My Broken Heart
This is caused by blood collecting within the pericardium of the heart.
Cardiac Tamponade
On an electrocardiogram, the depolarization of the Atria is represented by this.
P wave
For signs of a stroke <4 hours from last known normal, SBP goal of this, Labetalol 10-20mg IV/IO push, may repeat after 10 mins.
SBP of 185 mmHg (Confirmed Manually)
This type of joint allows for a turning motion, and includes the joints between the head and neck at the first and second cervical vertebrae and those in the wrist.
Pivot Joint
Right sides heart failure
Dubski complains of a headache, dizziness, and blurred vision. After further assessment, You have determined that pharmacological intervention is needed. What is the Protocol used and Pharmacological intervention with dose?
Hypertensive Crisis
Labetalol 10-20 mg IV/IO push
Paced rhythms and left bundle branch blocks may by further delineated for STEMI using this criteria.
Sgarbossa's Criteria
BEST EMS Adult Sepsis Alert Criteria
STEP 1 - BOTH OF THESE:
Age ≥ 18
An identified or suspected source of infection:
Cough and/or dyspnea
UTI symptoms
N/V/D
Fatigue and/or malaise
Wound infection
Hx of Immunosuppressive condition (e.g. cancer, leukemia, chemo, HIV, post-transplant)
Fever and/or chills
Resident of a Skilled Nursing Facility
Abdominal pain
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STEP 2 - AND AT LEAST ONE OF THESE:
Two or more of the following criteria:
What is ONE of the signs and symptoms from STEP 2?
STEP 2 - AND AT LEAST ONE OF THESE:
SBP < 100 and/or MAP < 65
Lactate > 2.0 mmol/L
ETCO2 < 25 mmHg
Two or more of the following criteria:
Temp > 100.4°F (38°C) or < 96.8°F (36°C)
HR > 90
RR > 20
AMS from baseline
New onset oxygen dependence to maintain SpO2 ≥ 90%
Oxygen from the air is transported to the blood through the respiratory system. The airway is separated into an upper and a lower airway. The upper airway consists of the following basic 4 structures inside and outside of face.
Nose and Mouth
Pharynx
Nasopharynx
Larynx
Shortness of breath: This is the most common symptom, especially during physical activity or exertion.
Wheezing: A high-pitched whistling sound when breathing out.
Chronic cough: A persistent cough that produces mucus.
Chest tightness: A feeling of pressure or tightness in the chest.
Fatigue: Feeling tired and lacking energy.
Decreased exercise tolerance: Difficulty with activities that used to be easy.
Barrel chest: A rounded, enlarged appearance of the chest due to trapped air in the lungs.
Weight loss: Unintentional weight loss may occur due to decreased activity and increased metabolism.
Blue lips and nail beds: In severe cases, low oxygen levels in the blood can cause cyanosis.
Pulmonary Emphysema
After working out, Bobby goes into cardiac arrest. It is determined that no shock is advised. If Bobby is not in asystole, what rhythm is he in?
PEA
The PR interval is 120-200ms. Between how many small boxes is that on the ECG?
3-5 small boxes
Trauma Recommendations
Adults -- 250 ml IV/IO NS/LR fluid boluses to maintain goal SBP = 90 mmHg (WITHOUT SUSPECTED HEAD INJURY) and SBP of this. (WITH SUSPECTED HEAD INJURY)
SBP = 110
A series of valves between the chambers of the heart keep the blood flowing in one direction and prevent the backflow of blood. Those 4 valves are:
Tricuspid
Pulmonary
Mitral (Bicuspid)
Aortic
Sudden onset (usually 2 hours or less)
Early Symptoms:
History of diabetes.
Hypoglycemia
Increased Venous Pressure (JVD)
Decreased Blood Pressure (Narrowing pulse pressure)
Muffled Heart Sounds
This is a collection of these medical signs associated with Cardiac Tamponade!
Beck's Triad
On the 12 lead, leads l, AVL, V5, and V6 look at this on the heart.
Lateral wall, Left Ventricle
Your patient was the restrained driver of a vehicle that sustained moderate damage to the driver side during an MVA. She is 26 weeks pregnant and complaining of 10/10 pain in her distal femur. Under the pain management protocol, what drug should you avoid using to treat her pain?
Ketamine
(easily leads to an accumulation in the brain and alters the neuro-development of the fetus)
A DECREASE in the stimulation by the parasympathetic nervous system _________ the heart rate.
Increases
Placenta Previa
Studies show that THIS treatment in acute CHF patients may lead to higher rates of intubation, please use caution; may consider in patients with wheezing and a history of asthma or COPD.
Nebulizer
When doing 12 leads, this lead is placed at the fifth intercostal space mid clavicular line.
V-4
PREECLAMPSIA
Confirm history of pregnancy > 20 weeks or up to 6 weeks postpartum.
PREECLAMPSIA
Abdominal pain, mental or visual status change, pitting edema, BP > 140/90
If SBP > 160 mmHg and/or DBP > 110 mmHg and/or symptomatic:
Labetalol 20 mg IV/IO push; if BP still elevated over initial criteria after 10 minutes, may double the initial dose
AND
This additional pharmacological intervention AND WHY.
Magnesium Sulfate 6 grams IV/IO given over 20 minutes (may mix in 100 or 250 ml NS/D5W over 20 min); or 5 grams IM given in each buttock (total 10 grams)
To prevent Seizures, as it acts as an anticonvulsant, which is the main concern in severe preeclampsia.
Dubski's dream blood pressure is 120/80.
What is the pulse pressure?
40 mmHg
Subtract your Diastolic BP from your Systolic BP.
You respond to Fairway Ranch for a unknown medical. You arrive to find your patient laying supine next to his Dodge Ram truck wearing a Tennessee Volunteers sweatshirt and covered with a strand of Christmas lights. The patient presents with heart rate of 56, warm, dry, flushed skin and diaphragm breathing and a numbness, tingling sensations in his hands and feet.
We are all mindful of this type of injury.
Spinal Cord Injury