Enviromental

Question 1

Immediate/1st line care for altitude sickness

Answer 1

Rapid descent
O2
Gamow Bag

Question 2

HACE Tx

Answer 2

w/o AMS:
O2, Acetazolamide 125-250 PO, Dexamethasone 10 mg q 6(4mg)
w/AMS
Dexamethasone 4 mg q6
Zofran 4-8 mg
Consider 650-1000mg tylenol and 600-800 motrin

Question 3

Acetazolamide Contraindications

Answer 3

Sulfa allergies of sickle cell anemia

Question 4

HAPE Tx

Answer 4

O2
Nifedipine 10 mg q 4-6
PPV

Question 5

Tetany

Answer 5

Involuntary contraction of muscle from low Ca2+

Question 6

Hyperthermia <104/40C

Answer 6

1L IVF, prep for SZ

Question 7

Hyperthermia >104/40C

Answer 7

Ice packs, wet skin with fanning, D/C at 104/40, consider 0.1 mg/kg versed for shivering, 1L IVF

Question 8

Hypothermia temp

Answer 8

<95/35

Question 9

<88/31

Answer 9

V-fib is common

Question 10

<86/30

Answer 10

Shivering stops, if cardiac arrest, attempt 1 shock but withhold further shocks/meds

Question 11

3 clinical syndromes of snakebites

Answer 11

Neurotixic, Coagulopathy, Cytotoxic

Question 12

Only effective txs for hemotoxic syndrome

Answer 12

Antivenom and PRBC or whole blood

Question 13

Tx Cytotoxic syndrome

Answer 13

Mark pain line with dashes
Mark edema with solid line
Elevate limb > 60°

Question 14

tx Neurotoxic Syndrome

Answer 14

Prep for airway, Consider Atropine 0.5 mg if cholinergic crisis

Question 15

Sudden collapse syndrome tx

Answer 15

Epi 0.3-0.5 mg IM
IV Bolus 100 mcg/ 5-10
Infusion 1mcg/min
ANtiVENM / airway considerations
Maintain 90-100 SBP with IVF

Question 16

Funnel Web Spider Envenomation

Answer 16

Looking for spasms, for secretions gonna give 0.5 mg atropine 3-5 min

Question 17

Submersion injury record what?

Answer 17

Depth, duration of descent, fresh or salt

Question 18

DCS w/suspectied air

Answer 18

O2, lidocaine 1.5 mg/kg, aspirin 325mg