Slippy Slippy Snakes
Poisonous Plants
Ocean Oopsies
Hot N Cold
Bites and Stings
100
Which of the following is the best first aid treatment after a snake bite?
1 - Tourniquet
2 - Suction
3 - Immobilization
4 - Incision to release venom
5 - Panic
3 - Immobilization in a neutral position below the heart
100
What plant is this
Foxglove (cardiac glycosides)
100
Name this cutie
Blue ringed octopus
100
What is the most effective cooling method?
Evaporation (or Immersion in some circumstances)
100
What spider bite commonly presents with erythema and a necrotic center or the "red, white, and blue sign"?
Brown Recluse
200
Which of the below is a coral snake
200
What is this and what can it cause
Lilly of the Valley and Bradycardia, heart block, hyperkalemia
200
Treatment?
Hot water submersion (110-114 degrees F)
200
What is this EKG finding and what can it indicate?
J wave (Osborn wave) and hypothermia
200
After an anaphylactic reaction to a bee sting what is the dose of adult and peds EPI?
0.3 mg IM and 0.15 mg IM
300
What US snake causes descending paralysis with minimal local tissue injury
Coral snake
300
What mushroom causes fulminant liver failure? (Double points for the MOA)
Amanita Phalloides (RNA polymerase II inhibitor)
300
Your dive buddy is acting very strange while at depth, what could he be suffering from?
Nitrogen Narcosis
300
Approximately what temperature of water do you want to use for frostbite
98.6-102.2
300
What type of spider bite causes muscle cramping, abdominal pain, diaphoresis, and hypertension?
Black Widow
400
What is the most common sign of systemic toxicity after pit viper envenomation?
Coagulopathy (hypofibrinogenemia/thrombocytopenia)
400
What 3 plants contains cardiac glycosides and can cause bradycardia, heart block, and hyperkalemia
Oleander, Lilly of the valley, Foxglove
400
What marine toxin is famous for cold allodynia?
Ciguatera from predatory reef fish
400
Name 3 criteria for referral to a Burn Unit
Full thickness burns
Partial thickness ≥10% TBSA*
Any deep partial or full thickness burns involving the face, hands, genitalia, feet, perineum, or over any joints
Patients with burns and other comorbidities
Patients with concomitant traumatic injuries
Poorly controlled pain
400
Pt presents with uncoordinated neuromuscular activity, tongue fasciculation, and hypersalivation after feeling a painful sting while putting on a shoe. What is most likely responsible?
Scorpion
500
What is the dosing for CroFab and ANAVIP?
Crofab - 4-6 vials over first hour and 6 vials over 18 hours
ANAVIP - 10 vials
500
Children who eat this berry may develop mydriasis, tachycardia, and delirium
Belladonna
500
What is this and what syndrome can it cause
Box Jellyfish and Irukandji Syndrome (catecholamine release)
500
Parkland Formula
4mL x weigh (kg) x % BSA
Half over first 8 hours
2nd half over next 16 hours
500
Name 3 diseases that can be transmitted by mosquitos
Malaria, West nile, Chikungunya, Yellow fever, Zika, Japanese encephalitis,