11/30 2

Question 1

COPD Vent setting

Answer 1

-Volume assist control
-RR: 8-10 breaths/min
-Tidal volume: 6-8 mL/kg
-FiO2: 40%
-PEEP: 0-5 cm H2O.

Question 2

Vent setting- Acute cardiogenic pulmonary edema

Answer 2

Volume assist control
RR: 15-18 bpm
Tidal volume: 6-8 mL/kg
FiO2: 100%*
PEEP 5 cm H2O*

Titrate to manage oxygenation

Question 3

Initial mechanical ventilation settings- general

Answer 3

Volume-assist control
Rate 8-12/min
Tidal volume: 5-8 cc/kg
FiO2 100% (1.0) and ween down
PEEP 0-5 mmH20

Question 4

Hs and Ts
H

Answer 4

Hypovolemia
Hypoxia
Hydrogen ion excess (acidosis)
Hypoglycemia
Hypokalemia
Hyperkalemia
Hypothermia

Question 5

Hs and Ts
T

Answer 5

Tension pneumothorax
Tamponade – Cardiac
Toxins
Thrombosis (pulmonary embolus)
Thrombosis (myocardial infarction)

Question 6

ED Thoracotomy Indications

Answer 6

Blunt trauma and arrested <10 min before arrival at ED

Penetrating trauma and arrested <15 min before arrival at ED

Question 7

ED Thoracotomy Management/ Steps

Answer 7

1- Call surgery
2- Incision at fifth intercostal space
3- Cut from sternum to posterior axillary line
4- Blunt dissect into pleural space
5- Rib spreaders
6- Cross clamp aorta
7- Open pericardium parallel to phrenic nerve
8- Repair heart

Question 8

Consider surgery if ______ bleeding is present in Hemothorax

Answer 8

Initial drainage >1.5 L
Ongoing bleeding >200 mL/h for 2-4 h

Question 9

Management of open pneumothorax (“sucking chest wound”)

Answer 9

Cover with occlusive dressing on 3 of 4 sides

Watch for tension pneumothorax

Place chest tube at separate site

Question 10

The primary survey is designed to

Answer 10

assess AND treat any life-threatening injuries quickly