Manny Rivers' Regrets
Einthoven's Corner
A lonely night in the SICU
Procedure Resident
Stuff Scott Weingart Says
100
SVR in cold septic shock
What is decreased?
100
What is hyperkalemia?
100
The post-exlap patient has stable vitals but is anuric and has abdominal distension, doctor.
What is check a bladder pressure for abdominal compartment syndrome.
100
A 2015 RCT of 3027 patients receiving central lines found the highest infection rate at this insertion site.
What is internal jugular?
100
"For the emcrit podcast, this is Scott Weingart, saying ____"
What is "bye-bye."
200
A therapeutic goal for MAP in septic shock.
What is 65 mmHg?
200
The lesion in this 78 y/o with chest pain and shock s/p V-fib arrest.What is left main coronary artery occlusion?
200
These are 3 indications for an exploratory laparotomy in an abdominal stab wound.
What are shock, evisceration, and peritonitis?
200
This technique can be used to quickly confirm central line placement.What is injection of agitated saline with echo visualization.
200
This is procedural sedation for preoxygenation for intubation.
What is delayed sequence intubation?
300
In septic shock, a delay in this results in a 7% mortality increase per hour.
What is antibiotic administration?
300
What is P-pulmonale / Cor Pulmonale / COPD?
300
This analgesia modality in rib fracture patients reduces pulmonary complications compared to parenteral opioids.
What is thoracic epidural analgesia?
300
Grab Dewitz and and an ultrasound machine to block this nerve.What is the superficial peroneal nerve?
300
Refractory v-fib? At his shop, Scotty Weingart would probably pull out this trick.
What are ECMO, dual sequential defib, or esmolol infusion.
400
Critical result! This lab value confers a 27-30% mortality in sepsis.
What is serum lactate > 4.0?
400
The eponymous pathologic finding in this EKG.What are De Winter's T-waves? (Upsloping ST depression in the precordial leads (> 1mm at J-point), Peaked anterior T waves (V2-6) with the ascending limb of the T wave commencing below the isoelectric baseline, subtle ST elevation in aVR > 0.5mm.)
400
These are two indications for taking a hemothorax patient for a thoracotomy after chest tube placement.
What are > 1500 cc blood out initially, more than 250 cc/hour x 3 hours, > 2500 cc over 24 hours, or ongoing bleeding with instability.
400
MAST-E, ASK, ATLANTIS A, and ATLANTIS B were all trials of this trauma 1 therapy that were stopped early for harm.
What is thrombolysis for acute ischemic stroke?
400
Hypotensive SVT? No problem for this resus guru. Put the defibrillator away and prep the patient for antiarrhythmics with this intervention, first.
What are push dose pressors?
500
3 elements of the qSOFA score.
What are tachypnea >22 breaths/min, altered mental status (GCS < 15), and hypotension < 100 mmHg systolic.
500
This autosomal dominant cardiac malformation is the second leading cause of sudden cardiac death in people < 35 years old.What is arrhythmogenic right ventricular dysplasia?
(Epsilon wave (most specific finding, seen in 30% of patients)
T wave inversions in V1-3 (85% of patients), Prolonged S-wave upstroke of 55ms in V1-3 (95% of patients), Localised QRS widening of 110ms in V1-3, Paroxysmal episodes of ventricular tachycardia with a LBBB morphology)
500
The Parkland formula gives you this calculation for fluid resuscitation in burn patients.
What is 4 cc/kg x percent BSA over the first 24 hours. First half given in first 8 hours, second half over the next 16.
500
On your intubated patient in trauma 1, the ventilator delivers volume faster than exhalation; causing the alveoli to swell putting the patient at risk for barotrauma.
What is breath stacking/auto-peep.
500
"I don't endorse this technique, but some people will just never feel comfortable cutting the neck."
What is needle cricothyrotomy?