Environmental Flashcards

1
Q

Indicators of a poor prognosis for submersion/Drowning

A
Age: < 3
Submersion > 5-10 min
Duration of resusc >25 min
Hypothermia
Severe acidosis
GCS 3
Unreactive pupils 
Asystole
Need for prolonged CPR in the ED
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2
Q

List six signs or symptoms concerning for upper airway thermal injury

A
Oral pharyngeal swelling/edema
Strider
Respiratory distress
Facial burns
Drooling
Hoarseness
Carbonaceous sputum
Singed nasal hairs
Soot in the oropharynx
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3
Q

What are two clinical features and one laboratory feature for cyanide toxicity [Prompting treatment]

A

Cardiovascular instability
Altered mental status
Serum lactate >10

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4
Q

Treatment of choice for cyanide toxicity

A

Hydroxocobalamin [B12]

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5
Q

Six factors determining the severity of electrical injury

A
Resistance of skin/mucosa/internal structures
Type of current [AC versus DC]
Frequency of the current
Intensity
Duration of contact
Pathway taken by the current
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