Stunned
This medication and dose is used to bridge the septic shock patient from fluids to pressors
EPINEPHRINE 1:100,000, 10 mcg or 1 mL
Decreased LS, distended neck veins, tracheal shift, and increased PPV resistance are some of the indicators for this procedure
Needle decompression
3 indications of an unstable cardiac patient according to ACLS guidelines
AMS, hypotension, chest pain
First line medication for pediatric anaphylaxis
Epinephrine 0.01 mg/kg 1:1000 IM
max single dose 0.5 mg May repeat x3
Succinylcholine contraindications
Burns or crush >12-24 hours, kidney failure, neuromuscular disease, prior strokes, skeletal muscle myopathy (muscular dystrophy)
4 assessment and vital sign findings associated with neurogenic shock
Hypotension, bradycardia, warm/flushed skin, SOB
All 6 criteria for calling death in the field
Valid DNR, MCI, decapitation, Rigor mortis, decomposition, dependent lividity.
Medication treatment for polymorphic V-tach
Magnesium sulfate 2 grams IV/IO
Succinylcholine dose for 6 year old, 55 lb child
37.5-50mg IV
25kg x 1.5-2 mg/kg IV
8 contraindications for CPAP
Arrest, unresponsive to verbal, pneumo, <90 SBP, inability to maintain airway, vomiting/GI bleeding, <8yo, trach
1st, 2nd, 3rd, 4th and 5th medications for treating a deteriorating anaphylactic shock
0.5 mg Epi 1:000 IM, 2.5 mg Albuterol, 1:100,000 Epi 10 mcg/min 1mL IV q1min to bridge to infusion, Epi infusion 5 mcg/min increase by 5 mcg/min q5min, Benadryl 25-50 mg IV
Indications and dosing for Thiamine
AMS with suspected malnutrition, severe alcoholism, DT's. Administer 100 mg IV/IO with D10
3 ways to confirm electrical capture with pacing
Upright QRS complex with every pacer spike, T wave with every QRS complex, SPO2 pleth wave matches rate
4 year old male (44 lb) with status epilepticus medication, dose and route.
4 mg Versed IM
20 kg x 0.2 mg/kg
Best practices for RSI
MOANS, LEMON, Resuscitate hypotension, pre-ox, patent IV, verbalize desat threshold, 3 min preoxygenate, lead with suction, camera high and dry, bougie first, ETCO2, LS, secure, record depth, confirm placement during hand off at ED
In combination with acidosis, hypothermia and coagulopathy, this 4th derangement completes the trauma triad of death
HYPOCALCEMIA
This is a tricyclic antidepressant drug and the treatment for a possible overdose
Amitriptyline, nortriptyline, doxepine, etc. Monitor for bradycardia, hypotension, seizures, dyspnea. 1mEq/kg IV for arrhythmia or widening QRS complex
This is how our hypothermic arrest (<86 F core temp) algorithm protocol is different than the standard cardiac arrest
One epi, one defib at 200 j, warm fluids. May repeat meds and doses at prolonged intervals as core temp rises
Medication and dose for a 30 kg kid found unconscious in a closet during a house fire.
2100 mg of hydroxocobalamin
4 indications for ET intubation
Impeding or actual respiratory failure, absent protective airway reflexes, persistent hypoxemia despite max therapy, present or impending airway obstruction
The definition of critical burns include these 6 criteria
any degree 25% or more BSA, full thickness >10% BSA, inhalation injuries, electrical, hands/feet/genitalia/facial/circumferential, and high risk patients including peds/geriatric/cardiac-respiratory patients
Second line medication and dose for wide complex tachycardia
Lidocaine 1 mg/kg IV/IO
Reasons to reduce adenosine dosing by 50%
Cardiac transplant, Carbamazepine, Tegretol, Aggrenox
Pediatric dosing for Levophed including starting dose, titrate timing, and maximum dose.
0.1 mcg/kg/min, increase q3-5 minutes to a max of 0.4 mcg/kg/min
Medication, dose/route and contraindications for postpartum hemorrhage
Oxytocin 10 units IM only after placenta has been delivered and you're sure there's not another baby in there.