The Kids Are Not Alright
Take My Breath Away
Resus for Jesus
Szustkiewicz Special
Deep Dive
100
This is the dose of acetaminophen given to a febrile child
What is 15mg/kg
100
This is the treatment for a simple pneumothorax
What is supplemental oxygen
100
MR SOPA stands for what?
What is:
Mask adjustment
Reposition Head
Suction
Open mouth
Alternate Airway
100
The reflexive order of this antibiotic for every sepsis alert irks Anthony
What is rocephin
100
This law is integral in understanding the pathophysiology of decompression illness
What is Boyle's Law?
200
The finding in this ECG is indicative of what underlying problem (name the finding and problem)
What are a Delta wave and WPW
200
What are some signs and/or symptoms of high altitude pulmonary edema
What are: pink and frothy sputum, tachycardia, tachypnea, hypoxia, central cyanosis
200
This is the dose and duration over which a TXA bolus is given in cases of hemorrhagic shock due to trauma
What is 1g over 10min?
200
This class of antibiotic can be used to treat strep throat in patients allergic to penicillin
What are macrolides?
200
These are some common symptoms of arterial gas embolism
What are mental status changes, seizure, LOC
300
A child with mild chest wall retractions, stridor at rest, no cyanosis, normal level of consciousness, and decreased air entry has this level of croup
What is moderate croup?
Westley Croup Score on MDCalc
300
This is the location for a needle decompression of a right sided tension pneumothorax
What is the second intercostal space at the mid clavicular line?
300
This is the post-ROSC pCO2 target
What is a pCO2 of 35-45mmHg
300
These antibiotics are used to cover for MRSA infections (must name all 6)
What are: vancomycin, bactrim, doxycycline, clinamycin, linezolid, daptomycin
300
Ingestion of this toxin causes hot and cold reversal
What is ciguatera toxin
400
These are the five criteria required to diagnose Kawasaki Disease (must name all 5)
Fever for at least 5 days, bilateral bulbar conjunctival injection, oral mucous membrane changes (strawberry tongue, etc), peripheral extremity changes (desquamation, rash on palms or soles), polymorphous rash, cervical lymphadenopathy
ESR and CRP are obtained in cases of incomplete Kawasaki (Fever and only two of the above)
400
Immediate output of (blank) or (blank) from a chest drain indicate the need for a thoracotomy (must provide both answers)
What is immediate output of 1500mL or ongoing blood loss of at least 200mL (for 2-4hrs)
400
This is the dose of amiodarone given in PALS
What is 5mg/kg?
400
These antibiotics cover pseudomonas infections (must name 6)
What are: zosyn, ceftazidine, cefepime, carbapenems, ciprofloxacin, aminoglycosides
400
Pulmonary barotrauma primarily occurs during this point of a dive
What is the ascent
500
This is the amount of glucose that should be given to an 8yr old patient with a fingerstick glucose of 30
What is 24mL of D50
Rosh question
Estimate weight: [2 x (age in yrs)] + 8 = 24kg
8yr olds get D50 @ 1mL/kg
24kg x 1mL/kg = 24mL
500
These are the initial bolus and then infusion doses of the drug used to treat patient with SCAPE (name the drug, bolus, and infusion dose)
What are: nitro, 1000-2000mcg bolus, and 100-300mcg/min
Per EMCrit, there is an initial 1000-2000mcg bolus given over two min, an infusion of 400-800mcg over 2min, then the 100-300mcg/min infusion. The 400-800mcg over 2min is an acceptable answer
500
These are the characteristics of neurogenic shock (describe: vital signs, physical exam findings, type of shock, location)
What are distributive shock, hypotension and bradycardia, dry/warm/flushed skin, located above T6?
500
This is the antibiotic covers the most likely cause of meningitis in a pregnant patient with an LP that shows gram positive bacilli
What is ampicillin?
Most likely cause of meningitis in this patient population is listeria
500
These are the characteristics of type I and type II decompression sickness (for this clue only, responses do not need to be in the form of a question)
Type I: joint and extremity pain (usually knees/shoulders), skin changes
Type II: pulmonary (cough, hemoptysis, dyspnea), CV collapse, ascending paralysis, vertigo, hearing loss, tinnitus, disequilibrium