Environmental Flashcards
1
Q
Parkland formula
A
KG x % Body surface area x 4cc of LR = 24 hours of fluids. Administer half of this in first 8 hours.
2
Q
Things to remember with heat stroke
A
- Temp foley to monitor
- Rhabdo: CK, urine myoglobin
- Avoid hypothermia: discontinue cooling efforts when <40C.
- benzos to prevent shivering
- Don’t overly hydrate. Can cause pulm edema
3
Q
Patients with severe hypothermia, temperatures below 30C can presents with the following?
A
- Fixed, dilated pupils
- Diminished reflexes
- Coma
- V Fib
- Asystole
4
Q
What is moderate hypothermia?
A
30-34C
5
Q
What symptoms can patients present with in moderate hypothermia?
A
Loss of shivering reflex, mild AMS, bradycardia, atrial fib
6
Q
What are some aggressive rewarming techniques?
A
Bair hugger, warm IV fluids, NG/Foley placement with infusion of warmed saline
