2022 EM cards

Question 1

LVADs
wanted flow
arrythmias
atrial
ventricular
arrest

Answer 1

3-5 L/min
common - especiall in first 30 days - LVAD keeps flow despite arrythmia.
atrial - beta blockers rate control best
ventricular - shock - pads away from LVAD
CPR can be appropriate- may dislodge LVAD - but if unconscious and no MAP or whirl - then do it

Question 2

AvR elevation

Answer 2

only a worry if diffuse ST depression elsewhere

global disease or prox LAD.
or global strain - dissection, PE, anemia, adrenalin

Question 3

calcium dosing in ACLS in NZ

Answer 3

10ml of 10% for both CaCl and Cagluconate

Question 4

Mag dosing conversion

Answer 4

1g is 4mmol

Question 5

ketamine drip post sedation

Answer 5

20mg per hour

Question 6

potassium replacement in NZ

Answer 6

chlorvescent - 14mmol - in water
Kspan - mod release - 2 tablets is 16mmol
IV - 20mmol in IVF over 2 hours peripherally

Question 7

bleeding trach

Answer 7

take any bleed seriously - no DC - CTA?
first step is inflate cuff with 50cc of air (if pilot balloon)
how old is trach?
last ditch effort is to remove and place pressure with finger

Question 8

flipped T wave in AvL

Answer 8

in active chest pain can be first sign of inferior wall ischemia