PEDS/OB
TRAUMA
ESI
NEURO
SHOCK
100

the 2 treatments for an ectopic pregnancy

what is methotrexate or surgery?

100

things you should do when you hear a trauma alert

what is alert the trauma team, prepare your room, and don PPE?

100

name 3 life save intervention medications

what is naloxone, d50, vasopressors, adenosine, atropine, or epinephrine?

100

blood pressure needs to be less than ____ prior to receiving thrombolytics

what is < 185/110?

100
TRUE or FALSE: in traumas, always assume hemorrhagic shock until proven otherwise

what is true?

200

the airway sounds you would normally hear with croup

what is stridor?

200

Epistaxis, rhinorrhea, and subconjuctival hemorrhage in the periorbital spaces (raccoon eyes) are all symptoms of which type of skull fracture

what is a basilar skull fracture?

200

the time it should take for your rapid triage to be completed

what is < 5 minutes?

200
2 possible diagnoses when patient has a headache requiring lumbar puncture to be done

what is meningitis? what is subarachnoid hemorrhage?

200

the inability of blood to ender or exit the heart adequately

what is obstructive shock?

300

medication given as seizure prophylaxis for pre eclampsia

what is magnesium sulfate?

300

the 5 P's when assessing for compartment syndrome

what is pain, pulses, pallor, paresthesia, and paralysis 

300

7-year-old woke up complaining of a stomachache.

"He refused to walk downstairs and is not interested in eating or playing." Vomits in triage.

Vital signs: RR 22, HR 88, BP 94/69, SpO2 100%, T 38°C (100.4˚F), Pain 6/10.

what is ESI level 3? 

will likely need labs, meds, and imaging

300

unilateral, throbbing frontolateral pain; sometimes cording can be palpated; can lead to visual deficits

what is temporal arteritis?

300

patient that presents with hypotension, bradycardia, faint pulse, and pale

what is neurogenic shock?

400

name 3 high risk pediatric situations (ESI level 2) 

what are seizures, severe sepsis, severe dehydration, diabetic ketoacidosis, suspected child abuse, burns, head trauma, ingestions and overdoses including vitamins, infant less than 30 days of age with a fever, or sickle cell crisis?

400

A freely moving section of the rib cage is displaced. Identified with 3 or more fractures in 2 or more places

what is flail chest?

400

34-year-old female 10 days postpartum. "I suddenly started bleeding and passing clots the size of oranges, I never did this with my other two pregnancies." 

"Can I lie down before I pass out?"

Vital signs: RR 22, HR 132, BP 86/40, SpO2 86%.

what is ESI level 1? 

Signs and symptoms of a post-partum hemorrhage.

Vital signs reflect fluid volume deficit. The patient needs immediate intravenous access and fluid resuscitation.

400

posturing that indicates injury above the midbrain

what is decorticate posturing?

400

in a pediatric patient, bradycardia, hypotension, or delayed cap refill are ___ signs of ___ shock  

what is late; hypovolemic?

500

the definition of HELLP

what is hemolysis, elevated LFTs, low platelets 

500

trauma patient receiving multiple units of blood should also receive this medication, and why

what is calcium? the citrate in PRBC causes drops in serum calcium so need to replace it 

500

True or False: charting "pt reports abd pain x 4 hrs (pt in no distress, playing on cell phone in triage) with associated n/v/d and pt smells" would be an appropriate triage note 

what is false? 

500

complications of spinal cordy injury 

*hint, think shock*

what is hemorrhagic shock, neurogenic shock, or spinal shock?

500

inotropic and vasopressor support to be given for cardiogenic shock

what is norepinephrine, dobutamine, dopamine, or milrinone?