Airway / BLS

Question 1

Proper compressions per minute?

Answer 1

100

Question 2

Proper compression depth?

Answer 2

2 inches

Question 3

Compression to breath ratio?

Answer 3

30:2

Question 4

How long to do CPR after initial shock?

Answer 4

2 minutes

Question 5

Which are the shockable rhythms?

Answer 5

1. V fib

2. Pulseless V-tach

Question 6

Strength in biphasic and monophasic?

Answer 6

1. Mono: 360

2. Biphasic: 120

Question 7

Epinephrine dosing in ALS?

Answer 7

1 mg every 3- 5 minutes

Question 8

Amiodarone dosing ALS?

Answer 8

First dose: 300mg

Second dose: 150 Mg

Question 9

Bag ventilation rate?

Answer 9

8 - 10 breaths per minutes

Question 10

How to shock asystole or pulseless electrical activity?

Answer 10

DO NOT shock

Question 11

How to confirm ET placement?

Answer 11

Waveform capnography: end tidal Co2

Question 12

Rx persistent symptomatic bradycardia?

Answer 12

Atropine 0.5 mg every 3 - 5 minutes

• 3 mg max dose
• Dopamine or epinephrine can be used
• Transvenous pacing can also be used

Question 13

Rx persistent symptomatic tachycardia?

Answer 13

1. Sedated synchronized cardioversion

2. Adenosine 6mg: if regular and narrow (monomorphic)

Question 14

How to open airway if no trauma?

Answer 14

Head tilt chin lift

Question 15

How to open airway if trauma?

Answer 15

1. C spine

2. Jaw thrust

Question 16

How long to check carotids?

Answer 16

5 - 10 seconds

Question 17

Which drugs can be given via NT tube?

Answer 17

"Navel"
Naloxone
Atropine
Vasopressin
Epinephrine
Lidocaine

Question 18

What to do if a problem encountered during survey?

Answer 18

Any problem should be addressed before moving on

Question 19

Downside of longitudinal US?

Answer 19

Cannot see surrounding structures

Question 20

GCS of what requires intubation?

Answer 20

9 or less

Question 21

What does stridor indicate?

Answer 21

Inspiratory stridor (supraglottic) 
Expiratory stridor (subglottic)

Question 22

What do hyperresonance and dullness indicate in chest percussion?

Answer 22

Hyperresonance: pneumothorax
Dullness: Hemothorax

Question 23

Treatment tension pneumothorax?

Answer 23

Needle decompression using 14-16 gauge angiocath inserted at midclavicular line in the 2nd intercostal space, over the rib to avoid the neurovascular bundle

Question 24

What to consider in in patients in shock with no breath sounds and/or percussion dullness?

Answer 24

Massive hemothorax

Question 25

Rx hemothorax?

Answer 25

Large (36 f) chest tube and possibly a trip to OR

Question 26

When to add blood to fluids in suspected hemorrhage?

Answer 26

AMS

Question 27

What does a blown pupil suggest?

Answer 27

Uncal herniation

• From paralysis of PS fibers of pupillary constrictors of CN III
• Will see a dilated pupil due to unopposed sympathetic

Question 28

What is necessary to remove C-spine?

Answer 28

Alert, not intoxicated
Absence of neck pain
Absence of midline neck tenderness
Absence of distracting injury
Absence of sensory or motor complaint

Question 29

How much blood can hide in pelvis?

Answer 29

5 liters

Question 30

Signs of compartment syndrome?

Answer 30

"5 P's"
Pallor
Pain
Paresthesia
Poikilothermic
Pulseless: late finding

Question 31

What type of blood is immediately available?

Answer 31

O Negative

- Males may receive O Positive blood

Question 32

Imaging done in primary survey?

Answer 32

FAST

Xrays

Question 33

What does tracheal deviation indicate?

Answer 33

Tension pneumothorax