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Rosh > Critical Actions > Flashcards

Critical Actions Flashcards

1
Q

Simple Febrile Seizure

A

Detailed H/P
Rule out things like MEningititis
Tylenol/ibuprofen
counsel parents and secure follow up

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2
Q

Cocaine Chest Pain

A

EKG
O2
BEnzos
Nitrates
Trop
CXR
Obs admit

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3
Q

Iron OD

A

Large bore IV access
EKG
WBI
Deforxamine
ASA/Tylenol levels

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4
Q

Pyloric stenosis

A

IV access and adequate rehydration
abd exam
NGT
NPO
Abd US

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5
Q

ICH

A

Airway
LArge bore access and fluids
Serum glucose level
LAbs, coags
heat ct
reverse anticoagualtion
NSGY and ICU consult

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6
Q

TENSION PTX

A

needle thoracostomy
tube thoracostmy
upright CXR
pain
diligent search for other injuries
surgical consult

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7
Q

Acute Chole

A

IV
RUQ US
Pain
Surgery
Abx

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8
Q

Sepsis

A

IV or IO
Multiple fluid bolus
early abx
ICU conuslt

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9
Q

Boerhaave sundrome

A

Crepitus on exam
esophogeal tear on ddx
CXR to evaluate lungs/mediastinum
emergent GI,ENT,CT surgery consultastions
fluids
abx

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10
Q

Epidural abscess

A

On DDX
rectal temp!
obtain stat imaging
NSGY conuslt
Determine the cause! From UTI

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11
Q

Nec Fasc

A

Early recognition
IVF
ABx
surgical consult
do nto delay definitive management- surgery

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12
Q

HyperK

A

EKG
DDX
Calcium gluconate
Insulin, dextrose, albuterol, kayelcoate, lasix, bicarb drip, stat lytes,

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13
Q

Glaucoma

A

VA, EOM, IOP, Pupils,
SLIT LAMP!
optho consult
early meds:
Brimodidnie
timolol
mannitol
pilocarpine
steroids
Acetazolamide

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14
Q

incarcerated hernia

A

DDX
IV
CXR upright
Obstuctive series
NGT
Pain
Surgery

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15
Q

ASA OD

A

IV
Preggo test
Hx of ASA use
Soidum Bicarb
Repeat ASA levels
ICU admission

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16
Q

HSP

A

Fluids
Abd X ray
Pain
Labs for kidney and liver
surgery consult

17
Q

Snake Bite

A

ABCs
Assess wound
ID the snake fir venom exposure
Labs for snake bit enmovation CBC, CMP, Coags, Fibrinogen, Dimer, Type and Cross

18
Q

CRVO

A

Ocular exam
Optho consult

Other: DC with follow up, CT head, still get labs

19
Q

Torsades in a kid

A

EKG and Dx
Dx torsades
PALS
cards consult, ICU consult

—- Family, lidocaine drip, EPi, Mag, defibrillate mutl times

20
Q

RPO

A

Prepare for intubation
Abx
Soft tissue neck x ray
ENT ocnuslt
ICU admission

21
Q

SCFE

A

phys exam bilaterally
ortho
bilat x rays w/ lateral!
pain meds- ibuprofen

22
Q

3 year old test torsion

A

test exam
immediate urolgoy/ped surg consult
US doppler
pain- morphine
menaul deotrsion attempt )procedural sedation, elevate, 540 medial to lateral)
OR
NPO

23
Q

Gastric Perf

A

IV access
upright cxr
pain
surgery

24
Q

pertussis kid

A

O2
IVF if tachy
CXR
Abx
Admit resp isolatio

25
Q

AAA

A

IVF and access
bedside US!!!! (CT will be down)
surgery consult
Blood trasfusion (call BB to make sure MTF is ready)

Grey turner sign- gflank ecchymosis signs of retroperitoenal hematoma

26
Q

CO Posioning

A

100% NRB
Glucow
HX
COHb elvel
Transfer for hyperbaircs

27
Q

LeFort 2 Fx

A

Early advanceed airway - Awake intubation, cric at thebedside
hemorrhage control - stop epistaxis!
C spine immobilization
CT head, face, c spine

CXR for aspirated teeth
assess for csf rhinorrhea
Epistaxis, direct compression first

28
Q

Circumfenertial burn

A

Large bore IV access
Pain
Tube
Escharotomy
tdap
burn unit transfer

CO level
Tdap
Intubate for sedation
parkland forumla!

29
Q

varicela bleed

A

IVF
Hemodynamic monitring
Platelt/FFP ransfusion
Abx
ICU
GI consult

30
Q

Bradycardia

A

EKG
O2
Atropine .5 up to 3 mg
pace - tracsQ to tansV

31
Q

Status Ashtmaticus

A

Pulse ox
cardiac monitoring
O2
Duonebs, steroids
frequent reassessment
Mag, Epi, terbutaline
Bipap
Admit to ICU

32
Q

SJS

A

Hx of abx usage
skin exam
DDX
stop the offending agent
Derm and OPTHO consult
ICU admit

33
Q

GBS

A

FSG
Neuro exam
GBS Dx
Neuro consult
intubate- decom from NIF
ICU admit
Plasma exacnhe

LP too

34
Q

SBO

A

IVF
Upriught CXR obsutricve series
pain
surgery
NGT

35
Q
A

Rosh (14 decks)

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