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NEMO 22 > MPHEC > Flashcards

MPHEC Flashcards

1
Q

5 Most Common Deployed Abdo Pathologies?

A

TAPER

Testicular Torsion
Appendicitis
Pyelonephritis
Ectopic Pregnancy
Renal Colic
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2
Q

Dull Umbilical Pain Radiating To RIF?

A

Appendicitis

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3
Q

Child Bearing Age + 4-8/40 + PV Bleed?

A

Ectopic Pregnancy

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4
Q

Fever + Dull Bladder Ache?

A

Pyelonephritis

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5
Q

Severe Testicle Pain + Absent Cremasteric Reflex?

A

Testicular Torsion

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6
Q

Severe Loin To Groin Pain + Microscopic Haematuria?

A

Renal Colic

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7
Q

Describe This ECG?

A

AF

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8
Q

Describe This ECG?

A

VF

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9
Q

Describe This ECG?

A

VT

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10
Q

Describe This ECG?

A

Asystole

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11
Q

Describe This ECG?

A

PEA

[ECG NORMALLY ASSOCIATED WITH PULSE]

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12
Q

Shockable Rhythms?

A

VF + VT

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13
Q

Non Shockable Rhythms?

A

PEA + Asystole

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14
Q

Meds For Shockable Rhythms?

A

Amioderone 300mg IV
Adrenaline 1mg IV [1:10 000]

After 3 Shocks
Continue Giving Adrenaline Every Odd Shock

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15
Q

Meds For Non Shockable Rhythms?

A

Adrenaline 1mg IV [1:10 000] ASAP

Give Adrenaline Every Odd Shock

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16
Q

Reversible Causes Of Cardiac Arrest?

A

4H + 4T

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17
Q

Describe 4H Of Cardiac Arrest?

A

Hypoxia
Hypovolaemia
Hypothermia
Hypokalaemia/Metabolic

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18
Q

Describe 4T Of Cardiac Arrest?

A

Tension Pneumothorax
Tamponade
Thrombosis
Toxins

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19
Q

Describe Canadian C Spine Rules?

A

Scan = Age >65 + Parasthesia + Dangerous Mechanism
[Fall >1M / Axial Load / >60mph RTA / Bicycle Crash]

OR

Scan = No Low Risk Factors
[Rear End RTA / Sat Up In ED / Ambulatory / Delayed Onset Neck Pain / No Midline Tenderness]

Rotate Neck If Low Risk Factors > Able = No Scan + Unable = Scan

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20
Q

Describe Ottawa Ankle Rules?

A

XR If:

Malleolus Zone Pain AND

Lateral Mal Pain AND/OR
Medial Mal Pain AND/OR
Navicular Pain AND/OR
Can’t Walk

21
Q

Ottawa Knee Rules?

A

XR If:

>55
Fibula Head Pain
Patella Pain
Can’t Flex >90
Can’t Walk
22
Q

Expected Capnography Levels?

A

4.5-5.5 kPa

23
Q

Describe This Capnography?

A

Hyperventilation

24
Q

Describe This Capnography?

A

Hypoventilation

25
Q

Describe This Capnography?

A

Lower Airway Obstruction

26
Q

Describe This Capnography?

A

Oesophageal Intubation

27
Q

Define Mass Casualty Incident [MASCAL]?

A

Major Medical Incident That Despite Extraordinary Measures, Results In Over-Whelming The Medical Capability/Capacity

28
Q

MASCAL Communication Tool?

A

METHANE

Major Incident Declared?
Exact Location
Type Of Incident
Hazards
Access
Number/Severity Of Casualties
Emergency Services Present/Required
29
Q

Order For MASCAL Scenario?

A

CSCATT

Command + Control
Safety
Communication
Assessment
Triage
Treatment
Transport
30
Q

Actions Required To Carry Out Capacity Assessment?

A

1] Does Person Have Impairment/Disturbance In Function Of Brain/Mind?

No = CAPACITY + Yes = 2nd Q

2] Can The Patient Understand + Retain + Weigh Up + Communicate A Decision?

No = NO CAPACITY + Yes [TO ALL] = CAPACITY

31
Q

Meds For Seizure?

A 
1st = Individual Treatment Plan
2nd = Midazolam 10mg Buccal
3rd = Diazepam 20mg PR
32
Q

Drugs For Pre Hospital Emergency Anaesthesia?

A

Fentanyl 3mcg/kg [Analgesia]
Ketamine 2mg/kg [Hypnotic]
Rocuronium 1mg/kg [Neuro Block]

33
Q

Indications For Pre Hospital Emergency Anaesthesia?

A

CAVPU

Compromised Airway
Anticipated Course
Ventilator Failure
Patient Unmanageable
Unconscious
34
Q

Drug Ratios For Pre Hospital Emergency Anaesthesia?

A

Isolated Head Injury = 3F:2K:1R
Trauma = 1F:1K:1R
Massive Haemodynamically Compromised = 0F:1K:1R
Peri Arrest = 0F:0K:1R

35
Q

Ketamine Mechanism Of Action?

A

NMDA Receptor Antagonist

36
Q

What Dose Do You Draw Ketamine Up To?

A

10mg/ml

37
Q

Analgesic Dose Of Ketamine?

A

0.1-0.5 mg/kg IV

38
Q

Sedation Dose Of Ketamine?

A

0.5-1 mg/kg IV

39
Q

Anaesthesia Dose Of Ketamine?

A

2mg/kg IV

[10mg/kg IM]

40
Q

Major Risks Of Ketamine?

A

HALE

HTN
Apnoea
Laryngospasm
Emergence Phenomena

41
Q

How To Mitigate Risks Of Ketamine?

A

HTN = Midazolam
Apnoea = Pre Oxygenate + Anticipate
Laryngospasm = Jaw Thrust
Emergence Phenomena = Quiet Environment + Midazolam

42
Q

Key Details For Paeds Emergencies/Trauma?

A

WETFLAG

Weight = [Age + 4] x 2 = Kg
Energy = 4 x Weight = Joules
Tube = [Age/4] + 4 = mm
Fluids = 10 x Weight = ml
Glucose = 2ml/kg 10% Dextrose
43
Q

Describe Management Differences In Obstetric EMERGENCY/TRAUMA?

A 
Airway = Early Definitive Airway
Breathing = Early High Flow O2 + Thoracostomy in 2nd/3rd ICS
Circulation = 15-30 Degree Left Tilt + Early Fluids
44
Q

1st Stage Labour?

A

Cervical Dilation > Cervic @ 10cm

45
Q

2nd Stage Labour?

A

Cervix Fully Dilated > Baby Delivered

46
Q

3rd Stage Of Labour?

A

Baby Delivered > Placenta Delivered

47
Q

Obstetric Emergencies?

A

Ectopic Pregnancy
Miscarriage
Haemorrhage
Pre Eclampsia

48
Q

Triad Of Pre Eclampsia?

A

Proteinuria
HTN
Abdo Pain

49
Q

Management Of Traumatic Cardiac Arrest?

A

HOT Protocol

Hypovolaemia
[Cat Hem Control + Reduce Long Bone # + Pelvic Splint + Blood/TXA]

Oxygenation
[Airway + BVM]

Tension Pneumothroax
[Bilateral Needle Decompression]

THEN CONSIDER ALS

NEMO 22 (4 decks)

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