Ethans Enemy
This is caused by blood collecting within the pericardium of the heart.
Cardiac Tamponade
Depolarization of the atria is read on the EKG as what?
P wave
For signs of a stroke LESS than 4 hours from last known normal, what is your goal SBP?
185 mmHg
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
Peripheral edema
JVD
Ascites (d/t enlarged liver)
Patient may c/o RUQ pain d/t enlarged liver
Right sides heart failure
Ethan complains of a headache, dizziness, and blurred vision. After further assessment, what protocol will he most likely be treated with.
BONUS: what is the pharmacological intervention
Hypertensive Crisis
Paced rhythms and left bundle branch blocks may by further delineated for STEMI using what?
Sgarbossa's Criteria
Step one of the Sepsis Criteria is that the patient is older or equal to 18 years old and you have identified or suspected a source of infection. Name ONE qualifier from step TWO.
SBP<100 and/or MAP <65
Lactate >2.0 mmol/L
ETCO2 <25 mmHg
Two or more of the following:
Temp >100.4 F or <96.8 F
HR > 90
RR > 20
AMS from baseline
New onset oxygen dependence to maintain SpO2 equal to or greater than 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 4 structures.
Nose and Mouth
Pharynx
Nasopharynx
Larynx
Dyspnea
Pursed lip breathing (creating PEEP)
Wheezing
Barreled chest
Thin
Cannot complete sentences d/t SOB
Home O2
Tripod positioning
Use of accessory muscles when breathing
Clubbing of fingers
Pulmonary Emphysema
After working out, Ethan goes in to cardiac arrest. It is determined that no shock is advised. If Ethan is not in asystole, what rhythm is he in?
PEA
The PR interval is 120-200ms. How many small boxes is that?
3-5 small boxes
My goal SBP for a trauma patient WITH a suspected head injury is?
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)
Dilated pupils
Tachycardia
Decreased LOC
Diaphoretic, cool, clammy skin
Headache
Weakness, dizziness
Tremors
History of diabetes
Hypoglycemia
Increased Venous Pressure (JVD)
Decreased Blood Pressure (Narrowing pulse pressure)
Muffled Heart Sounds
Becks Triad
Leads l, AVL, V5, and V6 look at what?
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 the heart rate
Painless
Heavy vaginal bleeding
Bright red blood
Occurs without warning
Placenta Previa
Studies show that THIS treatment in acute CHF patients may lead to higher rates of intubation.
Nebulizer treatment
Lead ___ is placed at the fifth intercostal space mid clavicular line.
V-4
Your patient is 4 weeks postpartum with a DBP >110 mmHg. The patient advises that she was preeclamptic during her pregnancy. You have already given 20 mg of Labetalol. Why does this patient need Magnesium Sulfate?
Reduces the risk of seizures
Ethans dream blood pressure is 120/80.
What is the pulse pressure?
40 mmHg
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 warm, dry, flushed skin and diaphragm breathing.
What type of injury do you suspect.
Bonus if you can name what class of shock
Spinal Cord Injury