Heat stuff
No clue
Procedures(i think)
Medical
Random
100

What 3 locations are best to apply cold packs for cooling?

Groin, armpit, neck

100

what part of the brain controls blood temperature and metabolism? 

hypothalamus

100

what size ET tube will be used for needle Cricothyrotomy in a patient less than 5 years old? 

2.5

100

what is the definition of an artery?

any vessel that carries blood away from the heart.

100

generally as a rule of thumb, how many patients determine it is an MCI?

10

200

what type of cooling is the most effective and if possible should be done prior transport?

Immersion cooling (pool, high flow cold water)

200

what is pulsus paradoxus and how does it occur?

Pulsus paradoxus is when the systolic B.P. or heart rate drops upon inhalation. This is seen in a severe asthma attack or pericardial tamponade, where hyperventilation blows up the lungs and puts pressure onto the heart disrupting blood flow.

200

name 3 of 5 contraindications for CPAP

Respiratory arrest. 

2. Suspected pneumothorax.

 3. Patient has a tracheostomy. 

4. Patient is at risk for aspiration i.e.: vomiting, foreign body airway occlusion. 

5. The patient is intubated.

200

what is the blood flow through the heart?

  • Deoxygenated blood (low in oxygen) returns from the body via the superior vena cava (from upper body) and inferior vena cava (from lower body) → enters the right atrium.
  • Right atrium contracts → blood flows through the tricuspid valve → into the right ventricle.
  • Right ventricle contracts → blood is pumped through the pulmonary valve → into the pulmonary arteries → travels to the lungs to pick up oxygen and release CO₂.
  • Oxygenated blood returns from the lungs via the pulmonary veins → enters the left atrium.
  • Left atrium contracts → blood flows through the mitral (bicuspid) valve → into the left ventricle.
  • Left ventricle contracts (strongest chamber) → blood is pumped through the aortic valve → into the aorta → distributed to the entire body.
200

what do the colors on hazmat placard represent?

yellow- reactivity

red- flammability

blue- health

300

when the patient reaches what temperature do you stop cooling to prevent overshoot hypothermia?


Double Jeopardy: what is the answer in Celsius

101 degrees F

36 degrees Celsius

300

Name 2 examples of negative feedback and 1 example of positive feedback?

negative feedback - insulin v.s glucagon, temperature regulation

Positives feedback- child berth and clotting

300

Identify how to mix TXA and what time it is given over? Does TXA need a dedicated line?


1g in 100ml NSS over 10 minutes

If possible yes, but not necessary


300

what defines an anaphylactic reaction? per protocol

Two or more body systems involved (e.g., skin/mucosa, cardiovascular, respiratory, GI)

 Hemodynamic instability

Respiratory compromise  

300

dose of Glucagon for pt less than 6 years old?

.5mg

400

Name 5 of the 8 things that characterize heat exhaustion prior to heat stroke?

Volume depletion, Tachycardia,  Fatigue,  Hyperventilation,  Lightheadedness, Hypotension,  Headache,  Body temperature may be normal

400

name 10 possible differential diagnoses for AMS.

Anemia

 B. Drugs and Alcohol 

C. Dysrhythmias 

D. Electrolyte Imbalance 

E. Head Injury

 F. Hypertension

 G. Hyperglycemia 

H. Hypoglycemia 

I. Hypoxia 

J. Infection, especially Meningitis 

K. Myocardial Ischemia / Infarction 

L. Pulmonary Embolism 

M. Psychiatric 

N. Seizure

 O. Shock 

P. Stroke, Intracranial Bleeding 

Q. Toxic Ingestion

400

in a crush injury trauma, where extrication is longer than 60 minutes, what medication is most important, how are they mixed and how are they given(time)? Does this need a dedicated line?

1 AMP (50mEq) bicarb in 1L NSS over 1 hour

400

what are the four properties of cardiac cells?

automaticity, excitability, conductivity, contractility.

400
you have a patient in 2nd degree type II block with a pulse of 35, The patient is asymptomatic and just states he feels weak, what is your action?

Prepare to pace with sedation

Push-dose EPI is highly discouraged.

500

Name 6 of the 9 symptoms of heat stroke

Syncope, Hallucinations, Coma, Irritability,  Hemiplegia, Decorticate/Decerebrate posturing,  Combativeness, Seizures, Bizarre behavior

500

name and describe the RAAS?

Renin-angiotensin-aldosterone-system

Renin - enzyme that splits angiotensin

angiotensin 1- converted to angiotensin 2 via ACE

angiotensin 2 - causes vasoconstriction, triggers the release of aldosterone

aldosterone - causes kidneys to retain sodium, increasing blood volume.

500

are we able to access a picc line or fistula? if so, what basic steps must be taken prior to administration of meds?

Scrub access port for 15 seconds with alcohol

aspirate 10ml of blood

Flush line, without excessive pressure

secure all tubing

500

Name 4 types of shock, each smaller subdivision of shock and treatment of each

Distributive - septic, anaphylactic, neurogenic (Fluids, vasopressors)

hypovolemic - hemorrhage/fluid loss (NSS)

obstructive - tension pneumo, tamponade, PE (Fluids, Needle D)

cardiogenic - (vasopressors)

500

explain how hypoxic drive works?

due to an increase in PaCo2, the body now stimulates ventilations based on a decrease Pao2

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