Emergency Medicine Flashcards
Within what time scale can you give activated charcoal to a person who has taken an overdose?
Within one hour
What form of thrombolysis do you give a patient who is at risk of bleeding and why?
IV unfractionated heparin because it can be stopped and reversed in event of recurrent bleeding
Why should you not give oxygen to patients with suspected STEMI that do not have a high oxygen requirement?
Oxygen will increase mortality for STEMI with sats of >94%
What is the effect of cocaine on the heart?
- Tachycardia
- Hypertension
- Coronary artery spasm
- Myocardial ischaemia
What is the first line treatment for sinus bradycardia?
Atropine
What is used to reverse warfarin in medical emergencies?
Prothrombin complex concentrate
How do patients with mesenteric ischaemia typically present?
- Colicky abdominal pain 5-14 days before presentation
- N&V
- Pain tolerated initially but pain will eventually be disproportionate to findings