Trauma Emergencies
This condition involves progressive air buildup in the pleural space, often from lung laceration, leading to circulatory instability
What is tension pneumothorax?
This preferred NSAID for pain doesn't affect platelets and is dosed 15mg PO daily.
What is Meloxicam?
For open wounds in the antibiotic trauma protocol, give this quinolone 400mg PO/IV ASAP ideally within 60 minutes of eye trauma
What is Moxifloxacin?
This high altitude illness form is characterized by ataxia, altered mental status and can be fatal without descent.
What is HACE (High altitude cerebral edema)?
For hostile/violent patients, with this medication and dose, initially with midazolam 2mg IM/IV.
What is haloperidol?
In chest tube insertion, landmark this site
What is anterior to the mid axillary line at the fifth intercostal space, at or above the nipple line?
For severe adult pain in a non-permissive environment, what is THIS adjunct that is absorbed through the buccal membrane/mucosa?
What is a fentanyl lozenge?
In cellulitis, if suspected MRSA, use this tetracycline 100mg PO BID for 7 days.
What is doxycycline?
For cold injuries like frostbite, do this rapidly once in a protected environment
What is rewarming/thaw at 40-42C?
In heartburn, avoid this H2 blocker if there is dysphagia, weight loss or vomiting of blood (Red Flag symptoms of heartburn)
For suspected tension pneumothorax, perform this procedure/technique if there is severe respiratory distress, absent breath sounds on one side or SPO2 below 90% as an immediate step
What is needle decompression and/or finger thoracotomy
In procedural sedation via IV/IO, this is the maximum total ketamine dose per procedure
What is 2.5mg/kg?
For sepsis in a prolonged field care scenario, suspect if infection plus two of these Signs or Symptoms, also known as the qSOFA criteria or indicators
What is:
HR > 90bpm
RR > 20 per minute
Temp > 38C or less than 36C
Altered Mental Status
In Rabies PEP, administer this immunoglobulin at 20 IU/KG infiltrated around the wound on day 0.
What is human rabies immunoglobulin?
For recurrent herpes simplex virus, treat with this antiviral 500mg PO BID for 3 days.
What is Valacyclovir?
In remote damage control resuscitation, this anti-fibrinolytic is administered in what dose and schedule
What is TXA 1g IV/IO push / or over 10 mins for trauma with hemorrhage.
For children with mild to moderate pain, give this at 15mg/kg PO q6hrs PRN, max 75mg/kg/day
What is acetaminophen?
In gastroenteritis with bloody stools or fever, add this macrolide 500mg PO BID for 3 days or 1000mg single dose.
What is azithromycin?
For HAPE, give this calcium channel blocker extended-release 30mg PO q12h if descent is delayed.
What is Nifedipine XL?
In circadian dyssynchrony, use this hormone 3-5mg PO at desired bedtime for shift work or jet lag
What is Melatonin?
In crush syndrome management pre-excitation, apply two of these side by side proximally on the crushed limb if entrapment exceeds 2 hours.
What are tourniquets?
In pain management, add this drug if opioids are ineffective. The endpoint of of this drug is pain control or nystagmus; be aware of the potential for laryngospasm
What is ketamine?
For antibiotic trauma in children under 13, use this lincosamide at 10mg/kg IV/IO q8h (Max dose 600mg/dose)
What is clindamycin?
In crush syndrome in a prolonged field care scenario, infuse THIS at what RATE to prevent rhabdomyolysis complications
Normal Saline at 1-2L/hr and consider sodium bicarbonate.
For dental pain with abscess, add this antibiotic 300mg PO QID for 5-7 days if systemic signs are present
What is Clindamycin?