Head Trauma

Head Trauma

100

What 3 things are located in the skull "closed vault"

Blood

CSF

Brain

200

What is a BLS maneuver to help reduce ICP and prevent secondary brain injury?

Elevate HOB

300

Explain the formula CPP= MAP-ICP

Cerebral Perfusion Pressure will equal the Mean Arterial Pressure minus the Intracranial Pressure. 

400

What signs or symptoms may indicate the brain is herniating?

Development of: unequal pupils, drop in GCS, posturing

500

Name at least 3 causes of secondary brain injury.

Hypoxia

Hypotension

Anemia (blood loss)Increased or decreased CO2

Increased or decreased blood glucose

Increased intracranial pressure (ICP)

New Protocols

100

What is the new recommended location for a needle thoracostomy?

4th & 5th ICS anterior axillary

200

What is the new Ketamine dose & delivery?

0.3mg/kg max of 30mg in 100ml slow IV drip over 10 min. 

300

When should a FAST-ED score be calculated AND what is the goal of this exam?

If BEFAST is positive, designed to r/o LVO

400

What is the criteria for TXA in post-partum hemorrhage?

blood loss >500ml and within 3 hours of delivery.

500

What is the criteria for TXA in trauma?

Injury less than 3 hours old. 

Time of injury to ER >45 min

At least BP,90 or uncontrolled bleeding

Potpourri

100

What is the length in meters of an Olympic sized swimming pool?

50 meters

200

What is the national animal of Scotland?

Unicorn

300

This mathematical theorem is     a² + b² = c²

Pythagorean

400

What is the capital of Canada?

Ottowa

500

This animal lays eggs, produces milk and has a venomous spur.

Platypus

Stuff You Should Know

100

What is the source of bleeding for an epidural vs subdural bleed?

Epidural is arterial

Subdural is venous

200

What drugs & doses are indicated for a patient in PEA with suspected hyperkalemia. Please include type of order.

Calcium Chloride 500mg IV/IO SO

Bicarb 1 mEq/kg IV/IO BHO

300

As of July 1st 2023, what order is needed to administer pain medication such as fentanyl to a pediatric patient with a major trauma GCS<15?

BHPO

400

At 2.5 million light years away, this is the largest galaxy nearest to the Milky Way (our galaxy)

Andromeda

500

How many of Snow White's 7 dwarfs have names ending in Y?

5: Dopey, Grumpy, Sleepy, Sneezy & Happy

Anatomy & Physiology

100

Where is cerebrospinal fluid produced?

The Ventricles of the Brain

200

What are the 3 products of cellular respiration (metabolism)

Carbon Dioxide, Water & ATP

300

Point to your hyoid bone

Root of the tongue in the front of the neck. It's function is to attach the muscles of the tongue to the floor of the oral cavity.

400

The splenic vein, superior mesenteric vein and inferior mesenteric vein all join to create which blood vessel? AND where does it travel to?

Portal Vein. To the liver for "processing"

500

Tetralogy of Fallot is a birth defect of what organ?

Heart