Critical Care Air Methods Test
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Coopernail's Sign - 🧠ANSWER ✔✔bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx
Halstead's Sign - 🧠ANSWER ✔✔Marbled abdomen- bleeding
,Cullen's sign - 🧠ANSWER ✔✔ecchymosis in umbilical area, seen with
pancreatitis
Murphy's Sign - 🧠ANSWER ✔✔pain with palpation of the RUQ during
inspiration
-indicative of cholecystitis
Factors fetal well-being - 🧠ANSWER ✔✔1.) Viability (most important)
2.) Fetal Heart rate
3.) Fetal movement
PEEP (positive end expiratory pressure) - 🧠ANSWER ✔✔-Causes
increased pulmonary vascular resistance
-Can cause hypotension over 15 cmH2O
-Normal: 5 cmH2O
- lowest pressure the lungs will see
steps in resuscitation of the neonate - 🧠ANSWER ✔✔Dry, warm, position to
open airway, suction mouth then nose
Tactile stimulation (HR<100 or apnea/IR breath rub back and put)
,Oxygen near the face
Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm)
reposition head, reapply mask, suction again prn, if no response in 30 sec
Intubate - if HR < 60 after PPV for 30 sec, then
Chest compressions - 3:1 ratio (90 compressions / 30 breaths)
Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or
(preferably) through umbilical venous line, volume loss give 10ml/kg NS
pulmonary contusion - 🧠ANSWER ✔✔Chest pain
bruising over sternum
Progressive dyspnea
decreased breath sounds on one side
rales
low sats despite being on o2
hemoptysis
irregular pulse-dysrthymia
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, ruptured diaphragm - 🧠ANSWER ✔✔abd contents herniate into the thoracic
cavity compressing the lung
s/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiating
to L shoulder (Kehr sign), bowel sounds heard in the lung fields on injured
side, decreased breath sounds on injured side.
Tracheobronchial injury - 🧠ANSWER ✔✔1. hemoptysis
2. subcutaneous emphysema
3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest
tube placement***
- advance ETT below level of injury into Right mainstem
esophageal perforation - 🧠ANSWER ✔✔-fever
-hematemesis
Fat embolus - 🧠ANSWER ✔✔can form when a long bone is fractured and
fat cells from yellow bone marrow are released into the blood
-fever
-rash after fracture