Procedures

Question 1

What is the appropriate depth for placement of right and left internal jugular lines?

Answer 1

R IJ- 13cm
L IJ- 15cm
all +/-2cm

Question 2

Nursemaids elbow Hyperpronation method rx

Answer 2

apply pressure to the radial head and hyperpronating the forearm

Question 3

Nursemaids elbow Supination/flexion method rx

Answer 3

supinate and fully flex the elbow while applying pressure to the radial head and pulling with gentle traction

Question 4

Needle decompression of a tension pneumothorax should be performed at what landmark?

Answer 4

-2nd or 3rd interspace anteriorly
or
-4th or 5th interspace laterally

14-gauge needle for adults / 18-gauge needle for children at least 2 inches (5 cm) long to penetrate the pleural cavity

Question 5

Needle decompression of a tension pneumothorax should be performed with what needle?

Answer 5

14-gauge needle for adults / 18-gauge needle for children

at least 2 inches (5 cm) long to penetrate the pleural cavity

Question 6

What are the five recommended sites for intraosseous placement?

Answer 6

Proximal tibia 
distal tibia
distal femur
proximal humerus
sternum

Question 7

Intraosseous Access

Answer 7

Safe for all medications/fluids
Primary site: proximal anterior tibia
Used only until IV access established
safe in peds
Absolute contraindications: fractures, vascular disruption

Question 8

Facial sutures should be removed within ________ to preserve cosmesis

Answer 8

3–5 days

Question 9

Suture over joint duration

Answer 9

10-14 days

Question 10

lower ext suture duration

Answer 10

8-10 days

Question 11

upper ext suture duration

Answer 11

7 days

Question 12

When performing a cricothyroidotomy what is the direction of the initial incision?

Answer 12

Vertical, to avoid the major vasculature in the neck.

Question 13

Under what age is a surgical cricothyrotomy not recommended?

Answer 13

Age 4

Question 14

What is the normal opening pressure in adults?

Answer 14

5–20 cm H20