Name that breath sound
Treat that rhythm
Identify that shock
This at home med treats this diagnosis
What is your differential diagnosis?
100
A "whistling" sound heard during expiration. Common in COPD and asthma patients.
What is wheezing?
100
Defibrillation 120j, 150j, 200j, epi 1:10 q3-5 minutes, amiodarone 300 first dose, 150 second dose. Advanced airway, rsp 10 breaths per minute.
100
High BP, crackles in lungs, orthopnea, swollen extremities.
What is cardiogenic shock?
100
Lisinopril
What is hypertension?
100
50 YOM with substernal chest pressure. Started 20 minutes after shoveling snow. Pain radiates into left arm and jaw. does not relent with rest. BP 106/55, HR 77, R 18, BG 102, Temp 98.2 deg F. 12 lead shows elevation in leads II, III, AVF depression in I and AVL.
What is an inferior stemi?
200
"Popping" heard on inspiration. Often indicative of fluid in the small airways.
What are crackles?
200
Aspirin 324 mg. Nitro 0.4mg q 5 min 1.2mg max. Oxygen to saturation of 90%. Fentanyl 25mcg-100mcg. Rapid transport to PCI facility.
200
Cool clammy skin, low urine output, tachycardia with low bp.
What is hypovolemic shock?
200
Lantus
What is diabetes?
200
26 YOF OBESE pregnant female. Seizure like activity prior to arrival. Unconscious but breathing on arrival. BP 230/110, HR 120, resp 20 unlabored, o2 sat 88% RA.
What is Eclampsia?
Double points if you can tell me drug to treat.
300
Course, low pitched breath sounds. Indicative of mucus in larger airways of the lungs. Heard in bronchitis, pneumonia, and COPD patients.
What is Rhonchi?
300
hypotensive, altered LOC
Pacing! set to 80 bpm and consider pain management. Fent 50-100mcg and Versed 2.5mg. DO NOT DELAY pacing for comfort measures.
300
An allergen that causes a response from 2 or more body systems.
What is anaphylactic shock?
300
Metoprolol
What is tachycardia?
300
7-month-old with respiratory distress. Audible stridor, substernal retractions, drooling, lips are slightly blue. No cough. Bp 70/50, hr 140, r 40, o2 86% RA.
What is epiglottitis?
400
This high-pitched wheezing can be heard over the trachea. you often will not need a stethoscope to hear these advantageous breath sounds.
What is stridor?
400
Patient is nauseated
NO ZOFRAN!
400
Low map, tachycardia, fever, low spo2, fast respiratory rate.
What is septic shock?
400
DAILY DOUBLE
Atorvastatin
What is hyperlipidemia?
400
18 YOM motorcycle vs tree. Helmeted. No LOC. Complains of chest pain at 10/10. Softball sized contusion on left anterior chest, crepitus felt on palpation. Breath sounds clear bilaterally. BP 96/90. HR 128, spo2 94%. RR 22. Veins in neck are distended as patient sits on stretcher in fowlers position.
What is cardiac tamponade?
500
This rare breath sound is heard over the trachea and upper sternum. it is marked by a loud expiratory sound that is high pitched. It is indicative of fluid consolidation, a space that is usually contains air now has gross fluid.
What are bronchial lung sounds?
500
Patient is conscious with bp of 99/66. Feels lightheaded. 
Apply pads, be ready to shock. Fluid bolus. If transport is long call OLMC for amiodarone drip (150mg over 10 minutes).
500
This type of shock is defined by an occlusion such as a blood clot ceasing perfusion to an organ.
What is obstructive shock?
500
Fluoxetine
What is depression?
500
74 YOF Substernal chest pressure at 9/10. Patient has recent surgery on her lower bowels for diverticulitis repair. History of MI. Was told to stop taking blood thinners for three days. BP 170/98, HR 100, spo2 86% RA. 12 lead shows no elevation but depresiion in v1, v2, v3, v4. Lead I has a large S complex, lead III has large q complex and an inverted q wave.
What is a pulmonary embolism?