Triangles
Whose Line is It Anyway?
Rhythm & Blues
Pacer? I Barely Know Her!
Dos(e) Amigos
100

Look and see, this at-a-glance impression is one component of the Pediatric Assessment Triangle

What is Appearance?

100

Not air conditioning, this is a common AC site for IV starts. 

What is antecubital fossa?

100

We also call it a flatline, it's probably the easiest rhythm (or lack thereof) to identify...

What is asystole?

100
External cardiac pacing is indicated for hemodynamic instability caused by this.  
What is Bradycardia?
100

Don't be afraid to give this dose of aspirin when your patient has some chest pain.

What is 324 mg?

200

This triangle-shaped muscle is a good spot for an IM injection!

What is the deltoid?

200
This largest size IV catheter carried on the truck might not be used for IVs, most likely needle decompression. 

What is 14g?

200

I'm not weird, I'm just irregularly irregular. 

Atrial fibrillation?

200

If they're an adult, we should start them at this rate when establishing external cardiac pacing.

What is 70 ppm?

200

You're listening to 'Island in the Sun' on the radio when you suddenly get dispatched to a wheezer... When you give a single DuoNeb this is the dose of Ipratropium you're giving!

What is 0.5 mg?

300

Work of Breathing, another part of the Pediatric Assessment Triangle can be assessed by looking at a baby's face and noting this... They're not sniffing their own diaper - they're working to breathe.

What is Nasal Flaring?

300

Oink! I'm not talking to PD, I'm referring to this type of connection when adding a secondary line to an existing IV setup. 

What is piggybacking?

300

I don't want you to feel inferior, but I'm definitely checking a right-sided ECG if I see ST elevation in these leads.

What are II, III, and aVF?

300

You've got pacer spikes before each QRS on the screen! That mean's it's time to check a pulse for this.

What is mechanical capture?

300
A 33lb 3-year-old named Ralph starts blowing chunks on your uniform. Let's stop that by giving him this precise dose of IV ondansetron.  

What is 2.25 mg?

400

Three parts of the Trauma Triangle of Death. Hypothermia, Acidosis, and this...

What is Coagulopathy?

400

Lower the head, raise the feet, have them breathe deeply and hold still. And please, never place a tourniquet when you establish access in this large vessel.

What is external jugular (EJ)?

400

Hearts and cities, man... They both have blocks. And you should look out for this one, characterized by steadily increasing PR intervals followed by a dropped QRS. 

What is a 2nd degree Type I (Wenckebach)?

400

Fix these 2 things first before you pace somebody. They just might be the reason the rate is slow...

What is hypothermia & hypoxia?

400

SLUDGE is in full effect & you suspect organophosphate poisoning. You already administered the first dose Atropine & you're ready to give more. This is your repeat dose and how often you need to keep giving it!

What is 4 mg & q3 min?

500

Also called an eye web, or surfer's eye, this triangular shaped (wing-like) membranous growth can be sometimes be observed on the cornea of the eye.

What is a Pterygium of the eye?

500

Oh no, math! If pumps weren't real & you had to do cardiac arrest epi (67 mcg/min with a 2000mcg/250mL concentration).  What are the approximate gtts/min, using a 10-drop IV set?

What are 84 gtts/min (approximately 82-86)? Thats just under 3 drops every 2 seconds. 

500

You may know it from calculus, but too much potassium will also lead to this slow, wide, and curvy shape on an ECG.

What is a sine (sinusoidal) wave?

500

I'm giving it all she's got, captain! This is as high as you can go when increasing mA on the Zoll X Series monitor.

What is 140 mA?

500

Shockingly, you encounter a youngster who needs synchronized cardioversion.  If the patient weighs 20kg, this is the dose of electricity we're (unfortunately) giving them for the initial shock.

What is 10-20 joules?