Indications

Question 1

Adrenaline

Indications

Answer 1

Adrenaline

✓ Cardiac arrest

✓ Anaphylaxis OR severe allergic reaction

✓ Severe life-threatening bronchospasm OR silent chest

✓ Croup

Question 2

Aspirin

Indications

Answer 2

Aspirin

✓ Suspected ACS

✓ Acute cardiogenic pulmonary oedema

Question 3

Ceftriaxone

Indications

Answer 3

Ceftriaxone

✓ Suspected meningococcal septicaemia

Question 4

Dexamethasone

Indications

Answer 4

Dexamethasone

✓ Croup

Question 5

Droperidol

Indications

Answer 5

Droperidol

✓ Acute behavioural disturbances (SAT > 2)

Question 6

Fentanyl

Indications

Answer 6

Fentanyl

✓ Significant pain

✓ Autonomic dysreflexia (SBP > 160mmHg)

Question 7

Glucagon

Indications

Answer 7

Glucagon

✓ Symptomatic hypoglycaemia (inability to self-administer oral glucose)

✓ Refractory anaphylaxis (unresponsive to 3x IM adrenaline and adequate fluid resuscitation)

Question 8

Glucose gel

Indications

Answer 8

Glucose gel

✓ Symptomatic hypoglycaemia (with ability to self-administer oral glucose)

Question 9

Glucose 10%

Indications

Answer 9

Glucose 10%

✓ Symptomatic hypoglycaemia (with the inability to self-administer oral glucose)

Question 10

Glyceryl trinitrate

Indications

Answer 10

Glyceryl trinitrate

✓ Suspected ACS (with pain)

✓ Acute cardiogenic pulmonary oedema

✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)

✓ Irukandji syndrome (with a systolic BP > 160 mmHg)

Question 11

Hydrocortisone

Indications

Answer 11

Hydrocortisone

✓ Asthma (excluding mild)

✓ Acute exacerbation of COPD (with evidence of respiratory distress)

✓ Suspected, or at risk of, an acute adrenal insufficiency (adrenal crisis)

✓ Refractory anaphylaxis with persistent wheeze (and unresponsive to 3 x IM adrenaline (epinephrine))

Question 12

Ibuprofen

Indications

Answer 12

Ibuprofen

✓ Moderate pain due to acute inflammation and tissue injury

Question 13

Ipratropium bromide

Indications

Answer 13

Ipratropium bromide

✓ Moderate bronchospasm (unresponsive to initial QAS salbutamol NEB)

✓ Severe bronchospasm

Question 14

Loratadine

Indications

Answer 14

Loratadine

✓ Symptomatic urticaria (without evidence of anaphylaxis)

Question 15

Methoxyflurane

Indications

Answer 15

Methoxyflurane

✓ Pain

Question 16

Midazolam

Indications

Answer 16

Midazolam

✓ Generalised seizures/focal seizure (GCS < 12)

✓ Acute behavioural disturbance (with a SAT score > 2) unresponsive to droperidol (max dose) administration

Question 17

Morphine

Indications

Answer 17

Morphine

✓ Significant pain

✓ Autonomic dysreflexia (with a systolic BP > 160 mmHg)

Question 18

Naloxone

Indications

Answer 18

Naloxone

✓ Respiratory depression (secondary to the administration of narcotic drugs)

Question 19

Ondansetron

Indications

Answer 19

Ondansetron

✓ Significant nausea AND/OR vomiting

Question 20

Oxytocin

Indications

Answer 20

Oxytocin

✓ Active management of the third stage of labour (following confirmed of delivery of all fetuses) AND the prevention of primary post-partum haemorrhage

✓ Management of uncontrolled primary or secondary post-partum haemorrhage

Question 21

Paracetamol

Indications

Answer 21

Paracetamol

✓ Mild to moderate pain

✓ Fever (causing distress)

Question 22

Salbutamol

Indications

Answer 22

Salbutamol

✓ Bronchospasm

Question 23

Tranexamic acid

Indications

Answer 23

Tranexamic acid

✓ Recent traumatic injuries (3 hours or less) with a COAST score of 3 or greater

✓ Management of uncontrolled primary post-partum haemorrhage (3 hours or less)