Principles and Canned Phrases

Question 1

Any trauma patient

Answer 1

Place patient on monitor and O2
Establish two large bore IVs
Ensure we had uncrossed blood available
Complete my primary survey evaluating airway breathing circulation.
Send. Full set of labs in idling CBC, CMP, lipase, coags, Utox

Question 2

estrogen exposure

Answer 2

Menarchy (early menarch increases risk)
Parity (less parity increases risk)
Breast feeding (less breast feeding increases risk)
Menopause (late menopause increases risk)
Hormone replacement therapy (HRT increases risk)

Question 4

Hs and Ts

Answer 4

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypo/hyperkalemia
Hypothermia
Tension ptx
Toxins
Thrombosis coronary
Thrombosis pulmonary

Question 5

Epi dosing during code

Answer 5

1mg every 3-5 minutes

Question 6

When to use alternate meds apart from epi for cardiac arrest algorithm?

Which meds?

What dose?

Answer 6

Consider after 2+ shocks and 1 epi for VF/pVT

Amiodarone 300mg 1st dose then 150mg 2nd dose

Lidocaine 1mg/kg 1st dose then 0.5 mg/kg 2nd dose

Alternate with epi

Question 7

What is the shock energy for defibrillation?

Answer 7

Biphasic:
1st: 120-200J
2nd and subsequent should be equivalent to first or higher

Monophasic:
360J

Question 8

Breath ratio once advanced airway achieved in CPR

Answer 8

1 breath every 6 seconds

10/min with compressions