We don’t promise that every answer is entirely
correct
Original November 2006
Chris Coughlin CEP, FP-C
Revised February 2007
Orchid Lopez RN, CFRN, FP-C, NREMT-P
National Clinical Educator
FOR PHI INTERNAL USE ONLY
Kehr’s: referred left should pain- possible
splenic injury or ectopic pregnancy
Kernig’s: back, leg pain on knee extension-
Kehr’s sign possible bacterial meningitis
Kernig’s sign Brudzinski’s: back, leg pain on neck flexion-
Brudzinski’s sign possible bacterial meningitis or
Hamman’s sign subarachnoid bleed
Hamman’s: crunching sound heard with
auscultation over the anterior chest
synchronized with heart beat –
tracheobronchial injury
Steeple: possible croup
(laryngotracheobronchitis)
On X-ray: A/P neck view
Steeple sign
Thumbprint Thumbprint: possible
epiglottitis
lateral neck view
, pCO2 high = pH low (acidosis)
pCO2 low = pH high (alkalosis)
pH low = HCO3 low (acidosis)
pH high = HCO3 high (alkalosis)
ABG Values
pCO2 = 35 – 45 Respiratory
pH = 7.35 – 7.45 Metabolic
HCO3 = 22 – 26 Metabolic
Drugs for AAA Nipride and Beta- blockers
First adjustment on ventilator TV first, not rate
, Trauma
1. most common dislocation 1. hip
2. most common spontaneous 2. anterior shoulder
Recurrence
Heart failure marker that
measures BNP released by an
over-distension of the heart
brain natriuretic peptide (BNP)
Below 100 = normal
Above 500-700 = heart failure
2000 hours
Rotor wing pilot required hours 1000 PIC
100 hrs at night
, “Bottle to Throttle” time At least 8 hours
Measures: preload (right atrial
pressure)
Norm: 2-6 mmHg
CVP: Port: proximal port
Measures?
Normal? Catheter placement outside line
Which port? markers:
RA/CVP = 25 – 30 cm
RV = 35 – 45 cm
PA = 50 – 55 cm
Central: greater motor weakness in
UE than LE with varying degrees of
sensory loss
Brown: ipsilateral loss of motor,
Central Cord Syndrome position and vibration sense;
Brown Sequard contralateral loss of pain and
temperature perception
Anterior Cord
Autonomic Dysreflexia Anterior: complete motor, pain and
temperature loss below the lesion
Autonomic: urinary retention, massive
increase in sympathetic tone which
can cause HTN, treated by insertion of