Toxin/Enviormental

Question 1

Cyanide

Answer 1

Hydroxocobalamin - 70mg/kg IV (MAX 5g)

Question 2

Heat cramps

Answer 2

PO fluids

Monitor and reassess

Question 3

Heat exhaustion

Answer 3

Active cooling - Temp <102.5
12-lead
IV
NS 500CC - SBP>90

Question 4

Heat stroke/Exertional heat stroke

Temp>104 w/ AMS

Answer 4

ICE bath - Temp <102.5 before transport
12-lead
IV
NS 500CC - SBP>90

Question 5

Jellyfish, anemone, mon-o-war

Answer 5

Vinegar rinse/seawater

calcium chloride 1g IV

Question 6

Sting ray, lion fish, urchin, starfish

Answer 6

immerse in hot water

calcium chloride

Question 7

BB/CBB OD

Answer 7

Glucagon 4mg IV/IO/IM
Calcium chloride 1G IV/IO
Pacing as needed

Question 8

TCA OD

Answer 8

QRS>0.12
Sodium bicard 10 mEq IV/IO
Repeat 3-5mins no max

Question 9

Isolated Heroin OD Protocol

Answer 9

Age > 18 and Isolated IV OD

• Never was in cardiac arrest
• Regain normal mental and resp status after 2mg Narcan
• Must admit to use
• Must consent to 2mg Narcan IM prior to leaving

Question 10

TCA OD symptoms

Answer 10

seizures, dysrhtymia, hypotension, AMS, coma

Question 11

Acetaminnophen OD

Answer 11

N/V, liver failure

Question 12

ASA OD

Answer 12

ABD pain and vomiting, AMS, tachypnea, renal dysfunction, liver failure, cerebral edema

Question 13

Nerve agent antidote kits

Answer 13

Atropine 2mg and Pralidoxime 600mg autoinjector. EMS personnel use only, not for patients.