What age/4 + 4, little finger, Broselow - for cuffed tubes, use 1/2 size less
100
Benzodiazepine reversal? Caution?
Flumazenil, seizures (chronic benzo use)
100
What can be transfused through an IO?
anything that can be given through an IV
200
normal sinus rhythm on ECG, but no palpable pulses, what is treatment?
PEA - high quality CPR and Epi 0.01 mg/kg IV/IO Q3-5 minutes, ADDRESS CAUSE H's and T's
200
First lab to get when patient comes in seizing
FSBS
200
Pros and Cons of cuffed ET tube
Better airway protection, less air leak, theoretical airway compression
200
Betablocker overdose
Glucagon (also use for calcium channel blocker overdose)
200
What is the recommended max duration of an IO?
24 hours
300
Why are synchronized shocks lower than unsynchronized shocks?
To avoid triggering V. fib
300
Define status epilepticus
More than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures
300
The grunting sound heard when child is in respiratory distress is secondary to?
Air pushing against a closed glottis
300
Organophosphate toxicity treatment
atropine, pralidoxime, benzo
300
Indications and doses for cardioversion and defibrillation.
cardioversion used for persistant SVT, unstable v. tach with pulse start with 0.5 J/kg synchronized shock, may increase to 1 J/kg. Defibrillation used for pulseless v tach and v fib, start with 2 J/kg may increase to 4 J/kg
400
Epi dose for ETT?
0.1 mg/kg, 1:1000 - 0.1 mL/kg
400
emergency treatment of Status epilepticus - give two meds
diazepam (0.15 mg/kg) or lorazepam (0.1 mg/kg) then phenytoin (20 mg/kg) or fosphenytion (20 mg/kg)
400
A 3 - year - old boy develops fever and noisy breath-
ing. In the ED, he is irritable, anxious, and has stri-
dor and drooling. He does not want to lie down. His
mother reports up-to-date immunizations. What is
the most appropriate next step in this patient’s management?
Kep the child in a position of comfort pending endotracheal intubation
400
Reversal for tylenol? Indication?
N-acetylcysteine, 150 mg/kg intake, give AC if within 1 hour of ingestion tylenol level at 4 hours, use Rumack Matthew Nomogram, tx within 8-10 hours of ingestion
400
What is the narrowest portion of the pediatric airway
Cricoid = cricoid ring, vs vocal cords in adults
500
Pediatric adenosine dose? second dose?
0.1 mg/kg rapid IV push up to 6 mg, then 0.2 mg/kg rapid IV push up to 12 mg
500
Toxic effects of elevated serum Theophylline?
Acute myocardial infarction,
Seizures (resistant to anticonvulsants),
Urinary retention
500
What is Poisuelle's law?
If the radius is halved, resistance increases 16-fold, R = 8nl/[pi(r)^4]
500
When is physostigmine used? When is it contraindicated?
used for anticholinergic toxicity, contraindicated in TCA overdose
500
What ECG finding might you find on a patient with hypothermia?