What is Parkland's formula? Rule of 9's?
Antidote time!
Cyanide
Acetaminophen
Methanol/ethylene glycol
Cyanide: hydroxycobalamin
Acetaminophen: NAC
Methanol/ethylene glycol: fomepizole
Dx and tx?
Dx: Gonococcal conjunctivitis
Tx: Ceftriaxone x1
Headahce + vision loss
Temporal arteritis
List at least three hard and three soft signs of arterial bleeding.
Antidote time!
Serotonin syndrome
NMS
Malignant hyperthermia
Serotonin syndrome: cyproheptadine
NMS: bromocriptine
Malignant hyperthermia: dantrolene
Cough + conjunctivitis + coryza
Measles (rubeola)
This injury is located in which zone of the neck? What is the correct ED management?
Zone II. CTA +/- OR exploration.
Antidote time!
Iron
Lead
Arsenic
Mercury
Lithium
Iron: deferoxamine
Lead: succimer or dimercaprol
Arsenic: dimercaprol
Mercury: dimercaprol
Lithium: dialysis
High fever x3-5 days +/- seizures, then rash from trunk -> limbs
Rubella (fever that rashes)
Spares the face
Hot and cold reversal
Ciguatera poisoning
List at least 4 criteria for transfer to a burn center.
Pt p/w severe pain after splashing industrial substance on his arm. Dx and treatment?
Hydrofluoric acid burn. Calcium gluconate.
List at least 4 of the indications for thoracotomy after chest tube placement for hemothorax.
Daily double!! 42 yo M p/w AMS. Patient appears intoxicated with slurred speech. Labs show ETOH level <10. Bicarb 24. Anion gap of 10. UA with 2+ ketones. What did the patient likely consume and how will you treat it?
Isopropyl alcohol (KETOSIS WITHOUT ACIDOSIS!); supportive care (NO FOMEPIZOLE)