Trauma

Question 1

min blood loss to cause dec BP

Answer 1

30-40% (class III hemorrhage)

Question 2

best place to transport an avulsed tooth

Answer 2

back in the socket, milk is next best (reimplantion most successful w/in 30 min)

Question 3

GCS verbal

Answer 3

5: oriented
4: responds, confusing
3: inappropriate responses
2: incomprehensible speech
1: none

Question 4

GCS eyes

Answer 4

4: spontaneous
3: opens to command
2: opens to pain
1: none

Question 5

GCS motor

Answer 5

6: obeys commands
5: crosses midline to pain
4: withdraws from pain
3: flexion (decorticate)
2: extension (decerebrate)
1: none

Question 6

fastest way to reduce ICP

Answer 6

hyperventilation (30sec)… mannitol takes 30 min

Question 7

1st line tx for SVT

Answer 7

vagal maneuver (valsalva) -> adenosine if fails (6mg then 12mg if fails)

Question 8

regular, 180bpm, wide QRS complexes

Answer 8

Vtach

Question 9

tx for stable pt in afib w/ RVR

Answer 9

rate control - verapamil or dilt

Question 10

try this for pt w/ ESRD in PEA arrest

Answer 10

calcium gluconate - suspect hyperK

Question 11

tx for second deg (mobitz 1) AV block

Answer 11

atropine .5mg IV -> transvenous/transcutaneous pacing if insuccessful

Question 12

pt on chronic steroids w/ persistent hTN

Answer 12

think adrenal crisis - tx w/ hydrocortisone

Question 13

tx for beta blocker OD

Answer 13

IV glucagon (vs high dose insulin therapy, PDE inhibitors)

Question 14

burns that blister

Answer 14

partial thickness

Question 15

parkland formula

Answer 15

4 x weight (kg) x %burn = amt of fluids in 1st 24 hrs