Haemostatic Care
What sized vessel would a ligaclip be used on?
Small to medium
What number do we call to activate MTP?
7535
What is the primary treatment for malignant hyperthermia?
Dantrolene
What tests could you run for a patient who has had a significant amount of blood loss?
TEG and blood gas
What is the primary treatment for local anaesthetic toxicity?
Intralipid/Fat emulsion
Which haemostatic agent would you use for a large bleed?
Floseal
Name two soft skills are important during a crisis?
Closed loop communication, emotional intelligence, active listening, adaptability.
Shark fin CO2 trace on the monitoring is an indicative sign of what complication?
Airway obstruction
If the surgeon is unable to have good visualisation of the surgical field during a laparoscopic case what is likely to happen?
Convert to open
What diagnostic testing is completed in recovery for a suspected aspiration patient?
Chest x-ray
If you had no other tools or consumables available, what could you use to stop a bleed?
Your finger
What features on a 2nd gen LMA that you could utilise if a patient aspirates?
Suction port for y-suction catheter
Identify 3 surgical priority actions for management of a perforated bowel
Repair perforation (suture)
Copious amounts of wash
Drain insertion
Name two symptoms patient with a dermatomes score of T2 or higher is likely to experience
Respiratory distress
Hypotension
Upper limb weakness
LOC
What is the correct sequence of events in hemostasis?
Vascular spasm → Platelet plug → Coagulation
What rare but fatal complication can occur during insufflation in a laparoscopic surgery?
Carbon dioxide gas embolism
A patient who experiences a prolonged laparoscopic surgery will likely experience what symptom post op?
Referred shoulder pain
A surgeon asks for floseal matrix to be applied while a vessel is clamped and there is no active blood flow. What safety concerns should you consider before assisting with its application?
The product could enter the bloodstream and cause blood clots, which can result in serious harm or death
What formula is used to calculate local anaesthetic limitations?
2-4mg/kg (depends on type of anaesthetic)