Code Blue's Clues
Mama Drama
Tiny Human BIG Problems
Oh Sh*t Diagnoses
Paging Dr. Murphy: L&D
100
You are called for a 6-year-old child that was at a birthday party.
- Ate a dessert
- Now has:
- Hives
- Facial swelling
- Coughing and wheezing
- Increasing anxiety
What is the first line medication that should be given?
What is Epinephrine
100
Trauma patient at 32 weeks, hypotensive—this maneuver improves maternal cardiac output
What is left lateral uterine displacement
100
Bilious vomiting in a neonate
What is Malrotation with volvulus
100
A child presents with fever, drooling, and stridor. Attempting airway visualization may cause complete airway collapse.
What is Epiglottitis
100
This maneuver is used to relieve a shoulder dystocia during delivery
What is the McRoberts maneuver
200
The IV/IO dose for Epinephrine in neonatal resuscitation is
0.2ml/kg or 0.02mg/kg
200
What is the #1 cause of morbidity and mortality for women of New Mexico?
Mental Health Conditions
200
Infant with cyanosis that improves when crying and worsens when feeding
What is Choanal Atresia
200
Severe respiratory distress + scaphoid abdomen in neonate
What is Congenital Diaphragmatic Hernia
200
Sudden fetal bradycardia after membrane rupture
What is Cord Prolapse
300
A toddler presents with pinpoint pupils, decreased responsiveness, and slow breathing. This toxidrome is
What are Opioids
300
BP 170/110 with headache and visual changes—this diagnosis:
What is severe preeclampsia
300
These are the most common congenital anomalies in neonates and a leading cause of infant mortality related to birth defects
What are Congenital Heart Defects
300
Bruising in these three areas in a non-mobile child should raise concern for abuse
What are the torso, ears, and neck (TEN-4 rule)
300
A laboring patient suddenly develops shortness of breath, hypotension, altered mental status, and massive bleeding. What is the most likely diagnosis?
What is amniotic fluid embolism (AFE)
400
Your pediatric patient requires an Epi 'spritzer' aka PDP. Your patient weighs 13kg. How much EPI do you put in a 10ml syringe?
1.3 ml, or .13mg
400
Maternal mortality risk peaks during this period, driven by hemorrhage, hypertensive disorders, cardiomyopathy, and thromboembolism.
What is the Postpartum Period
400
These babies 'look' septic, but don't respond to treatment as they should. Cardiac anomolies are ruled out. The acidosis won't correct. The family has a history of unexplained newborn deaths.
These genetic conditions result from defects in metabolic pathways, leading to accumulation of toxic substances or deficiency of essential products.
What are Inborn Errors of Metabolism
400
A 11 month old has a hx of fever for ≥5 days, strawberry tongue, rash, conjunctivitis, and risk of coronary artery aneurysms.
What is Kawasaki disease
400
Sudden loss of fetal station with abdominal pain and maternal instability
What is Uterine Rupture
500
You are at a school age baseball event. A child drops to the ground after being struck in the chest. The immediate treatment is _________ This condition is called __________
Get the AED and defibrillate.
Commotio Cordis
500
The antidote for Mag toxicity is _________ _________ and the dose is ___________.
Ca Chorlide 1gm -OR- Ca gluconate 3gm IV
500
Daily Double!
In this congenital heart defect, the right hand saturation is LOWER than the foot saturation due to abnormal circulation patterns.
On exam you find:
- The foot is pinker than the hand
- Right hand SpO₂: 62%
- Foot SpO₂: 82%
- Lungs are clear
- Oxygen has minimal effect
500
Daily Double
Child with recent URI develops ascending weakness and areflexia
500
This medication improves uterine tone in postpartum hemorrhage but is contraindicated in hypertension
What is Methergine