Critical Care

Question 1

Indications for CT in head injury

Answer 1

GCS < 15 2 hours after injury
Any sign of basilar skull fracture such as hemotympanum, rhinorrhea
Irritability on exam
History of worsening headache
Suspected skull fracture
Large boggy scalp
Focal neuro defect

Question 2

What are indications for urgent foreign body removal

Answer 2

Button battery in the esophagus
Coin in the esophagus and can’t colterage secrecations
>5 mm in length, sharp objecvet

Question 3

CPR compression ratios

Answer 3

30:2 for single rescuer, 15:2 for two rescuer CPR

Question 4

Rate of compressions

Answer 4

100-120

Question 5

rate of ventilation in CPR

Answer 5

if you have advanced airway then 8-10 per minute

Question 6

what depth of chest for compressions

Answer 6

1/3 of chest
4c in infants and 5 cm in children

Question 7

where to check pulse in infant vs chil

Answer 7

brachial in infant
femorla or carotid in child

Question 8

initial shock dose

Answer 8

2J/kg
then 4J/kg

Question 9

what medication for shcok refractory v fib or pulseless v tach

Answer 9

amiodraone or lidocaine

Question 10

target sats post arrest

Answer 10

94-99

Question 11

how long is wide complex tachycardia

Answer 11

0.09s<

Question 12

who to avoid adenosine in

Answer 12

WPW

Question 13

what size ET tube for 1 and 1-2

Answer 13

1- 3mm
1-2 3.5

Question 14

formula for cuffed ET tube

Answer 14

3.5 + age4

Question 15

uncuffed ET tube size

Answer 15

cuffed + 0.5

Question 16

Kings college criteria

Answer 16

○ Acidemia (7.3>)
○ Coagulopathy (INR > 6)
○ Renal dysfunction (cr >34)
Grade 3 or 4 hepatic encephalopathy