Random stuff from Emergency module Auckland

Question 1

Key locations for hemorrhage

Answer 1

Chest
abdo
pelvis
long bones
floor

Question 2

Anyphylaxis - Dose of adrenaline for adult

Answer 2

0. 5ml of 1:1000 adrenaline

- repeat every 5 mins

Question 3

Management anyphylaxis

Answer 3

ABCs

• adrenaline
• Oxygen
• IV fluids
• antihistamines
• hydrocortisone
• Nebulised adrenaline (airway swelling)

Question 4

Causes of acute confusion

** wide DDx

Answer 4

Rule out dangerous first

• hypoglycemia
• drugs/withdrawal
• meningitis/encephalitis (INFECTION CAUSES)
• Intracranial disease (BRAIN CAUSES)
• medications
• then metabolic causes

DOG MIST

Drugs (withdrawal, overdose)
Oxygen (hypoxia)
Glucose (hypo/hyper)

Metabolic, Meds - (02, C02, Na, temp, thiamine), Endocrine (adrenal insufficiency, hypothyroid, hypopituitism) Organ failure (encephalitis)
Ischemia/infection (meningitis)
Seizure/Stroke
Trauma (brain bleed, brain lesion ect.)

Question 5

Collapse DDx

Answer 5

Syncope

Non-syncope

• seizure
• veterbrobasilar TIA (vertigo, ataxia, diploplia)/ stroke
• fall
• metabolic
• toxins
• cardiac arrest

Question 6

Dangerous causes of syncope

Answer 6

Cardiac (arrhythmia, MI, AD, cardiomyopathy, valvular disease, PE)
Haemorrhage - GI, ectopic preg, AAA
Other - subarachnoid haemorrhage

Non-dangerous 
Neurally mediated-vasovagal, cartoid sinus sensitivity
Orthostatic - vasodilation/ypovolaemia
-meds, alcohol
-autonomic failure 
(postural hypo tension)