Air Methods Critical Care Exam All Versions – Questions, Answers & Study Guide

METHODS
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METHODS CARE
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EXAM CARE
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 AIR METHODS CRITICAL CARE EXAM QUESTIONS AND ANSWERS

 CRITICAL CARE AIR METHODS TEST QUESTIONS AND ANSWERS

 AIR METHODS CRITICAL CARE TEST AND SCENARIOS MASTER DECK QUESTIONS AND ANSWERS

 AIR METHODS EXAM QUESTIONS AND ANSWERS

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bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx

Coopernail's Sign

Marbled abdomen- bleeding

Halstead's Sign

ecchymosis in umbilical area, seen with pancreatitis

Cullen's sign

pain with palpation of the RUQ during inspiration
-indicative of cholecystitis

Murphy's Sign

1.) Viability (most important)
2.) Fetal Heart rate
3.) Fetal movement

Factors fetal well-being

-Causes increased pulmonary vascular resistance
-Can cause hypotension over 15 cmH2O
-Normal: 5 cmH2O
- lowest pressure the lungs will see

PEEP (positive end expiratory pressure)




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Dry, warm, position to open airway, suction mouth then nose
Tactile stimulation (HR<100 or apnea/IR breath rub back and put)
Oxygen near the face
Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm)
reposition head, reapply mask, suction again prn, if no response in 30 sec
Intubate - if HR < 60 after PPV for 30 sec, then
Chest compressions - 3:1 ratio (90 compressions / 30 breaths)
Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or
(preferably) through umbilical venous line, volume loss give 10ml/kg NS

steps in resuscitation of the neonate

Chest pain
bruising over sternum
Progressive dyspnea
decreased breath sounds on one side
rales
low sats despite being on o2
hemoptysis
irregular pulse-dysrthymia

pulmonary contusion

abd contents herniate into the thoracic cavity compressing the lung


s/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiating




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to L shoulder (Kehr sign), bowel sounds heard in the lung fields on injured
side, decreased breath sounds on injured side.

ruptured diaphragm

1. hemoptysis
2. subcutaneous emphysema
3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest
tube placement***
- advance ETT below level of injury into Right mainstem

Tracheobronchial injury

-fever
-hematemesis

esophageal perforation

can form when a long bone is fractured and fat cells from yellow bone
marrow are released into the blood
-fever
-rash after fracture

Fat embolus

750 ml

Blood loss from humerus fracture

1500 ml

blood loss from femur fracture




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