Emergency Medicine Flashcards

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1
Q

What are the ABCDE’s of primary survey?

A
Airway
Breathing
Circulation
Disability
Exposure
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2
Q

The goal(s) of the airway assessment is/are ___________

A

secure airway

stabilize spinal cord

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3
Q

The breathing assessment aims to ________

A

secure oxygenation and ventilation

treat life-threatening thoracic injuries

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4
Q

List types of life-threatening thoracic injuries that must be ID’ed during B step

A
tension pneumothorax
open pneumothorax
flail chest
cardiac tamponade
massive hemothorax
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5
Q

The circulation assessment aims to _________

A

secure adequate tissue perfusion

treat external bleeding

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6
Q

Shock begins when systolic blood pressure is less than ________

A

90mmHg

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7
Q

Normal urinary output per hour is ____

A

30-55mL

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8
Q

Disability assessment aims to __________

A

determine neurological injury

current history of drugs, allergies

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9
Q

According Glasgow Coma scale an emergency occurs when the score is ____

A

< 8

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10
Q

Adequate exposure assessment aims to ____________

A

determine presence of hypothermia via visual inspection, digital palpation

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11
Q

Normal heart rate range is ________

A

60-100bpm

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12
Q

List typical signs of basilar skull fracture

A

raccoon eyes, Battle’s sign (bruise over mastoid), clear otorrhea, clear rhinorrhea, hemotympanum

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13
Q

List signs of increased intra-cranial pressure

A
severe headache w/ nausea, vomit
Cushing's triad - HTN, bradycardia, irregular depressed breathing
worsening neurological status
significant edema of head
lateralized neurological signs
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14
Q

List signs of meningeal irritation

A

severe headache, photophobia, neck and occipital rigidity, Brudzinski’s and Kernig’s sign, change in mental status

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15
Q

Palpable peripheral pulses indicated systolic BP is ______

A

> = 80mmHg

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16
Q

Palpable central pulses indicate systolic BP is ____________

A

> =60mmHg

17
Q

What is pleuritic pain?

A

upper back and chest pain worse upon inspiration

18
Q

What are the four Killer Chest Pains?

A

MI / Angina pectoris
Pulmonary embolism
Aortic Dissection
Pneumothorax

19
Q

What are the three major categories of shock? give examples of each

A

Hypovolemic - blood loss
Cardiogenic - MI, cardiac tamponade, arrhythmia
Distributive - anaphylaxis, sepsis

20
Q

Illusion is ___________

A

the mistaken identification of existing stimulus

21
Q

Hallucination is __________

A

perception of non-existent stimulus

22
Q

Delusion is ____________

A

aberrant thought which can’t be corrected by judgement