May Jeopardy

Pick your poison

100

This agent chelates iron

Deferoxamine

200

This essential oil can cause seizures 

What is Camphor

Sources: Muscle rubs (Vicks, VapoRub, Tiger balm), essential oils

Treatment: NO antidote, support ABC's and give benzo's

300

Based up the Rumack-Matthew nomogram, greater than what 4 hour serum acetaminophen level is an indication for NAC treatment?

What is 150 mg/L

If it is a single, acute ingestion 4 hour level of 150 is an indication for NAC

400

Ketones (+) but no acidosis suggest this type of ingestion

What is isopropyl alcohol.

Sources:

- Rubbing alcohol

- Hand sanitizers

- Cleaning products

Clinical presentation: CNS depression, GI sx, fruity breath

500

How does High-dose Insulin euglycemia therapy work?

It improves cardiac contractility and perfusion and is used in severe calcium channel blocker ingestion and beta-blocker ingestion

Allows for myocardial cells to increase glucose uptake and improve contractility without the chronotropic effect of pressors.

let's be PALS

100

What is the etomidate dosing for RSI

0.3 mg/kg  IV push

Onset: 30-60 seconds

Duration: 5 min

(+) Hemodynamically stable 

(-) ?Transiently suppress adrenal function

200

____ IV access attempts should be made or ____ seconds before obtaining IO access in a code.

TWO IV access attempts should be made or 90 seconds before obtaining IO access in a code (each blank 100 pts)

300

What is the formula used to calculate the minimum systolic BP for a pediatric patient?

70 + (2 x age in years) = min SBP

400

Epi dosing for:

(1) Cardiac arrest

(2) Anaphylaxis

(3) Epi drip

(4) Asthma

Each correct answer 100 pts.

(1) Cardiac arrest - 0.01mg/kg of 1:10,000 (0.1mg/mL) max 1 mg

(2) Anaphylaxis - 0.01 mg/kg of 1:1000 (1mg/mL) max 0.3 mg 

(3) Epi drip - 0.1-1 mcg/kg/min of 10 mcg/mL concentration

(4) Asthma - 0.01 mg/kg of 1:1000 (1mg/mL) max 0.3 mg 

500

List all H's and T's to be considered in resuscitation.

What are:  (10 total; 100 pts for every 2 answered correctly)

H's (Potentially Reversible Causes):

• Hypovolemia: Fluid loss, leading to inadequate blood volume and shock.
• Hypoxia: Insufficient oxygen delivery to the tissues.
• Hydrogen ion (acidosis): Abnormal acid-base balance.
• Hypoglycemia: Low blood sugar.
• Hypokalemia/Hyperkalemia: Abnormal potassium levels in the blood.
• Hypothermia: Low body temperature. 

  
  

  
  

  
  

T's (Potentially Reversible Causes):

• Tension Pneumothorax: Air accumulation in the chest cavity, compressing the lung and heart.
• Tamponade (Cardiac): Fluid accumulation around the heart, restricting its ability to pump.
• Toxins: Exposure to medications, street drugs, or other toxins.
• Thrombosis (Pulmonary/Coronary): Blood clots in the lungs or coronary arteries. 

"The Vanderbilt Way"

100

What time do the senior wards' residents sign out? (AM and PM)

6 AM and 5 PM

200

How do you consult IR?

Place and Ped IR Case Request AND page the Pediatric IR pager through synergy

300

When are the neuro residents on 24 24-hour call?

Saturday 6 AM - Sunday 6 AM.

400

What is the phone number for labs and radiology?

5READ = 57323 = radiology reading room

5LABS =  55227 = main laboratory

500

Which weekdays does Orthopedics cover Spine?

Monday and Wednesday

Vaccine Preventable Riddles

100

Fever hits, then spots appear,
Small white dots inside, oh dear!
Red rash spreads from head to toe,
Coryza’s cold, a nasty blow.

Eyes may tear, cough and sneeze,
Pneumonia, encephalitis—serious disease.

Measles

200

A fever starts, then rash appears,

Pink spots that spread, from ears to ears.

I’m mild at first, not much to fear,

But I can cause trouble for moms that are near.

What is rubella.

300

A fever and cough, a sore throat too,

A bacterial friend that can trouble you.

I can cause meningitis, conjunctivitis-otitis, and more,

A nasty infection you can't ignore.

If you desire your patient to live,

What antibiotic should you give?

Ampicillin, Chloramphenicol, or 3rd generation Cephalosporin (Ceftriaxone or Cefotaxime)

Treatment course is usually 10 days. Many isolates of H. influenza can produce Beta-lactamase. Ampicillin resistant strains of Hib are now common throughout US. In most medical centers, 25-30% of Hib are now resistant to penicillin and ampicillin. In some medical centers, 50-60% of Hib isolates are ampicillin resistant. If Beta lactamase positive, Ceftriaxone becomes the drug of choice.

400

A sore throat strikes, it’s hard to speak,
A greyish coating makes you weak.
I block your airways, make you gasp,
Breathing's hard, it’s quite a task.

I’m caused by bacteria, that’s no surprise,

what's the mainstay of treatment to help you rise

Diphtheria antitoxin and antibiotic (penicillin or erythromycin)

500

A cough that starts and doesn’t cease,

With a "whoop" that makes your breathing freeze.

You caught me from someone close,

Now you need help to stop the dose.

A vaccine can protect, but PEP is key.

To stop me from spreading—what’s the therapy?

Treat with meds soon after exposures near,

What's given for PEP and to whom to help clear?

CDC supports providing PEP within 3 weeks of index care to:

Household contacts of a pertussis case

People at high risk of developing severe pertussis infection

Those who will have contact with people at high risk of developing severe pertussis infection (NICU workers, maternity ward, childcare teachers, pregnant women in 3rd trimester)

Name that Attending

100

Who used to play the Cello (and also had a pseudoseizure)?

Rebecca Kidd

200

Who is afraid of Elvis?

Megan Malik

300

Who was a radio DJ?

Nick Jones

400

Who worked on a Disney Cruise Ship?

Marla Levine

500

Who ate a glowstick as a child, forcing their mother to call poison control?

Claci Ayers