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17. Selected Topics in EM
Rapid Review - First Aid
39
Medical
Professional
07/25/2015

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Term
Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability and extrapyramidal symptoms
Definition
Antipsychotics

[Can cause Neuroleptic malignant syndrome]
Term
Side effects of corticosteroids
Definition
Acute mania
Immunosuppression
Thin skin
Osteoporosis
Easy bruising
Myopathies
Term
Treatment for DTs
Definition
BZDs
Term
Acetaminophen overdose Tx
Definition
Within 4 hours: Activated Charcoal
Everything: N-acetylcystein

[NAC best if used within 8 hours]
Term
Opioid overdose Tx
Definition
Naloxone
Term
BZD overdose Tx
Definition
Flumazenil

[This is the antidote, but not often used in actual overdose because can cause seizures if they've been on long-term BZDs. Usually just observe since BZDs alone do not cause respiratory depression. If mixed with alcohol or other drugs then may have to give antidote]
Term
Neuroleptic malignant syndrome and malignant hyperthermia Tx?
Definition
Dantrolene
Term
Malignant HTN tx?
Definition
Nitroprusside
Term
A-Fib Tx?
Definition
Rate control
Rhythm conversion and anticoagulation
Term
SVT Tx?
Definition
If stable, rate control with carotid massage or other vagal stimulation.

Adenosine if unsuccessful.
Term
Drug-induced SLE causes:
Definition
[SHIPP MCQ]

Sulfasalazine
Hydralazine
INH
Penicillamine
Procainamide

Methyldopa
Chlorpromazine
Quinidine

[Anti-histone antibody]
Term
Macrocytic, megaloblstaic anemia with neurologic symptoms
Definition
B12 deficiency
Term
Macrocytic megaloblastic anemia without neurlogical symptoms
Definition
Folate deficiency
Term
A burn patient presents with cherry-red flushed skin and coma. SaO2 is normal but carboxyhemoglobin is elevated.
-Dx?
-Tx?
Definition
Dx: CO Poisoning
Tx: 100% O2 or Hyperbaric O2 (if pregnant or severe poisoning)
Term
Blood in the urethral meatus or high-riding prostate
Definition
Bladder rupture or urethral injury
Term
Test to r/o urethral injury
Definition
Retrograde cystourethrogram
Term
Radiographic evidence of aortic disruption or dissection
Definition
-Widened mediastinum (>8cm)
-Loss of aortic knob
-Pleural cap
-Tracheal deviation to the right
-Depression of L mainstem bronchus
Term
Radiographic indications for surgery in patients with acute abdomen
Definition
-Free air under the diaphragm
-Extravasation of contrast
-Severe bowel distention
-Space-occupying lesion (CT)
-Mesenteric occlusion (angiography)
Term
The MC organism in burn-related infections
Definition
Pseudomonas
Term
Method of calculating fluid repletion in burn patients
Definition
Parkland formula: 24-hr fluids = 4 x kg x %BSA
Term
Acceptable urine output in a trauma patient
Definition
55 cc/hr
Term
Acceptable urine output in a stable patient
Definition
30 cc/hr
Term
Signs of neurogenic shock
Definition
Hypotension and bradycardia
Term
Signs of increased ICP (Cushing's Triad)
Definition
Hypertension
Bradycardia
Abnormal Respirations
Term
Low CO
Low PCWP
High PVR
Definition
Hypovolemic shock
Term
Low CO
High PCWP
High PVR
Definition
Cardiogenic (or obstructive) shock
Term
High CO
Low PCWP
Low PVR
Definition
Septic or anaphylactic shock
Term
Septic shock Tx
Definition
Fluids and ABx
Term
Cardiogenic shock Tx
Definition
Identify cause.
Pressors (Dobutamine)
Term
Hypovolemic shock Tx
Definition
-Identify cause
-Fluid and blood transusion
Term
Anaphylactic shock Tx
Definition
Diphenhydramine or epipnephrine 1:1000
Term
Supportive treatment for ARDS
Definition
CPAP
Term
Signs of air embolism
Definition
A patient with chest trauma who was previously stable suddenly dies
Term
Signs of cardiac tamponade
Definition
Beck's Traid
-JVD
-Diminished heart sounds
-Hypotension

Pulsus paradoxus
Term
Absent breath sounds, dullness to percussion, shock, flat neck veins
Definition
Massive hemothorax
Term
Absent breath sounds, tracheal deviation, shock, JVD
Definition
Tension pneumothorax
Term
Treatment for blunt or penetrating abdominal trauma in hemodynamically unstable patients
Definition
Immediate exploratory laparotomy
Term
Increased ICP in alcoholics or the elderly following head trauma.
Can be acute or chronic.
Crescent shape on CT.
Definition
SDH
Term
Head trauma with immediate loss of consciousness followed by a lucid interval and the rapid deterioration.
Convex shape on CT.
Definition
EDH
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