EDH - ED Orientation

Question 1

Assessment Difficult BMV:

Answer 1

BOOTS

1. Beard
2. Old
3. Obese
4. Toothless
5. Snoring

Question 2

Assessment - difficult intubation:

Answer 2

MMAP

1. Mallampati
2. Measurement: 3-3-1
3. Atlanto-occipital extension
4. Pathology

Question 3

Dosage for sedation - etomidate:

Answer 3

0.1 - 0.2 mg/kg IVI

Question 4

Dosage for sedation - propofol:

Answer 4

0.5 - 1 mg/kg IVI

Question 5

Dosage for sedation - midazolam:

Answer 5

0.02 - 0.1 mg/kg IVI

Question 6

Dosage for dissociation - ketamine IMI:

Answer 6

3 - 5 mg/kg IMI

Question 7

Dosage for dissociation - ketamine IVI:

Answer 7

0.5 - 1 mg/kg IVI

Question 8

Dosage for analgesia - fentanyl:

Answer 8

1 - 2 ug/kg IVI

Question 9

Dosage for analgesia - morphine:

Answer 9

0.05 - 0.1 mg/kg IVI

Question 10

How to prepare autotransfusion when draining haemothorax from ICD?

Answer 10

1. Add 200 ml N/S
2. Add 100u heparin

To ICD

Question 11

Another way to test acidity of NGT drainage to confirm placement?

Answer 11

Use urine dipstick

Question 12

When must staples NOT be used?

Answer 12

1. Facial wounds
2. Pre-tibial wounds
3. Hand wounds
4. Foot wounds

Question 13

How to Mx posterior thoracoabdominal stabs below the point of the scapula?

Answer 13

1. Leave open

2. Apply stoma bag

Question 14

What must be done for all burns patients < 5 yrs old?

Answer 14

Must receive a full body chlorhexidine scrub

Question 15

Why IMI voltaren isn’t used in EDH ED?

Answer 15

1. Risk of abscess formation

2. Risk of fasciitis

Question 16

How to load head injury patients - both adults and Paeds:

Answer 16

Adults:

1. Load with phenytoin to run over 45 min post-CT if intracranial pathology found
2. Load with phenytoin to run over 45 min pre-CT if GCS < 13

Paeds:
1. Load with Epilim

Question 17

How to prescribe IV azithromycin?

Answer 17

Run over 2 hrs in 200 mls N/S

Question 18

Tips when administering inotropes:

Answer 18

1. Not via ACF veins
2. Not at rate > 25 ml/hr
3. Not > 6 hrs

Question 19

Presentation of pt format:

Answer 19

1. Pt info
2. Co-morbidities + Mx
3. Working Dx or Diff
4. NB + & - clinical findings
5. Investigations
6. Mx
7. Ongoing concerns & outstanding issues