CPR/Cardiac Arrest
CPR/Cardiac Arrest cont.
Shock
Diagnostic Reasoning/Empathy
Chest and Abd Pain
100
The two defining factors of a successful resuscitation and the intial follow-up therapy in the comatose patient.
What is restoration of brain function and restoration of cardiac function and initate hypothermia protocol ?
100
A valuable tool used to determine dosage of drugs and size of equipment in pediatric resuscitation.
What is Broselow Pediatric Emergency tape?
100
A physiologic state characterized by a significant reduction of systemic tissue perfusion resulting in decreased oxygen delivery to the tissues
What is shock?
100
Utilizing both System 1 (Intuitive) and System (hypothetico-deductive) reasoning simultaneously.
What is dual process ?
100
Diagnositc test of choice for pediatric pateint with intermediate suspicion for appendicitis?
What is abdominal ultrasound?
200
The recommended depth of chest compressions on an adult and rate.
What is 2 inches and 100 bpm ?
200
Vasporessors given during CPR
What is epinephrine 1 mg iv or vasopressin 40 units iv ?
200
Four different types of shock
What is hypovolemic, cardiogenic, distributive, obstructive?
200
A common acronym used in establishing a differential diagnosis
What is CARD (Common Atypical Rare Don't) miss or Vindicate ?
200
Pateints at risk for this condition include female patients with IVF, female patients with a history of PID, and all women of childbearing age.
What is ectopic pregancy?
300
Settings for defibrillation of ventricular fibrillation.
What is 360 J (monophasic) or 120-200 J (biphasic) ?
300
Four reversible causes for Cardiac Arrest
What are 5 H's = Hypovolemia, Hypoxia, Hydogen ion (acidosis), Hypo/Hyperkalemia, Hypothermia or 5 T's= Tension pneumothorax, Tamponade-cardiac, Toxins, Thrombosis-pulmonary, Thrombosis-coronary ?
300
The four stages of shock
What is inciting event, pre-shock, shock, end-organ dysfunction?
300
Two examples medical heuristics or rules of thumb ?
What is "First do no harm", "Treat the patient not the numbers", Occam’s Razor, "Never discharge a patient with unexplained abnormal vital signs."
300
3 Criteria for diagnosing a STEMI?
What is ST Elevation > 1mm in two contiguous inferior leads, ST >2 mm elevation in two continguous anterior leads, or new LBBB?
400
Three common roles in CPR
What is team leader , recorder, airway/ventilation, drug adminstration, or designated to do compressions?
400
What you do to confirm a cardiac arrest if you are unsure.
What is doppler ultrasound or bedside cardiac ultrasound to look for cardiac activity ?
400
Drug and dose given to patients in shock due to ventricular tachycardia refractory to defibrillation.
What is amiodarone 150 mg -300mg iv?
400
Three things you can do to become a better communicator with patients and their families
What is Slow Down when you speak, make an emotional connection/empathize, wash hands then shake hands, sit down, pull a stool up to bedside, introduce yourself to everyone in room, take empathy training, connect with Eye Contac, Listen, Create a partnership, allow guided discovery, allow for mutual questions ?
400
Three types of abdominal pain
What is visceral, somatic, referred ?
500
The amount of minutes that should pass before you check for a pulse again when performing CPR after a drug or defibrillation.
What is 2 minutes ?
500
A reliable indicator of cardiac output during CPR
What is quantitative end tidal CO2 ?
500
4 cardinal findings of a patient who is in shock
What is Hypotension, Oliguria, Abnormal mental status, Metabolic acidosis, Cool, clammy skin
500
3 common cognitive errors in medical decision making.
What is premature closure, diagnostic momentum, zebra retreat ?
500
Study needed for PE when none of the following are present: Age greater than 50 Pulse >100 BPM O2 sat >95% Unilateral leg swelling Hx PE/DVT Exogenous estrogen use Surgery or trauma within 4 weeks
What is none? (PERC negative)
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