Math is Mathing
Very Demure, Very Hypotensive
Worth the Squeeze
Let's Get Critical
Not Dead Yet
Save the Trauma for your Mama
200
Shock occurs when consumption of this periodic element is greater than its delivery
What is oxygen?
200
Dividing heart rate by systolic blood pressure will provide this score predicting risk for decompensation
What is the Shock Index?
200
This medication wants to bind to many receptors BADly but is dose dependent.
What is Dopamine?
200
Unlike other shock states, this one has a widened pulse pressure
What is distributive shock?
200
This is the recommended chest-compression rate during adult CPR
What is 100-120 compressions per minute?
200
This cation should be administered to prevent worsening coagulopathy in hemorrhagic shock
What is calcium?
400
This range of values suggests a normal pulmonary wedge pressure
What is 8-12mmHg?
400
You don’t need to sit down to calculate this sepsis mortality risk score including AMS, RR >22 and SBP < 100
What is qSOFA?
400
This inotrope may be favored in RV failure as it reduces pulmonary vascular resistance more than dobutamine
What is milrinone?
400
This hurried ultrasound protocol can be used to identify shock etiology
What is RUSH?
400
A patient with refractory VF arrest from an acute coronary artery occlusion may have this intervention while supported with eCPR
What is coronary angiography/PCI?
400
Due to unopposed vagal activity, phenylephrine can cause this unwanted side effect when administered in neurogenic shock
What is reflex bradycardia?
600
This 19th century physiologist provided an equation to determine cardiac output
Who is Adolf Eugen Fick?
600
A gunshot victim is anxious, hypotensive and has a heart rate of 125 placing them in this class of hemorrhage
What is Class III?
600
A randomized clinical trial comparing norepinephrine to this vasopressor found a higher rate of arrythmias but no difference in mortality
What is dopamine?
600
This method of assessing volume responsiveness requires a patient to be in sinus rhythm, and mechanically ventilated with consistent tidal volumes of at least 8cc/kg
What is stroke volume variation?
600
After this duration of conventional CPR, survival with good neurological outcome declines substantially
What is 30 minutes?
600
A patient with hemorrhagic shock has lost significant circulating volume, the decrease in venous return causes this determinant of stroke volume to fall.
What is preload?
800
These 3 values are needed to determine arterial oxygen content
What are hemoglobin, oxygen saturation, and PaO2?
800
Although unrelated to its Native American history, this scoring system incorporated chronic health issues into assessment of ICU mortality risk.
What is the APACHE sore? (Acute Physiology and Chronic Health Evaluation)
800
In treatment of cardiogenic shock, a hypotensive patient may require the addition of norepinephrine due to this known side effect of dobutamine
What is vasodilation?
800
This finding should encourage fluids and limit use of inotropic medications
What is LVOT obstruction?
800
Of adults who experience out of hospital cardiac arrest in the US, this percentage survive to hospital discharge
What is 10%?
800
When resuscitating hemorrhagic shock, crystalloid infusion should be limited to this volume to prevent dilutional complications
What is 1 Liter?
1000
A patient's heart rate is 120bpm - if their cardiac output is 6 L/min this number would be their stroke volume
What is 50mL?
1000
The Society for Cardiovascular Angiography and Interventions uses these 5 letters to classify severity of cardiogenic shock
What is A, B, C, D, E?
(At risk, Beginning, Classic, Deteriorating, Extremis)
1000
This vasoconstricting hormone naturally circulates around the human body at low doses to inhibit urinary output, but functions to treat shock when infused at higher concentrations
What is vasopressin (anti-diuretic hormone)?
1000
This is the SVR if a patient has a MAP of 70 mmHg, a right atrial pressure of 10 mmHg, and a cardiac output of 4 L/min.
What is 1,200 dyn·s·cm⁻⁵?
SVR = [(MAP − RAP) / CO] × 80)
1000
In typical peripheral adult eCPR, these two vascular access sites are used to drain venous blood and return oxygenated blood
What are the femoral vein and femoral artery?
1000
This randomized clinical trial compared a 1:1:1 transfusion strategy of plasma, platelets, pRBCs vs a 1:1:2 strategy and found no difference in mortality but more patients in the 1:1:1 group achieved hemostasis and fewer died from early exsanguination in the first 24 hrs
What is the PROPPR trial?