skills

Question 1

OPA contraindications

Answer 1

trismus, intact gag reflex, neurological injury

Question 2

NPA contraindications

Answer 2

middle third facial trauma, significant nasal trauam, brain injury

Question 3

iGel contraindications

Answer 3

intact gag reflex, trismus, upper airway obstruction, suspected epiglottis

Question 4

12 led ECG placement

Answer 4

V1 - 4th intercostal, right of sternum
V2 - 4th intercostal, left of sternum
V3 - between 2&4
V4 - 5th intercostal, mid clavicular line
V5 - 5th intercostal, mid auxillar line
V6 - 5th intercostal, auxillar line

LA - left under clavical
RA - right under clavical
LL - left costal margin, mid clavicular line
RL - right costal margin, mid clavicular line

Question 5

CPAP contraindications

Answer 5

facial trauma, GCS <13, upper airway obstruction, pneumothorax, vomiting, life threatening arrhythmia, need for airway management, hypoventilation

Question 6

Nasal prongs

Answer 6

2-6 L/min

Question 7

Simple face mask

Answer 7

5-10 L/min

Question 8

Nebuliser

Answer 8

?

Question 9

GCS

Answer 9

Eyes 1-4

1. No response
2. Responds to pain
3. Responds to commands
4. Spontaneous

Speech 1-5

1. No response
2. Noises
3. Incoherent words
4. Disoriented
5. Oriented

Motor 1-6

1. No movement
2. Extension
3. Flexion
4. Withdraws from pain
5. Localises pain
6. Obeys commands

Question 10

RSA

Answer 10

Appearance 
Auscultation
Conscious state
Respiratory rate
Respiratory rhythm
Work of breathing
Heart rate
Speech
Skin

Categories: no distress, mild, moderate, severe

Question 11

PSA

Answer 11

Blood pressure
Heart rate
Skin
Conscious state

Categories: adequate, borderline, inadequate, extremely poor, none

Question 12

Additional Obs

Answer 12

Pupils, SpO2, BGL, Temperature, ECG

Question 13

AEIOU TIPS

Answer 13

A - alcohol
E - epilepsy
I - insulin
O - overdose
U - underdose
T - trauma
I - infection
P - poison/psych
S - stroke/sepsis

Question 14

HEATAU

Answer 14

H - hypoxia
E - exsanguination 
A - asthma
T - tension pneumothorax 
A - anaphylaxis 
U - upper airway obstruction

Question 15

Stroke assessment

Answer 15

MASS - positive if any occur (facial droop, slurred speech or unilateral weakness)

A - arm test (hold both arms up, see if one falls)
C - chat (right arm falls)
T - tap (left arm falls)

If no evidence of stroke mimic, deficits new or worse and symptoms started <24 hours ago, then ACT-FAST positive

Question 16

Defib pads

Answer 16

Under right clavicle, above right nipple

Mid auxiliary line 6th intercostal

Question 17

Paeds defib kj calculation

Answer 17

weight x 4, round up

Question 18

5 patient rights

Answer 18

Route, time, drug, patient, dose

Question 19

Inferior leads

Answer 19

L2, L3, aVF = right coronary artery

Question 20

Septal leads

Answer 20

V1, V2 = left anterior descending artery

Question 21

Anterior leads

Answer 21

V3, V4 = Left coronary artery

Question 22

Lateral leads

Answer 22

L1, V5, V6, aVL = circumflex artery

Question 23

Drug calculations

Answer 23

1. work out the weight using the age (3y/o = 14kg)
2. multiple by dose (600mcg/kg x 14 = 8400)
3. if on hand drug comes in mg then convert mcg to mg - divide by 1000 to get mg (8400mcg -> 8.4mg)
4. x the found dose by mL on hand, divide answer by mg we have on hand (presentation)
5. 4x2 = 16.8. 16.8/8 = 02.1

Dose = 8.4mg
Volume = 2.1mL