Airway
What is the gold standard for confirming ET tube placement?
Continuous waveform capnography
Adenosine (6mg then 12mg)
What is the first line treatment for anaphylaxis airway swelling?
Epinephrine IM 0.3-0.5 mg (1:1000)
What is the classic ECG finding in hyperkalemia and hypokalemia
Peaked T-waves, flattened T waves or U waves
What is the Rule of 9s adult % for each arm? Each leg?
9%, 18%
What is the formula for uncuffed pediatric ETT size and cuffed pediatric ETT size?
(Age/4)+ 4
(Age/4) + 3.5
What is the energy for pediatric defibrillation
2-4 J/kg
What is the atropine dose for bradycardia?
1 mg IV
Why is last known well time important in a stroke?
determines eligibility for thrombolytics
Where are the needle decompression sites?
2nd ICS MCL, 5th ICS MAA, MLA
What is the RSI prep mnemonic?
SOAP-ME
Suction, oxygen, position/prep, monitor/medicate, equipment
dropped QRS without PR prolongation and Weckenbach
What is the amiodarone dose for ventricular fibrillation/pulseless ventricular tachycardia? First and second.
300 mg IV then 150 mg IV
What is the first line drug for status epilepticus?
benzodiazepines, i.e. midazolam 2-5 mg
What is Beck's Triad? What is Cushing's Triad?
widening pulse pressure, irregular respirations, bradycardia
What paralytic is contraindicated in hyperkalemia, burns > 24 hrs, or neuromuscular disease and is short lasting?
succinylcholine
A STEMI in II, III, aVF signified what type of STEMI?
inferior MI
What drug treats torsades de pointes and what is the dose?
Magnesium sulfate, 1-2 grams
What is the antidote for CCB OD?
Calcium chloride, 1 gram
Shock classes based on blood loss?
Class I: <15%
Class II: 15-30%
Class III: 30-40%
Class IV: >40%
When should you RSI based on GCS?
<8
A STEMI in I, aVL, V3, V4, V5 and V6 show what type of STEMI and which ones are which?
Anterolateral STEMI, I, aVL, V5, V6 are lateral and V3 and V4 are anterior
What is the rocuronium RSI dose and is it nondepolarizing or depolarizing?
1.2 mg/kg IV, nondepolarizing
What is the pre-eclampsia medication of choice and dose?
Magnesium sulfate, 4 grams
What is the MAP formula and permissable value?
(SBP + 2DBP)/3
MAP >_ 60