Emergency Med

Question 1

How is asthma treated?

Answer 1

Call for help

Take history to confirm asthma background

Oxygen via facemask

Salbutamol via nebulizer

Take history to confirm background of chronic asthma

Question 2

What is chest pain indicative of?

Answer 2

Chest pain can be caused by lots of pathologies

Acute coronary syndrome, aortic dissection, pulmonary emobolus, pancreatitis, pneumothorax

Chest pain that is new and associated with pallor and swearing obviously causing distress to the patient

Question 3

How should chest pain be treated?

Answer 3

Place patient in comfortable position

call for help

Have oxygen available

Give GTN if patient usually has this

Consider 300mg aspirin (hold off on this)

Question 4

How is hypoglycaemia to be treated?

Answer 4

Confirm diagnosis with BSL

In awake patient administer glucose solution

If uncooperative or drowsy call for help

If IV access available give 10% dextrose solution

Question 5

What are the treatments for epilepsy?

Answer 5

DRSABC

Remove dangerous stuff around patient

Take the time

Provide basic airway support and oxygen and avoid suction/putting fingers in the mouth

Give abortive medication if status epilepticus (>5 mins)

Midazolam and diazepam can be administered

Question 6

What should be done with stroke patients?

Answer 6

Call for help

Question 7

What should be done for vasovagal syncope?

Answer 7

If confident it is vasovagal

It is all about returning bloodflow to the head

Lie patient down

Question 8

What are the questions on the exam going to relate to?

Answer 8

Concentration of IM adrenaline you give for anaphylaxis

DRSABC

Defibrillators

Difference between oral surgery and oral and maxillofacial surgery (USYD Dr of Clinical

The ALS algorithm and the 4Hs and Ts