Challenge time!
Wellness challenge
Move from laying supine to standing upright without using your hands.
These findings may indicate acute appendicitis. (Name 2)
What are:
-Right lower quadrant pain
-Rebound tenderness
-Peri-umbilical pain (pain over the belly button)
-Positive obturator sign
-Decreased bowel sounds
-Rovsing's sign (push on LLQ, pain in RLQ)
This is the frontline BLS drug and dose and route (1) for nausea and vomiting.
Dimenhydrinate 50mg, SIVP/IM/IO
This is the area of the abdomen that would likely be painful with peptic ulcers.
What is the epigastric area?
This is the yellow discoloration of the eyes and skin caused by high levels of bilirubin.
What is Jaundice?
Get knotty
Tie a Portuguese bowline. (You have 45 seconds)
I just experienced a high mechanism of injury, my PHI is >4. What do you expect to see (Name 2)?
Abdominal distention
Bruising
Shock
Hypotension
I’ve had ongoing nausea & vomiting and I’m showing signs of dehydration. What is your first treatment consideration?
Normal Saline 20ml/kg IV bolus to a single max does of 1000ml
What illness might the following symptoms guide you towards: Dysuria, urinary frequency, cloudy urine, and strongly scented urine, with an associated fever.
Urinary tract infection
Defined as inflammation of the liver, this disease can be caused by: viruses, lifestyle factors, autoimmune responses, and certain medications.
What is hepatitis?
Stiff as a board
Do a 3 minute plank
This vital sign is an indication that you should follow the Adult Shock Protocol:
Systolic BP <90mmHg or signs of hypovolemic shock
I have epigastric pain, nausea & vomiting, chest discomfort, and I'm clammy. These are the two main protocols I'm thinking of using?
What are 'Nausea and Vomiting', and 'Acute Coronary Syndrome (Suspected)'?
Whenever I eat fatty foods, I get pain in my RUQ
What is Cholecystitis (Gallbladder attack/gallstones)
This is the likely cause for extreme testicular pain that can occur suddenly and is considered a surgical emergency.
What is testicular torsion?
Gainz
Do 40 pushups in a row
You see bruising on a patient’s left flank after a t-bone car accident. What are you suspecting as an injury?
What is a Splenic rupture?
My last bowel movement was 5 days ago. My stomach is distended and I have diminished bowel sounds. What pain management drug are you NOT giving me?
Entonox
I’ve been a heavy alcoholic for many years, now my stomach hurts (in LUQ) whenever I drink alcohol. What are you suspecting?
Pancreatitis
Abdominal pain, diarrhea, nausea and/or vomiting are all considerations for this:
What is IP&C (Infection Prevention and Control)
Spell out the GRAB LIVES pneumonic
Gauge; Radio; Activate (Pass alarm); control Breathing; stay Low; Illuminate; Volume (Make noise); Exit; Shield (airway)
Any of these findings might be present with an active AAA: (Name 1)
Difference in BPs between both arms, Epigastric pain, Pulsating mass in abdomen, Distended abdomen
This ALS drug is used to treat Cannabinoid Hyperemesis Syndrome prior to using other anti-emetics.
What is Haloperidol (0.05mg/kg) SIVP/IM
This is the name for black, tarry stools. Typically indicative of an upper GI bleed.
Melena
I am a dull, non-localized pain that originates in hollow organs or the peritoneum. I can be caused by inflammation, distension, or ischemia. What kind of pain am I?
Visceral Pain