Seizures
Define status epilpeticus
Seizure lasting more than 5 minutes, or multiple seizures within a short time without recovery between
What phrase describes the prehospital goals for stroke patients
"Time is brain"
If a patient has stable ABCs and assessment provokes agitation, what can we do instead of a full physical assessment
Visual monitoring
What are the three components of Cushing's Triad
Bradycardia, Bradypnea, Hypertension
Which philosopher said, "I think, therefore I am"
René Descartes
What is the most common cause of seizures in older patients
Strokes
What do you need to call a stroke alert
- Positive stroke scale
- Full set of vitals
- Blood glucose
- Last known normal
- Blood thinners?
In what situation should a Psych ECO be considered
Patinents expressing SI/HI
Alcohol overdose causes CNS depression because alcohol acts as an agonist at what specific type of inhibitory receptor in the Central Nervous System?
GABA receptors
What is the rarest blood type in humans
AB-
Absence Seizure, charachterized by a general lapse of awareness or staring into space
Name 4 risk factors for strokes
- Hypertension
- High cholesterol
- A-fib
- Prior clots
- Smoking
- Sedentary lifestyle
- Obesity
- Diabetes
- Old age
What are the components of the SAVE approach to patient de-escalation
Support, Acknowledge, Validte, Emotion naming
What vital signs meet SIRS criteria
Temp > 100.4 F (38 C) or < 96.8 F (36 C)
HR > 90 bpm
RR > 20/min
EtCO2 < 32 mmHg
WBC > 12,000 or < 4,000/mm3
(+ source of infection to call it)
What is the largest internal organ in the human body
The liver
What is a myoclonic seizure, and what can they be mistaken for?
Rapid, brief contraction of muscles. Commonly occur in sleep and can be mistaken for a hypnic jerk.
A patient woke up this morning presenting with facial droop, left-sided weakness, and left-sided visual defects. Which hospital should they be transported to? The patient lives on East High St.
UVA
AMS is a _ not a _
AMS is a symptom, not a diagnosis
An overdose of Tricyclic Antidepressants (TCAs) is strongly indicated by the presence of what specific abnormality seen on a 12-lead ECG
Widened QRS complex
What is the only country with a flag that is not quadrilateral
Nepal
Name the four leading classes of drugs in causing seizures
- Cyclic antidepressants
- Stimulants
- Antihistamines
- Insulin
What type of stroke, accounting for 10%, is most commonly caused by arterial hypertension
Intracerebral Hemmorhage
What does AEIOU-TIPS stand for (according to CARS protocol)
Alcohol, Epilepsy, Insulin, Overdose, Uremia, Trauma, Infection, Psychosis, Stroke
What type of intracranial bleed occurs between the skull and dura
Epidural hematoma
What year did the Titanic sink
1912