Didactics 2

Question 1

etomidate s/e

Answer 1

adrenal insuf

probably not for sepsis

Question 2

ketamine s/e

Answer 2

larygnospasam
inc ICP

maybe not awesome for head injury

Question 3

succinylcholine s/e

Answer 3

hyperK
malignant hyperthermian

bad in burns, crush injuries, muscular injury

Question 4

Sugammadex

Answer 4

rocuronium reversal agent

Question 5

Tension Pneumothorax rx

Answer 5

treatment is a needle decompression using 14-16 gauge long angiocath inserted at midclavicular line in the second intercostal space, over the rib to avoid the neurovascular bundle

Question 6

The “D” for disability represents a quick check to assess neurologic status. You can quickly assess mental status via the AVPU scale

Answer 6

• Alert – a fully awake patient.
• Voice – responds (verbal, motor, with eyes) when verbally addressed
• Pain – response with pain stimulus
• Unresponsive – no Eye, Voice or Motor response to voice or painful stimuli.

Question 7

Hemorrhagic shock class
normal to low BP

Answer 7

class 2

Question 8

Hemorrhagic shock usually first finding

Answer 8

Narrowed Pulse Pressure- class 2

Question 9

Glascow Coma Score (GCS) is part of what abc?

Answer 9

disability

evaluates mental status via assessment of eye opening, motor response, verbal response.

scores between 3-15

Question 10

Disability assessment

Answer 10

wiggle finger, wiggle toe to command

following commands to responsive

Question 11

Motor/ Strength Grading

Answer 11

0: Total paralysis
1: Palpable/visible contraction
2: FROM w/gravity eliminated
3: FROM against gravity
4: FROM, less than normal strength
5: Normal strength

Question 12

what eye muscle tends to get entrapped in orbital floor fx

Answer 12

inferior rectus

Question 13

In order to clear the cervical spine and remove the patient’s collar, they must have the following findings

Answer 13

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

Question 14

Neck zone 1

Answer 14

sternal notch to circhoid

Question 15

Neck zone 2

Answer 15

crichoid to angle

Question 16

Neck zone 3

Answer 16

ANGLE TO SKULL BASE

Question 17

hard neck sign rx

Answer 17

pretty bad injury, needs OR quickly

hard signs are related to vasculature-
pulsitile bleed
hemotoma
hypotension

Question 18

soft neck signs

Answer 18

s/s that can be worked up prior to OR

stridor
sub q emphysema
hoarseness

Question 19

1 solid organ hurt in blunt ab injury

Answer 19

spleen

Question 20

National Emergency X-Radiography Utilization Study (NEXUS) low-risk criteria

Answer 20

Cervical spine radiography is indicated for patients with neck trauma unless they meet ALL of the following criteria:

• No posterior midline cervical-spine tenderness
• No evidence of intoxication
• A normal level of alertness (GCS 15)
• No focal neurologic deficit
• No painful distracting injuries