Resuscitation And Tramua

Question 1

Depth of compressions in infants?

Older children?

What ratio of compressions to breaths? Rate?

Answer 1

1.5 inches

2 inches

15:2, 100-120

Question 2

What sBP is worrisome?

What RR?

Answer 2

< 70 + (2*age)

> 60

Question 3

What is the dose of Epi for peds in cardiac arrest?

Amiodarone?

Lidocaine?

Answer 3

.01 mg/kg which is .1 mL/kg for 1/10,000 [ ]

5 mg/kg bolus

1 mg/kg bolus, 20-50 mcg/kg infusion

Question 4

What is energy dosing for defibrillation on 1st attempt?

2nd?

3rd?

Answer 4

2 J/kg

4 J/kg

10 J/kg

Question 5

How to treat adrenal insufficiency in peds with fluid refractory septic shock?

Alternate dose?

Answer 5

Hydrocortisone 1-2 mg/kg with max dose of 100 mg

50-100 mg/day

Question 6

What is considered bradycardia in a newborn?

When to start compressions?

Answer 6

< 100 bpm

< 60 bpm

Question 7

What defines neonatal hypogylcemia?

What is the replacement dose? And what [ ]?

Answer 7

< 40 mg/dL

D10W with 2-4 mL/kg

Question 8

Normal SpO2 % 1 minute after birth?

How should it increase?

Answer 8

60-65%

Increase by 5% every minute up to 85-95% at 10 minutes

Question 9

What is the compression to ventilation ratio in neonatal resuscitation?

Answer 9

3:1 w/goal of 90 compressions w/30 synchronized breaths

Question 10

How much blood to transfuse for decompensated shock 2/2 to blood loss?

Answer 10

10-20 mL/kg PRBC

Question 11

Ped pt presenting with signs of herniation, what dose of 3% hypertonic saline?

Mannitol?

Answer 11

6.5-10 mL/kg

.25-.5 g/kg IV

Question 12

What level to maintain CPP in peds?

Adults?

Answer 12

50

70

Question 13

What defines massive transfusion?

What must you do and why?

Answer 13

Blood product volume > 40 mL/kg

Add Plts to correct coagulopathy, give plasma, Plts, prices in 1:1:1 ration

Question 14

What is SCIWORA?

Why is it important?

Answer 14

Spinal cord injury without obvious radiographic abnormality

Children have underdeveloped neck musculature and a big head, fulcrum is at C2/C3 and cause higher cervical cord injuries w/inc incidence of cord injury w/OUT bone injury

Question 15

When is ED thoracostomy indicated?

Answer 15

Penetrating trauma and CPR for < 15 minutes

Blunt trauma w/evidence of Cardiac tamponade present, CPR < 10 minutes

Question 16

Ped pt wearing lap seat belt with seat belt sign, what 3 things to look for?

Management?

Answer 16

Diaphragmatic hernia
Small bowel injury
Chance fracture (thoracolumbar spinal injury)

NG tube to decompress stomach

Question 17

Pediatric handlebar injury from bike, look for what main injures?

Answer 17

Duodenal hematoma

Pancreatic injury

Question 18

Spinal shock is best treated with which vasopressor?

Why?

Answer 18

Phenylephrine

D/t decreased SVR