Quick Hits for Misses

Question 1

Treatment for Man of War with no barbs

Answer 1

submersion in the hottest water tolerated for 20 minutes results in the most pain relief.

Question 2

Treatment for Man of War WITH barbs

Answer 2

REMOVE barbs first–>hottest water (114)

Question 3

Treatment for Man of War WITH barbs, with systemic symptoms

Answer 3

Pull off barbs after rinsing with vinegar or acetic acid

Question 4

Nematocysts

Answer 4

Most common presentation: local pain
Cardiac arrest, respiratory paralysis

Question 5

Scaphoid injury to distal 1/3, worry about which issue?

Answer 5

The blood supply to the scaphoid penetrates the cortex on the dorsal surface near the tubercle waist area (distal aspect of scaphoid). Therefore, there is no direct blood supply to the proximal portion of the bone. Because of this tenuous blood supply, scaphoid fractures have a tendency to develop avascular necrosis (AVN).

Question 6

Hand bone located under thumb and index finger

Answer 6

scaphoid

Question 7

Name this bone

Answer 7

scaphoid

Question 8

Name injury

Answer 8

open book pelvic fracture

Question 9

Temp range for cooling for severe head trauma

Answer 9

current guidelines recommend moderate hypothermia (32–33°C) which should begin within 8 hours of injury and last at least 48 hours.

Question 10

Mild hypothermia

Answer 10

<35 (90)

Question 11

Mild hypothermia

Answer 11

Shivering, tachy, RR incrased, confusion amnesia, ataxia
<35 (90)

Question 12

Moderate hypothermia

Answer 12

LETHARGY stupor, shallow breaths, bradypnea, pupil dilated, loss of shivering, muscle rigid, bradcyardia, dysrhythmia

28-32 (82-90)

Question 13

Moderate hypothermia

Answer 13

28-32 (82-90)

Question 14

Severe Hypothermia

Answer 14

Severe <28 (82)

Question 15

Severe Hypothermia

Answer 15

fixed dilated pupils, loss of reflexes, rigor, rales apnea, coma, hypotension, oliguria, dysrhytmias, asystole, Severe <28 (82)