Are You Cold?
These symptoms may present in geriatric patient making hypothermia harder to detect.
What is confusion, stroke-like symptoms, dysarthria, ataxia?
For mild hypothermia (95-90F) at least three of these passive rewarming methods should be used.
What is remove wet clothes, dry the skin, give warm sugary oral fluids, apply blankets, and heat the ambulance.
Common in males. people younger than 20, alcohol use, and locations with ineffective safety barriers.
What are drowning risk factors?
This is an important assessment question relating to pressure change emergencies.
Did the symptoms start during ascent or descent?
A bite from this snake has the highest morbidity and mortality rate.
What is a diamondback rattlesnake?
The effects of hypothermia are most dramatic in this system, causing everything to slow down.
What is the CNS?
This method of active rewarming for moderate hypothermia (90-82F) should have a skin barrier before being used.
What is a chemical or electric blanket?
This pathophysiological pathway of drowning results in hypoxemia and hypercapnia.
What is laryngospasm?
Though joint pain resulting in "the bends" is the most common symptom, this is a broad range of symptoms that result from nitrogen bubbles in blood and tissue during ascent from a dive.
What is Decompression Sickness?
This is the general treatment for any snakebite.
What is ABCs, IV, O2, keep the pt calm, supine and motionless, immobilize the extremity in a neutral position or at the level of the heart and avoid excessive constriction?
Although initially the HR will increase, once the CBT reaches 90F the cardiac abnormality occurs.
What are cardiac dysrthmias?
This is the recommended ambulance temp when transporting hypothermic patients.
What is 75F?
In this drowning pathway surfactant is washed away.
What is aspiration?
This gas law explains why nitrogen comes out of solution in the blood and may cause DCS or the bends during ascent.
What is Henry's law?
These treatments should be avoided for snakebites.
What is ice, incising and sucking, electric shocking, and tourniquets?
Due to peripheral vasoconstriction, this process may lead to sodium reabsorption and increased urine output.
What is cold diuresis?
This can occur from active external rewarming and lower the CBT.
What is afterdrop?
As drowning continues, this pathophysiological process leads to alveolar collapse, poor lung compliance, and difficulty ventilating the patient.
What is acute lung injury?
You should suspect this if symptoms appear or LOC occurs within 10 minutes of surfacing.
What is an air embolism?
A bite from this spider is often hard to confirm as they are often painless but in rare cases may present with a painful inflamed vesicle that progresses to gangrenous sloughing of the skin.
What is a brown recluse?
If shivering is absent, this positive deflection after the QRS complex may be visible on an EKG and indicate hypothermia.
What is the J wave or Osborn wave?
This is the recommended treatment for a pulseless apneic pt with a shockable rhythm and a CBT below 86F.
What is shock once then do not shock again until the temp is up 1-2 degrees C or at 86F?
This treatment is recommended for widespread atelectasis secondary to drowning.
What is PEEP?
A throbbing headache, especially in the temporal and occipital areas, exacerbated by the valsalva maneuver is a telltale sign ofof this pressure related illness.
What is acute mountain sickness?
A bite from this spider has a rapid onset and may present with muscle spasms, especially within the abdomen which may appear "board-like."
What is a black widow?