Pedia: Emergencies

Question 1

In a person with exposure to a known allergen what is the minimum dxtic criteria for anaphylaxis?

Answer 1

Decrease in 30% of pxs known BP or low BP terms of age

Question 2

What is the treatment for diagnosed anaphylaxis?

Answer 2

Epi 1:1000 dilution 0.01mg/kg with Max 0.5mg
Antihistamines
Beta agonist
Glucocorticoids: Hydrocortisone 5mg/kg or Methylprednisolone 2mg/kg IV

Question 3

The second phase of biphasic anaphylaxis usually occurs in how many hours?

Answer 3

4 hours

Question 4

What is the most common significant pediatric cardiac arrythymia?

Answer 4

Supra ventricular tachy

Question 5

Overdose! What is the tx of choice for:

1. TCA
2. Carbon monoxide
3. Mothballs

Answer 5

1. Sodium bicarbonate
2. 100% O2
3. Activated charcoal

Question 6

What category of rabies exposure?
Lick on broken arm skin
Minor scratch on nape
Nibbling on hand
Handling of carcass
Licking on forehead

Answer 6

Lick on broken arm skin 2
Minor scratch on nape 3
Nibbling on hand 2 
Handling of carcass 3
Licking on forehead  1

Question 7

In a person with exposure to a likely allergen what is the minimum dxtic criteria for anaphylaxis?

Answer 7

2 or more of 
Involvement of skin and mucosa
Respiratory compromise
Reduced BP
Persistent GI sxs

Question 8

What is the treatment for VTACH?
Stable
Unstable

Answer 8

Stable IV lidocaine 1mg/kg

Unstable cardio version 1J/kg

Question 9

In resuscitation how fast should one obtain access from a peripheral line?

Answer 9

90s or in 2-3 attempts