COPR 26

Shock

100

Shock caused by insufficient blood within the vascular system

Hemorrhagic Shock 

200

Shock caused by insufficient volume within the vascular system

Hypovolemic Shock

300

4 distinct kinds of shock

1) Hypovolemic shock ( absolute hypovolemia)

2) Distributive Shock (relative hypovolemia)

3) Obstructive Shock

4) Cardiogenic Shock

400

Approximately 15-25% of blood volume lost in setting of hypovolemia.

May stimulate slight-moderate tachycardia, pallor, narrowed pulse pressure, thirst, weakness and possibly delayed capillary refill

Early Shock (compensated shock)

500

- Hypotension

- altered mental status

- cardiac arrest

Signs of Decompensated Shock (Late Shock)

Acid-Base Balance

100

High CO2, Low pH

Examples:

- COPD

- Repiratory Depression

- CNS Depressants

Respiratory Acidosis

200

Low CO2, High pH

Examples:

- Hyperventilation

- Panic

- Anxiety

- Pain

Respiratory Alkalosis

300

pH: 7.40 (7.35-7.45)

PaCO2: 50 mmHg (35-45)

HCO3: 28 (22-26)

Metabolic Alkalosis

400

An accumulation of abnormal acids in the blood for any several reasons (i.e. sepsis, DKA, salicylate poisoning)

Metabolic Acidosis

500

The body's most important extracellular Buffer System

Bicarbonate (HCO3-)

Trauma

100

Name the colours of each tag:

1) Walking wounded

2) Delayed

3) Expectant

4) Immediate

1) Green

2) Yellow

3) Black

4) Red

200

The person in charge of overall incident -- will assess, establish strategic objectives and priorities and develop a plan to manage

Incident Commander

300

Person responsible for communication, equipment, facilities, food + water, fuel, lighting, medical equipment and supplies for patients and responders

Logistics Section

400

What tags would each patient receive at a MCI:

Patient 1: burns without airway problems

Patient 2: minor fractures

Patient 3: Uncontrolled leg hemorrhage

Patient 1: Yellow

Patient 2: Green

Patient 3: Red

500

In a blast emergency, there are 4 levels of blasts. Which level is when a victim is thrown by the force of the blast?

Tretiary Blast

Pediatrics

100

3 sides to the pediatric triangle

Appearance, Work of Breathing, Circulation

200

Formula for minimum BP on a pediatric

BP = 70 + (2 x age in years)

300

BP = 90/65

RR = 25

HR = 115 BPM

This is normal vitals for which age group?

A) Infant

B) Toddler

c) PreSchool

d) School age

C) Preschool

400

What is your epinephrine dose for a 6 year old boy weighting 26kg who is having an anaphylaxis reaction. 

a) 0.5mg (1ml/mg)

b) 0.3 mg/kg (1ml/mg)

c) 0.01 mg/kg (1ml/mg)

d) 0.02 mg/kg (1ml/mg)

C) 0.01mg/kg (1 ml/mg)

500

When looking at the characteristics of appearance of a pediatric patient, what does the TICLS mnemonic stand for?

Tone

Interactiveness

Consolability

Look (or gaze)

Speech (or cry)

Random

100

2 categories of seizures

1) Generalized: (main type) both hemispheres @ same time; affect large portion of brain; motor and non-motor

2) Partial (Focal): arise from specific areas in 1 hemisphere; affects limited portion of brain; Complex + simple

200

When the body doesn't make enough insulin because the immune system's T-cells attack and destroy Beta cells in the pancreas.

Diabetes Mellitus: Type 1

300

When placing the 3- and 12- ECG Leads on, what leads view the Lateral wall.

V5, V6, Leads I and aVL

400

What type of chest pain is typically triggered by physical exertion or emotional stress, usually subsides after a few minutes of rest or with the use of Nitro

Stable Angina (Angina Pectoris)

500

Toxidrome:

Drugs that BLOCK acetylcholine, reducing the parasympathetic activity.

Symptoms are:

altered mental statud, delirium

hyperthermia

flushed skin

dry mucous membranes

mydriasis (dilated pupils)

urinary retention

Anticholinergic Toxidrome