Pokey Things
How can you tell which suture thread is smallest?
What is the correct suture size for an extremity?
The larger the number, the smaller the thread
4-0
2 kg is how many grams?
2,000 g
Name the 4 heat loss mechanisms
Conduction, convection, radiation, evaporation
While running in the Chuckanuts you fall and twist your ankle. You know from your EMT class that an injury to your ligaments is called a ___?
sPrain
How do we care for an avulsion of the skin?
stop bleeding, gentle irrigation, fold skin back to position, protect with clean, dry dressing.
How long can we leave an IV in place before it is replaced? IO needle?
72-96 hours for an IV
3-4 hrs for an IO
What is the 1:10:1 rule?
One minute to get breathing under control, 10 minutes of useful movement to get out of water or secure, one hour before succumbing to hypothermia
What are key signs and symptoms of heat stroke?
Altered mental status, temperature > 104 F (40C), may/maynot be sweating
How many teeth does the average adult have?
32
Name 2 common IV fluids
Normal Saline
Lactated Ringers
What are the indications for use of staples in wound closure?
Areas with high tension: example Scalp.
What is the most common size of an iGel? What is the weight?
Size 4; 60-90 kg
(Bonus; what color is it?)
How do you treat a jellyfish sting if you do not have vinegar?
Saltwater
Name 3 locations we can administer IM medications.
Deltoid, vastus lateralis (lateral thigh muscle), gluteal muscle
Name 3 adverse reactions that can occur during IV fluid administration.
Infiltration, infection, catheter shear
Name two locations we can place an IO needle.
Humerus, proximal tibia
How can we confirm placement?
If my patient weighs 220 lbs, how many kg are they?
220/2= 110 - 11= 99 kg
When do patients experience afterdrop? What symptoms might we see?
Continued cooling after removal from cold exposure.
S/Sx: increase in shivering, cardiovascular or hemodynamic instability, sudden temperature drop
You have a patient who has fallen 10 ft, landed on their side. They are AOx4 and deny any altering substances. They appear to also have a deformity of their ankle and report 9/10 pain. While doing a spinal exam, they do not hold still. Does this patient pass NEXUS?
No, they have a distracting injury.
What are two methods of confirming a proper NG tube placement?
Auscultating stomach sounds; aspirating contents and assessing pH
Name the sizes of IV needles and indications for use
16/18: trauma, rapid infusion/blood transfusion
20: trauma, blood transfusions
22: general infusions, smaller veins (children/elderly)
24: fragile veins, not suitable for rapid infusions
How deep must a diver descend to experience 1 atm of pressure increase?
33 ft or 10 meters
Name the medications we use to treat HAPE?
Nifedipine, Diamox, oxygen, bronchodilator
Name the locations that we can reduce a dislocation:
Shoulder, finger, mandible, patella
Name 3 indications for insertion of a urinary catherer?
Urinary retention, severe wounds/pressure ulcers, accurate monitoring of urine output, patient comfort (prolong immobilization)