How Do You Lead?
What is BORN WITH THE TRAITS TO BE A GOOD LEADER (Trait Theories)
Patients presents with Eye Trauma that has an entrance and exit wound resulting in a a rupture of globe. What type of injury?
Kudos: The layers of the eyes do not -
What is PERFORATING EYE INJURY
Kudos: -Spontaneously Reapproximate
ARDS leads to this and causes the patient to be unresponsive to high levels of oxygen therapy
Kudos: One of the 1st signs of ARDS
What is REFRACTORY HYPOXEMIA
Kudos: Tachypnea
Patient presents via zoom from the peak of Mt. Everest experiencing fast and rapid breathing. This is due to -
What is HIGH ALTITUDES
What is REMOVAL OF FLUID FROM THE LUNGS USING A NEEDLE
This leader is a total dictator. Makes all the decisions and no room for discussions.
What is AUTOCRATIC
Patient presents with eye pain at the ER around midnight. Patient reports occupation as a welder. Possible diagnosis would be -
What is ULTRAVIOLET KERATITIS
Tachypnea, Pallor, Grunting, Cyanosis, and/or Diaphoresis. These are considered what type of signs during the assessment stage?
What is LATE STAGE ARDS
Tidal volume or rate may be too high causing alkalosis. Although it may also cause acidosis in rare cases. The patient is experiencing -
Kudos: Hyperventilation with C02 loss, give the patient more what?
What is MECHANICAL VENTILATION
Kudos: Sedation
With the help of a U/S guide needle, what pre-procedure task must you do.
For kudos points how do you prepare in case of a drop in BP?
What is CXR or ULTRASOUND TO DIAGNOSE.
In theory, this type of leader empowers and creates change. Fosters risk taking and creativity while staying committed to excellence.
What is TRANSFORMATIONAL Leadership
Penetrating Trauma!
DO NOT REMOVE -> IMMOBILIZE OBJECT.
but...Once the object is removed, what is applied afterwards followed by an eye patch? (Rx)
What is CEFAZOLIN / GENTAMYCIN
Time to manage ARDS - Maintain Cardiac Output & Fluid Balance. How?
Kudos: You want the patient's MAP to stay around ____. (number)
What is VASOCONSTRICTORS, INOTROPIC AGENSTS, DIURETICS, IVF, etc.
Kudos: 70
Blood products contain citrate, which is a protein and proteins are buffers. This can happen after what type of procedure?
Kudos: What type of alkalosis?What is BLOOD TRANSFUSION
Kudos: Metabolic
The bedside procedure is about to begin. You must instruct the patient NOT TO -
Kudos: How can you remedy the situation if the patient is unable to follow those instructions?
What is COUGH
Kudos: Administer Cough Drops before the procedure.
This leader tells the group to figure it out and only intervenes when things go south. This sloth is straight hands off.
What is LAISSEZ-FAIRE
Drew Brees fell off a mardi gras float suffered an orbital blowout fracture. What is the Clinical Therapy steps to follow?
What is SEMI FOWLER > EYE SHIELD INJURED EYE > PATCH OTHER > Administer CARBONIC ANHYDRASE INHIBITOR
Support & Prevention. How can the patient achieve results using this route?
Kudos: What macronutrient makes it harder to wean the patient from the vent?
What is TUBE FEEDING, PPIP, OR OTHER H2 BLOCKER, TPN, VTE PROPHYLAXIS, PRONE POSITIONING
Kudos: Carbs
Patient is breathing too fast which reduces their CO2, You attempt to vent the patient on SIMV. The patient is experiencing -
Kudos: What type of alkalosis?
What is FEAR/ANXIETY
Kudos: Respiratory
Time to numb the pain. Inject lidocaine w/o epi into the back. But where to stab inject depending on these two removal types?
Kudos: You're monitoring the doctor remove fluid. What is the max?
What is HIGHER FOR AIR / LOWER FOR FLUID.
Kudos: 1400 mL
In theory, this type of leader uses incentive to promote loyalty, makes deals, and task oriented.
1. Instill topical anesthetic - 2. Attach ML Delivery Set - 3. Start Flow - 4. Have patient look down and insert upper lid, then lower lid. 5. Adjust flow and tape to patient forehead - 6. Continue flow until finished and terminate flow.
ABCDEF
Assess for Pain, Breathing Trials, Choice of Sedation, Delirium, Early Mobilization, Family
Woop Woop! These problems involve respiratory alkalosis and acidosis depending on the stage.
Kudos: Which presents first?
What is EARLY-STAGE ACUTE PULMONARY PROBLEMS
Kudos: Alkalosis (Early) Acidosis (Late)
The deed is done and the attending has continued to the next patient. The next steps for post-procedure tasks would be to -
What is LISTEN TO BREATH SOUNDS / REPEAT CXR AND LISTEN TO LUNGS AGAIN.