Show:
RSI
Protocols
Medications
Protocols
Karen's Quirks
100
When Zemuron is used for RSI how does the time-frame for on-set of paralysis compare to Succinylcholine?
What is it takes longer
100
Name the three medications that can be administered intra-nasally
What is Narcan, Versed, Fentanyl
100
How many milligrams per hour should a Cardene infusion be initiated at?
What is 5mg/hr
100
Name a contraindication to administration of Romazicon
What is chronic benzo user
100
What is Karen's favorite football team
Who is the packers
200
Name 3 contraindications to the use of Succinylcholine
What is hyperkalemia, 5 days or more post-burn/major trauma, chronic paralysis, malignant hyperthermia, Neuromuscular disorder (MS)
200
How many milligrams of Morphine can be administered in a single dose to an adult patient?
What is 5mg
200
According to protocol what is the typical highest dose of a propofol infusion?
What is 75mcg/kg/min
200
Name two anti-platelet agents that maybe administered to patients with an MI or ACS
What is plavix, brilinta, effient
200
What TV show was Karen on while residing in Chicago
What is ER
300
What is the optimum position to put the obese patient in for pre-oxygenation?
What is 25-30degrees upright
300
What is the initial rate and mAmps the monitor should be set to when utilizing the external pacemaker?
What is 70bpm and 70mAmp
300
according to protocol when is it ok to adminster a bolus dose of Neosynephrine to your patient
What is when they are hypotensive
300
What systolic value is utilized to initiate antihypertensive treatment for the patient with an aortic aneurysm or dissection
What is SBP > 120
300
What did Dana name her baby?
What is Autumn
400
Name three reasons to perform RSI
What is Airway protection (altered mental status), provide adequate ventilation, prevent aspiration, improve oxygenation
400
According to protocol at what systolic value should a patient's blood pressure be treated if they have a known hemorrhagic stroke?
What is > 140mmHg
400
Explain how to make a standard epinephrine infusion and give the initial dose
What is 1mg of 1:10,000 of epi in 250ml of D5W/NS, 2-10mcg/min
400
Name the first line pressor agent to be used for the hypotensive patient in cardiogenic shock
What is Levophed
400
What kind of pet does Karen have at home?
What is a bird name Sterling
500
Which of the two types of Neuromuscular blocking drugs works by exhausting the ability of the receptor to respond?
What is Depolarizing
500
Name 3 symptoms that differentiate an anaphylactic reaction from a mild/moderated allergic reaction
What is hypotension, respiratory distress/failure, laryngeal edema, hypotension, cardiovascular compromise, facial/throat swelling
500
Name 3 indications for adminstration of TXA
What is BP < 90 systolic or Pulse >110 bpm or GCS <8 Penetrating injury to Head or Torso Rollover Ejection from vehicle Death or multiple injured in same vehicle Pedestrian hit by moving vehicle >15mpH Fall > 20ft Amputation Proximal to the wrist or ankle Two or more long bone fractures Pelvic Fracture Flail Chest Abdominal Bruising or “Seatbelt Sign” Positive FAST Exam Hgb <10
500
Name three pieces of information that the flight crew should try and obtain from the sending facility in the case of a "chill alert"
What is 1.Time of Arrest if witnessed or time of EMS activation if un-witnessed arrest 2. First identified rhythm (VT, VF, PEA, Asys, Shockable, Not Shockable) 3. Time of Return of Spontaneous Circulation (ROSC) 4. Glasgow Coma Score/Was patient able to follow commands after ROSC 5. Time of first cooling measures applied (ICE, COLD Saline, Cooling Device) 6. Is This also a STEMI (if yes activate a STEMI ALERT also) 7. Any other pertinent history (Cardiac, Neuro, chronic illnesses)
500
What city is Rose in today?
What is Las Vegas