Trauma
Toxicology
Rashes
Bizz Buzz
100

What is Parkland's formula? Rule of 9's?


100

Antidote time!

Cyanide

Acetaminophen

Methanol/ethylene glycol

Cyanide: hydroxycobalamin

Acetaminophen: NAC

Methanol/ethylene glycol: fomepizole 

100

Dx and tx?

Dx: Gonococcal conjunctivitis

Tx: Ceftriaxone x1

100

Headahce + vision loss

Temporal arteritis


200

List at least three hard and three soft signs of arterial bleeding. 

200

Antidote time!

Serotonin syndrome

NMS

Malignant hyperthermia

Serotonin syndrome: cyproheptadine 

NMS: bromocriptine

Malignant hyperthermia: dantrolene

200

Cough + conjunctivitis + coryza 

Measles (rubeola)


300

This injury is located in which zone of the neck? What is the correct ED management?

Zone II. CTA +/- OR exploration.


 


300

Antidote time!

Iron

Lead

Arsenic

Mercury

Lithium

Iron: deferoxamine 

Lead: succimer or dimercaprol

Arsenic: dimercaprol

Mercury: dimercaprol

Lithium: dialysis

300

High fever x3-5 days +/- seizures, then rash from trunk -> limbs

Rubella (fever that rashes)

Spares the face


300

Hot and cold reversal 

Ciguatera poisoning 


400

List at least 4 criteria for transfer to a burn center.

400

Pt p/w severe pain after splashing industrial substance on his arm. Dx and treatment?

Hydrofluoric acid burn. Calcium gluconate.


500

List at least 4 of the indications for thoracotomy after chest tube placement for hemothorax.


500

Daily double!! 42 yo M p/w AMS. Patient appears intoxicated with slurred speech. Labs show ETOH level <10. Bicarb 24. Anion gap of 10. UA with 2+ ketones. What did the patient likely consume and how will you treat it? 

Isopropyl alcohol (KETOSIS WITHOUT ACIDOSIS!); supportive care (NO FOMEPIZOLE)


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