Tubalicious Dude
What is DOPE
Dislodgement, obstruction, pneumo, equipment
Softball: How do you measure an OPA?
corner of mouth to the ear lobe
Purpose of surfactant and PEEP
help keep alveoli and bronchioles open
Joint pain, itching, fatigue, shortness of breath
signs and symptoms of Decompression illness
Treatments for hypothermia (name 4)
active rewarming- warm fluids, blankets, warm packs, remove wet clothes, warm water lavage, warmed oxygen
Difference between Mac and Miller Blade (other than shape)
mac blade goes into the vallecular space while the miller drops into the esophagus and is pulled back to lift the epiglottis
First step in any airway assessment no matter the sound?
Open airway
Bonus: What are the two ways to do this in an unconscious patient?
Common medications for COPD treatment
beta 2 agonists, bronchodialtor/anticholinergic, steroids
What is a pneumomediastinum and what symptoms are seen?
When air is trapped in the mediastinum and pericardial sac. The patient can have chest pain, shortness of breath, hypotension, and irregular heart beats
place the 3 heat illnesses in order of least to most severe
cramps
exhaustion
stroke
Name three complications of intubation
Aspiration (most detrimental), hypoxia, damage to teeth/gums, vagal response (especially pediatrics), damage to palate.
Name 3 upper airway sounds and what they could mean
Stridor- upper airway obstruction such as food or swelling from anaphylaxis
Gurgling- fluid in airway
Snoring- tongue obstruction
3 signs of poor ventilation and 3 signs of good ventilation
poor- absent or irregular chest rise and fall, absent/irregular lung sounds, distended abdomen, poor skin color,
good- equal rise and fall of chest with good depth, improving skin color, clear lung sounds, improving mental status
HACE vs HAPE
HACE- affects fluid increase in the cerebral tissue
HAPE-increases pulmonary pressures
Treatment for marine animal bites
hot water soaks
Select tube size (pinky finger or nostril), Place stylet to the murphys eye, test pilot balloon, lubricate tube (important with nasal intubations particularly), select blade and handle, gather back up equipment (additional size ET tube and supraglottic airway), set up capnography reader, have suction ready, have tube holder ready.
Drooling, resp distress, and stridor are seen in this life threatening upper airway infection
Epiglottitis
Bonus: what causes it?
positive pressure complication? Why does it happen?
Hypotension ( decreased venous return/preload). Positive pressure causes increased intrathoracic pressure and decreased Cardiac output.
Bonus: how will body compensate?
Concerns with lightening strikes (name at least 3)
Cardiac dysrhythmia (most lethal), spinal injuries, burns, paralysis, respiratory compromise
frostbite signs/symptoms name 3
burning pain, numbness, white/waxy appearance (superficial) , edema/blisters, gangrene (severe)
Difference between ET tube and Supraglottic placements? Where do they sit in the airway?
ET tubes are placed via vocal cord visualization where as supraglottics are blindly inserted. Supraglottics sit above the glottic opening creating a seal over esophageal opening. ET tubes are placed directly into the trachea.
Suction catheter type used for an oral suction and its depth vs. catheter type used for ET tube and its depth
Oral- yankuer, depth should still be able to see the tip
ET- flexible/soft cathether, to about the carina (this is done by measuring depth of tube)
blood tinged- cancer
pink frothy- pulmonary edema
green/yellow- infection
black- smoke exposure
brown- old blood
clear- allergies/ normal
white- possibly viral
Severe dive related injuries need a what?
Recompression chamber
When does moderate hypothermia begin?
82-90