Emergency Medicine Quiz 1 ( Resuscitation &
Cardio, Pediatrics) - Questions With A+ Answers
Save
Terms in this set (125)
Airway Describe what is assessed in A of the ABCDE method
* Is the patient able to
speak?
* If upper airway is
obstructed (reposition,
remove FB, intubation)
* Ability to protect airway
Intubation What is the best way to secure a patient's airway?
1. Needle decompression How do you manage a patient with tension
2. BVM pneumothorax?
3. Intubation
Breathing Describe what is assessed in B of the ABCDE method
* Evaluate for bilateral
breath sounds
* Check pulse oximetry
* Determine the ability to
ventilate patient (CO2
exchange)
Circulation Describe what is assessed in C of the ABCDE method
* Assesses pulses
* Is the heart beating?
* Establish IV access
* IV fluids
* Blood transfusion (if
bleeding)
,Disability Describe what is assessed in D of the ABCDE method
* Assess GCS & for signs
and symptoms of brain or
spinal cord injury
1- No eye opening Describe the eye opening spectrum for GCS from 1-4
2- Response to pain points
3- Response to verbal
command
4- Spontaneous
1- No verbal response Describe the verbal response spectrum for GCS from
2- Incomprehensible 1-5 points
sounds
3- Inappropriate words
4- Confused
5- Oriented
1. No motor response Describe the motor response spectrum for GCS from
2. Extension to pain 1-6 points
3. Flexion to pain
4. Withdrawal response to
pain
5. Localizing response to
pain
6. Obeys commands
Exposure Describe what is assessed in E of the ABCDE method
* Undress patient and
evaluate back, crevices
* Warm patient to prevent
hypothermia
* ECG
1. Do not interrupt CPR What are three important ACLS basics to consider in a
2. Defibrillate early patient presenting to the emergency department?
3. Do not over-ventilate
(6-10 BPM especially in
primary cardiac cases)
, 91 y/o female presents from the nursing home with
AMS. She cannot give history because she has
dementia. She has URI and vitals are:
Temp: 102
Distributive Shock
HR: 98
BP: 77/30
IV fluids, vasoconstrictors
RR: 28
(norepinephrine)
What type of shock does this patient have?
How should this patient be managed?
Tachycardia What is the first abnormal sign of shock?
(Systolic blood pressure + How do you calculate mean arterial pressure (MAP)?
2 x diastolic blood
pressure) / 3 What is an acceptable MAP?
>65
Bedside ultrasound How do you best determine the cause of shock?
1. Blood loss Name causes of hypovolemic shock
2. Dehydration
1. ACS Name causes of cardiogenic shock
2. Dysrhythmia
3. Valvular
Decreased blood flow to What is the physiology behind obstructive shock?
the left side of the heart
* Massive PE
* Tamponade
* Pneumothorax
1. Anaphylactic Name causes of distributive shock
2. Spinal cord
3. Septic
Septic What is the most common form of shock?
Cardio, Pediatrics) - Questions With A+ Answers
Save
Terms in this set (125)
Airway Describe what is assessed in A of the ABCDE method
* Is the patient able to
speak?
* If upper airway is
obstructed (reposition,
remove FB, intubation)
* Ability to protect airway
Intubation What is the best way to secure a patient's airway?
1. Needle decompression How do you manage a patient with tension
2. BVM pneumothorax?
3. Intubation
Breathing Describe what is assessed in B of the ABCDE method
* Evaluate for bilateral
breath sounds
* Check pulse oximetry
* Determine the ability to
ventilate patient (CO2
exchange)
Circulation Describe what is assessed in C of the ABCDE method
* Assesses pulses
* Is the heart beating?
* Establish IV access
* IV fluids
* Blood transfusion (if
bleeding)
,Disability Describe what is assessed in D of the ABCDE method
* Assess GCS & for signs
and symptoms of brain or
spinal cord injury
1- No eye opening Describe the eye opening spectrum for GCS from 1-4
2- Response to pain points
3- Response to verbal
command
4- Spontaneous
1- No verbal response Describe the verbal response spectrum for GCS from
2- Incomprehensible 1-5 points
sounds
3- Inappropriate words
4- Confused
5- Oriented
1. No motor response Describe the motor response spectrum for GCS from
2. Extension to pain 1-6 points
3. Flexion to pain
4. Withdrawal response to
pain
5. Localizing response to
pain
6. Obeys commands
Exposure Describe what is assessed in E of the ABCDE method
* Undress patient and
evaluate back, crevices
* Warm patient to prevent
hypothermia
* ECG
1. Do not interrupt CPR What are three important ACLS basics to consider in a
2. Defibrillate early patient presenting to the emergency department?
3. Do not over-ventilate
(6-10 BPM especially in
primary cardiac cases)
, 91 y/o female presents from the nursing home with
AMS. She cannot give history because she has
dementia. She has URI and vitals are:
Temp: 102
Distributive Shock
HR: 98
BP: 77/30
IV fluids, vasoconstrictors
RR: 28
(norepinephrine)
What type of shock does this patient have?
How should this patient be managed?
Tachycardia What is the first abnormal sign of shock?
(Systolic blood pressure + How do you calculate mean arterial pressure (MAP)?
2 x diastolic blood
pressure) / 3 What is an acceptable MAP?
>65
Bedside ultrasound How do you best determine the cause of shock?
1. Blood loss Name causes of hypovolemic shock
2. Dehydration
1. ACS Name causes of cardiogenic shock
2. Dysrhythmia
3. Valvular
Decreased blood flow to What is the physiology behind obstructive shock?
the left side of the heart
* Massive PE
* Tamponade
* Pneumothorax
1. Anaphylactic Name causes of distributive shock
2. Spinal cord
3. Septic
Septic What is the most common form of shock?
