Resus

Question 1

Scoring tool to assess severity of burns?

Answer 1

Lund and Browder chart (LB chart)

Underprescribing fluids puts the patient at risk of dehydration and shock due to burns, whereas overprescription puts the patient at risk of fluid overload and oedema.

Question 2

CXR signs of aortic dissection?

Answer 2

widened mediastinum
effusion
deviated trachea

Question 3

Two risk factors for aortic dissection?

Answer 3

HTN
connective tissue disorders

Question 4

Murmur in aortic dissection?

Answer 4

diastolic- aortic regurgitation

Question 5

What is the name of the survey prior to primary survey?

Answer 5

zero point survey

Question 6

List three components of the zero point survey

Answer 6

STEP UP

Pre- resus
Self
Team
Environment

Resus commenced
Patient- primary survey ABCDE
Update
Priorities

Question 7

What are the four types of shock?

Answer 7

hypovolaemic
cardiogenic
obstructive
distributive shock
(neurogenic shock)

Question 8

Name two examples of distributive shock

Answer 8

anaphylaxis
sepsis

Question 9

When would JVP raised in shock?

Answer 9

cardiogenic or obstructive

Question 10

When would JVP be lowered in shock?

Answer 10

distributive or hypovolaemic shock

Question 11

Name three causes of shock that you could identify with ultrasound

Answer 11

tamponade
aortic dissection
aneurysm
DVT
LV contractility
RV strain
IVC leaks

Question 12

In which circumstances can IV fluids worsen shock?

Answer 12

cardiogenic shock- euvolaemic
haemorrhagic shock- dilutes clotting factors, raise BP too high and disrupt clot that already has formed

Question 13

List three causes of coma?

Answer 13

AEIOU TIPS
acidosis
epilepsy
infection
overdose
uraemia
trauma to head
insulin- hypoglycaemia
psychosis
stroke