AND ANSWERS
When a patient is involved in a trauma, what is the most important HISTORICAL question to
ask? - ANS -Are you taking any meds
What is the concern for somebody who has had 24 hours of rupture of membranes?
What do they need? - ANS -Sepsis/infection
-ABX
If a Trauma patient's airway pressures and plateau pressure increase, what should you do?
What is happening?
How would you know if tube has dislodged? - ANS -Needle decomp
-Tension pneumo
-low pressure alarm
what does it mean if you see Q waves? - ANS -Myocardial necrosis
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, If a freshly intubated pediatric patient has correct ventilator settings and has no chest rise with
hypercarbia, what do you get rid of?
Why? - ANS -Inline suction and elbow
-The inline suction and elbow have up to 80 ml of dead space
Upon descent, if the Vt drops. What do you check (deflated)? What law addresses this? -
ANS -Cuff pressure
-Boyle's Law
If a baby is persistently tachycardic, what can you do (position, O2, Fluids)? - ANS -Place
mom on left, oxygen, IV F
If a family member is acting crazy, do you let them come on the aircraft? - ANS -No
If a trauma patient has already received blood, what else can you give them? - ANS TxA
What usually happens after chest trauma and is typically delayed?
what else does it present with (PP, sputum, o2) - ANS Pulmonary Contusion
-Increased peak pressures, hemoptysis, hypoxia
What are two common factors for fatal HEMS crashes? - ANS -Pilot error and night flight
What can be used to fix Hyperkalemia U waves? - ANS -Calcium, Sodium Bicarb, Insulin
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