Useless things that they want us to know

Question 1

Eligibility criteria for hospice

Answer 1

1. Life expectancy < 6 months
2. Medicare, Medicaid, or private insurance plan
3. The patient (and family) has made the decision to stop curative or life-preserving treatment in order to maximize quality of life.
   • Note: Not all treatment should be withdrawn. Symptomatic therapies are still indicated. Antibiotics, for example, can still be given if the patient develops an infection. Or palliative radiation for cancer therapy.

Question 2

SPIKES protocol steps (in order)

Answer 2

Question 3

Reducing the risk of contrast induced nephropathy

Answer 3

Administration of normal saline prior to and several hours after administering contrast

Can be used if kidney function is borderline and patient has an indication for CT angiography

Question 4

AVPU and GCS

Answer 4

Question 5

ISBAR for consults

Answer 5

Question 6

An injury to the __ is far worse than an injury to the pancreas proper

Answer 6

An injury to the duodenum is far worse than an injury to the pancreas proper

Because it will leak activated pancreatic enzmyes

Question 7

Mediastinum injury

Answer 7

CT angio

Bronchoscopy

Endoscopy

Question 8

High pressure injection injury

Answer 8

Causes compartment syndrome

Question 9

Generally speaking, if there is an appendiceal phlegmon, you will want to do. . .

Answer 9

. . . nonoperative management and interval appendectomy