamol concentration?

A

150mg/kg (if presented 8-24 hours post ingestion)

13
Q

Maintenance fluid requirement?

A

20-30ml/kg

14
Q

Management of paracetamol OD if > 24 hours since ingestion and patient is jaundice, hepatic tenderness or raised ALT?

A

Start NAC immediately

15
Q

Signs and symptoms of hypernatraemia?

A

Jittery movements
Increased muscle tone
Hyperreflexia
Convulsions
Drowsiness
Coma

16
Q

Inidications for IV Magnesium Sulphate in hypomagnesaemia?

A

Mg < 0.4 or
tetany/ arrythmia/ seizures

17
Q

Management of patient requiring immediate surgery, that is on Warfarin?

A

4 factor prothrombin complex concentrate

18
Q

Widened QRS or arrhythmia in tricyclic overdose?

A

Give bicarbonate IV

19
Q

LSD intoxication symptoms?

A

Colourful visual hallucinations
Depersonalisation
Psyhcosis
Paranoia

20
Q

Overdose of what illicit drugs can cause serotonin syndrome?

A

Ecstacy

21
Q

Which other electrolyte abnormally has a similar presentation to hypomagnesiaemia?

A

Hypocalcaemia

22
Q

ASA if BMI is > 40?

A

ASA III

23
Q

Hypothyroidism VT?

A

TDP

24
Q

Type of reaction that NAC can cause ?

A

Non-IgE mediated mast cell release

25
Q

Pulmonary oedema and severe metabolic acidosis are indications for what?

A

Haemodialysis

26
Q

What markers are raised in neuroleptic malignant syndrome?

A

CK and WCC

27
Q

Single most important prognostic factor in paracetamol OD?

A

Arterial pH

28
Q

Management of high altitude cerebral oedema?

A

Prevention = acetazolamide
Treatment = dexamethasone

29
Q

In trauma what do you measure from fluid leaking from nose or ear to check if it is CSF?

A

Glucose