Stevens #2 Emergencies

Question 1

If drooling w/o airway distress where is foreign body?

Answer 1

Esophageal

Question 2

If drooling and coughing where is foreign body?

Answer 2

Upper airway / Pharynx

Question 3

If in respiratory distress, where is foreign body?

Answer 3

Airway

Question 4

What is an extreme hazard in foreign bodies?

Answer 4

Ball valve

Question 5

With a bronchoscopy for foreign body, what meds should be given on IV is established?

Answer 5

• Atropine

- Steroids

Question 6

What should be done with foreign body post op?

Answer 6

• Pulmonary toilet
• Re-expand lungs
• Bronchodilators
• Monitored bed

Question 7

3 major fractures in children?

Answer 7

• Supra condylar
• Femur
• Wrist

Question 8

Why do children have full stomach with fractures?

Answer 8

Anxiety, pain, narcotics all cause gastroparesis.

Question 9

What should you do with an after hours ortho case?

Answer 9

• Decrease narcotic dose

- Will keep patients breathing

Question 10

Why do ruptured globes need to remain calm?

Answer 10

↓ vitreous fluid loss

Question 11

Ruptured globe may need what type of intubation?

Answer 11

RSI

Question 12

In ruptured globe, why would you avoid succs?

Answer 12

-Vitreous fluid loss w/ fasciulations

Question 13

What type of extubation with ruptured globe?

Answer 13

Deep to avoid coughing which causes ↑ IOP

Question 14

How do you set up room for post TA bleeding?

Answer 14

• RSI
• Suction
• Help for cricoid pressure

Question 15

Shunt revisions are always considered what?

Answer 15

emergency

Question 16

How to treat acute hydrocephalus medically?

Answer 16

• Hyperosmolar therapy (mannitol, 3% Nacl)

- Intubation w/ hyperventilation

Question 17

How to treat less acute hydrocephalus?

Answer 17

Diamox

Question 18

What type of extubation with VP shunt?

Answer 18

-Wide awake

Question 19

Neonatal emergencies that require immediate intervention?

Answer 19

• Bowel obstruction
• Abd wall defects
• Airway
• Esophageal atresia
• CDH
• Teratommas

Question 20

Necrotizing Enterocolitis is what?

Answer 20

Bacterial Invasion Bowel Wall

Question 21

What to anticipate w/ NEC?

Answer 21

• Aspiration
• Hypovolemia
• Sepsis
• Coagulopathy
• Pulmonary compliance

Question 22

Most common Tracheoesophageal fistula

Answer 22

Type C

Question 23

Tracheoesophageal fistula diagnoisis

Answer 23

• Polyhydraminos
• Resp distress w/ feeding
• Drooling
• Cant pass OGT
• CXR

Question 24

Most common cardiac anomaly with Tracheoesophageal fistula

Answer 24

VSD

Question 25

Where do you want the ETT tip durin Tracheoesophageal fistula repair?

Answer 25

Distal to the fistula