Name 2 anatomical things that can interfere with FAST exam. -
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ANSWER>>Obesity, intraluminal bowel gas
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When you don't have/can't get a BP, what 3 things should you look for
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when evaluating perfusion? - ANSWER>>1. LOC (brain perfusion)
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2. Skin color (ashen/grey)
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3. Pulse (bilateral femoral - thready/tachy)
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Elderly patients have a limited ability to
j j j j j j to compensate for blood loss. -
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ANSWER>>Increase HR
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Resuscitation fluids should be warmed to 39 degrees C (102.2F) -j j j j j j j j j j
can you use a microwave to do this? -
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ANSWER>>YES for crystalloids, NO for bloodproducts
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List 5 signs of urethral injury that may prevent you from inserting urinarycat
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heter. - ANSWER>>1. Blood at urethral meatus
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2. Perineal ecchymosis j
3. Blood in scrotum j j
4. High-riding/non-palpable prostate j
5. Pelvic fracture j
, Patients with a GCS of less than j j j j j j usually require intubation. - ANSWER>>8
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Bougies are typically inserted blindly, how do you know you're in the trachea an
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d not esophagus? -
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ANSWER>>Clicks as distal tip rubs against tracheal rings, or will deviate R or L
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when entering bronchus (usually at 50cm)
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What do you NOT want to hear when auscultating patient after placementof E
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TT? - ANSWER>>Borborygmi -
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rumbles/gurgles suggesting esophagealinsertion
j j j j
RSI dose for Etomidate - ANSWER>>0.3 mg/kg (usually 20 mg)
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RSI dose for succinylcholine - ANSWER>>1-2 mg/kg (usually 100 mg)
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How does etomidate affect BP? -
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ANSWER>>It doesn't (shouldn't) have asignificant effect on BP
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Ketamine will inc BP j j j
Propofol and thiopental will drop BP j j j j j
RSI dose of sux usually lasts about
j j j j j j minutes - ANSWER>>5 j j
What hypnotic/sedative/induction agent do you NOT want to use for abur
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n patient? - ANSWER>>Sux - severe burns, crush injuries,
j j j j j j j j
j j j j j j j j j j
ANSWER>>Obesity, intraluminal bowel gas
j j j j
When you don't have/can't get a BP, what 3 things should you look for
j j j j j j j j j j j j j
when evaluating perfusion? - ANSWER>>1. LOC (brain perfusion)
j j j j j j j
2. Skin color (ashen/grey)
j j
3. Pulse (bilateral femoral - thready/tachy)
j j j j
Elderly patients have a limited ability to
j j j j j j to compensate for blood loss. -
j j j j j
ANSWER>>Increase HR
j j
Resuscitation fluids should be warmed to 39 degrees C (102.2F) -j j j j j j j j j j
can you use a microwave to do this? -
j j j j j j j j j
ANSWER>>YES for crystalloids, NO for bloodproducts
j j j j j j j
List 5 signs of urethral injury that may prevent you from inserting urinarycat
j j j j j j j j j j j j j
heter. - ANSWER>>1. Blood at urethral meatus
j j j j j j
2. Perineal ecchymosis j
3. Blood in scrotum j j
4. High-riding/non-palpable prostate j
5. Pelvic fracture j
, Patients with a GCS of less than j j j j j j usually require intubation. - ANSWER>>8
j j j j
Bougies are typically inserted blindly, how do you know you're in the trachea an
j j j j j j j j j j j j j
d not esophagus? -
j j j
ANSWER>>Clicks as distal tip rubs against tracheal rings, or will deviate R or L
j j j j j j j j j j j j j j j
when entering bronchus (usually at 50cm)
j j j j j j
What do you NOT want to hear when auscultating patient after placementof E
j j j j j j j j j j j j j
TT? - ANSWER>>Borborygmi -
j j j
rumbles/gurgles suggesting esophagealinsertion
j j j j
RSI dose for Etomidate - ANSWER>>0.3 mg/kg (usually 20 mg)
j j j j j j j j j
RSI dose for succinylcholine - ANSWER>>1-2 mg/kg (usually 100 mg)
j j j j j j j j j
How does etomidate affect BP? -
j j j j j
ANSWER>>It doesn't (shouldn't) have asignificant effect on BP
j j j j j j j j j
Ketamine will inc BP j j j
Propofol and thiopental will drop BP j j j j j
RSI dose of sux usually lasts about
j j j j j j minutes - ANSWER>>5 j j
What hypnotic/sedative/induction agent do you NOT want to use for abur
j j j j j j j j j j j
n patient? - ANSWER>>Sux - severe burns, crush injuries,
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