Emergency Medicine

Question 1

In the Anaphylaxis algorithm, what is the first thing you do after doing ABCDE?

Answer 1

Call for help e.g. either the team or an ambulance

Question 2

How would you lie a patient who is suspected to be in anaphylactic shock? (including pregnant women)

Answer 2

Lie them flat, with or without elevated legs. If pregnant, lie them on their left side.

Question 3

After how many doses of IM adrenaline do you start the refractory anaphylaxis algorithm?

Answer 3

Two

Question 4

What is given to patients with PE before calculating their Wells score?

Answer 4

Oxygen and LMWH

Question 5

A patient has a seizure, high temperature, is tachycardic and has a widened QRS complex. What has happened?

Answer 5

Tricyclic antidepressant overdose
e.g. amitryptilline

Question 6

A patient has dyspnoea, widespread petechial rash and a reduced GCS after fracturing their long bones. What has happened?

Answer 6

Fat embolism

Question 7

What severe complication can occur if children take aspirin?

Answer 7

Reye’s syndrome- severe encephalopathy

Question 8

What can be prescribed in patients using morphine causing nausea and vomiting?

Answer 8

Anti-emetics

Question 9

What is the first step in a patient with a cervical spine injury who is making grunting noises in the airway

Answer 9

Secure airway using jaw thrust