Head Trauma
What 3 things are located in the skull "closed vault"
Blood
CSF
Brain
What is the new recommended location for a needle thoracostomy?
4th & 5th ICS anterior axillary
What is the length in meters of an Olympic sized swimming pool?
50 meters
What is the source of bleeding for an epidural vs subdural bleed?
Epidural is arterial
Subdural is venous
Where is cerebrospinal fluid produced?
The Ventricles of the Brain
What is a BLS maneuver to help reduce ICP and prevent secondary brain injury?
Elevate HOB
What is the new Ketamine dose & delivery?
0.3mg/kg max of 30mg in 100ml slow IV drip over 10 min.
What is the national animal of Scotland?
Unicorn
What drugs & doses are indicated for a patient in PEA with suspected hyperkalemia. Please include type of order.
Calcium Chloride 500mg IV/IO SO
Bicarb 1 mEq/kg IV/IO BHO
What are the 3 products of cellular respiration (metabolism)
Carbon Dioxide, Water & ATP
Explain the formula CPP= MAP-ICP
Cerebral Perfusion Pressure will equal the Mean Arterial Pressure minus the Intracranial Pressure.
When should a FAST-ED score be calculated AND what is the goal of this exam?
If BEFAST is positive, designed to r/o LVO
This mathematical theorem is a2 + b2 = c2
Pythagorean
As of July 1st 2023, what order is needed to administer pain medication such as fentanyl to a pediatric patient with a major trauma GCS<15?
BHPO
Point to your hyoid bone
Root of the tongue in the front of the neck. It's function is to attach the muscles of the tongue to the floor of the oral cavity.
What signs or symptoms may indicate the brain is herniating?
What is the criteria for TXA in post-partum hemorrhage?
blood loss >500ml and within 3 hours of delivery.
What is the capital of Canada?
Ottowa
Andromeda
The splenic vein, superior mesenteric vein and inferior mesenteric vein all join to create which blood vessel? AND where does it travel to?
Portal Vein. To the liver for "processing"
Name at least 3 causes of secondary brain injury.
Hypoxia
Hypotension
Anemia (blood loss)Increased or decreased CO2
Increased or decreased blood glucose
Increased intracranial pressure (ICP)
What is the criteria for TXA in trauma?
Injury less than 3 hours old.
Time of injury to ER >45 min
At least BP,90 or uncontrolled bleeding
This animal lays eggs, produces milk and has a venomous spur.
Platypus
How many of Snow White's 7 dwarfs have names ending in Y?
5: Dopey, Grumpy, Sleepy, Sneezy & Happy
Tetralogy of Fallot is a birth defect of what organ?
Heart