Trauma/Emergency Flashcards
Cushing’s triad?
Bradycardia, HTN, Wide pulse pressure
Dose of adrenaline in anaphylaxis?
0.5mg 1:1000 IM
Dose of adrenaline in cardiac arrest?
1mg - 10ml 1:10000 IV
1ml 1:1000
In a non-urgent scenario how quickly should 1 unit of RBCs be transfused?
90 -120 minutes
4 criteria for brainstem testing?
- Deep coma of unknown cause
- Reversible causes excluded
- No sedation
- Normal electrolytes
6 tests to confirm brainstem death?
Pupillary light reflex
Corneal reflex
Ocular vesitublar reflex
Cough reflex
Absent response to super-orbitl pressure
No spontaneous respiratory effort
ABG in salicylate poisoning?
1. Immediately
2. A few hours later
- Respiratory alkalosis
- Metabolic acidosis
Respiratory alkalosis affect in calcium and phosphate?
Hypocalcaemia
Normal phosphate
Brainstem testing should be carried out by?
2 separate doctors on separate occasions
What deficiency increases risk of anaphylactic reaction to a blood transfusion?
IgA deficiency
Management of patients on anticoagulation with head injury?
CT head within 8 hours
At what paracetamol OD should NAC be started before return of plasma-paracetamol concentration?
150mg/kg (if presented 8-24 hours post ingestion)
Maintenance fluid requirement?
20-30ml/kg
Management of paracetamol OD if > 24 hours since ingestion and patient is jaundice, hepatic tenderness or raised ALT?
Start NAC immediately
Signs and symptoms of hypernatraemia?
Jittery movements
Increased muscle tone
Hyperreflexia
Convulsions
Drowsiness
Coma