Drugs
Reach
Treat
Knots & Stuff
Cardiac
100
These RAT medications can be given for NON-wilderness calls with OLMC contact.
Hypertonic Saline
Ancef
100
You’re responding to a wreck at milepost 54 on highway 26. This is the closest town.
Government Camp
100
This is the ultimate treatment for altitude illness.
Descend to lower elevation.
100
This device is NOT acceptable for rappelling.
Figure 8
100
Atrial fibrillation
200
The adult dose for Acetazolamide
250mg
200
Timberline Lodge, Silcox Hut, and the top of Palmer are at these approximate elevations.
6,000 ft
7,000 ft
8,540 ft
200
These are two techniques for reducing a shoulder dislocation.
The Cunningham Technique and the Eskimo Technique
200
The safety factor used for fire service rescue is often 15:1. It's this for the RAT team.
10:1
200
Hypothermia
28°C (82°F)
300
The contraindications for hypertonic saline.
None when indicated.
300
Devil's Kitchen
300
Any patient with a ruptured eye globe should receive this type of medication.
Antiemetic
300
This knot is often used mid rope during glacier travel.
Alpine Butterfly
300
Your patient took 100 amitriptyline pills. They might have this ekg finding and you might give this medication.
Widening QRS
Sodium Bicarbonate
400
In the rapid pain titration procedure small doses are given every 60 sec. THIS is the dose for morphine and THIS is the dose for fentanyl.
1mg
20mcg
400
A climber is descending the south side route in a whiteout and has forgotten his compass and GPS. He’s likely to end up “cliffed out” in this area.
Mississippi Head
400
In addition to a recent gain in altitude, the Lake Louise Criteria for HAPE include specific signs and symptoms. Name two of each.
Symptoms
- Dyspnea at rest
- Cough
- Weakness or decreased exercise performance
- Chest tightness or congestion
Signs
- Rales or wheezing in at least one lung field
- Central cyanosis
- Tachypnea
- Tachycardia
400
While rappelling, you can use this knot to tie yourself off to be hands free.
Mule knot
400
Anterolateral STEMI
500
In addition to 1 gram infused IV over 30 min, Ancef can also be given this way.
IM
500
Steel Cliffs
500
Ski patrol has brought you a patient in full spinal immobilization. They do not want the c-collar on and you decide to use the NEXUS Cervical Spine Clearance Procedure. These are the contraindications.
Neuro deficit
Intoxicated
Altered mental status
Distracting injury
500
You’ve created a 5:1 hauling system and your patient weighs 100kg. Theoretically, it feels like you’re hauling this many kilograms.
20kg
500
DKA with hyperkalemia
600
In the RAT protocol, TXA is given 1 gram in 100 ml NS. You might have this side effect if given too rapidly.
Hypotension
600
Your bearing is 75 degrees. This is your back azimuth.
255 degrees
600
The Lake Louise Criteria for Acute Mountain Sickness.
1. Setting of a recent gain in altitude, AND
2. Presence of headache, AND
3. At least one of the following symptoms:
- Gastrointestinal (anorexia, nausea or vomiting)
- Fatigue or weakness
- Dizziness or lightheadedness
- Difficulty sleeping
600
This is the main disadvantage of the Canadian drop loop system for cravasse rescue.
Victim must be conscious.
600
AV node blockers, adenosine, calcium channel blocker
atrial fibrillation with WPW