Humpty Dumpty -FOOSH
Humpty Dumpty - Tripped
Cardiac
Vascular
Potpourri
Final Jeopardy
100

When reducing a colles fracture this procedure can be done to assist with pain control without sedating the patient

What is: A Hematoma Block: 0.5% Bupivacaine or 1-2% Lidocaine.  ASAP.  No Epi

100

This fracture is demonstrated here:

What is: Bimalleolar fracture

100

These are the three ultrasound approaches used for pericardiocentesis

What is: 

100

Utilizing a 3-way stopcock, fluid will go from the syringe in this direction

Down the tubing

100

The initial incision for a resuscitative hysterotomy goes between these two points

the pubic symphis and the xiphoid process

200

This is the most common neurologic complication arising from this injury. 

What is: Median nerve (acute carpal tunnel syndrome)

200

When placing a Cadillac splint, the stirrup should not go more proximal than this structure to allow the knee to bend 90 degrees.

Fibular head  

200

This is the size cordis sheath you need to appropriately fit a 5F transvenous pacer catheter.

What is: a 6F cordis sheath? (A standard 9F cordis sheath will leak)

200

This is the first step when controlling bleeding from an A-V fistula

direct pressure above and below

200

I&D of a bartholin gland cyst should be done on the _____ side  and placement of this device helps with marsuplization.  

Mucosal side;   Word catheter

300

This type of splint with this many layers of plaster is used to stabilize a colles fracture post reduction


Sugar-tong splint; 8-10 layers

300

This injury is demonstrated here: 

Subtalar dislocation

300

Prior to transcutaneous pacing, what must be placed on a patient's chest who has an AICD

A: Magnet

All ICDs have a pacemaker function.  If you put a magnet on an ICD: The magnet disables the ICD’s anti-tachycardiac function (i.e. it will no longer deliver shocks) but it will not change the pacemaker functionality

If you put magnet on a pacemaker: The magnet reprograms a regular pacemaker into asynchronous mode (ex. DOO) at a manufacturer-defined set heart rae

300

An umbilical cord has this many veins

One. 

300

A maximum of this amount of fluid should be removed via thoracentesis to avoid post-expansion pulmonary edema

What is 1500ml

400

A Sugar tong splint should start at this location on the volar surface of the hand and go to this location on the dorsum of the hand

What is: Mid-palmar crease, MCPs

400

Bending the knee releases this muscle to assist with reducing an ankle dislocation

A: Gastroc

400

This can be performed to confirm correct location in the pericardial fluid prior to inserting a drainage catheter.

Agitated saline

400

Anatomic landmarks for femoral arterial line or central line placement are.

just below the inguinal ligament, midway between the line from the pubic symphsis and the ASIS.  

400

Injection of phenylephrine for priapism management should be performed in this location.

Corpus Cavernosum

500

When assessing for adequate post colles fracture reduction on xray, these are the three components to assess.

What is: Volar tilt (dorsal angulation <5°), radial inclination (change <5°), length (less than 5mm shortening)

500

This is the location of injection for an ankle hematoma block

500

This is what each letter of the emergency mode “DOO” stands for

What is D = dual chamber paced, O = no chamber sensed, O = no response to sensing?


P(a)S(e)R

500

A UVC line can be placed in infants up to this many days old

10-14 days

500

These are the two recommended incision sites for felon drainage

Single lateral incision or single midline incision