Critical Care/Flight Paramedic Specific
Things Exam with Questions and 100%
Correct Answers
Considerations for use of barbituates in RSI - ✔✔-rapid onset of
action -short duration of action
-can only be used in hemodynamically stable pateitns because it may precipitated
myocardial depression and hypotension
Considerations for use of benzodiazepines in RSI - ✔✔-has a slightly longer onset of
action -significantly longer duration of action
-can cause hypotension secondary to vasodilation
-frequently used for sedation after intubation in the hemodynamically stable patient
Ketamine for RSI - ✔✔-has stable hemodynamic profile and bronchodilatory properties
, -best for reactive airways (COPD, asthma, CHF, etc)
-best with use on patients in shock
Etomidate for RSI - ✔✔-rapid onset
-short duration
-stable hemodynamic profile
-safe for reactive airways (COPD, asthma, CHF, etc)
Propofol for RSI - ✔✔-has associated vasodilation and hypotenions
-good for pregnant patients
-very short onset
Succinylcholine - ✔✔-Depolarizing neuromuscular blocker
Succinylcholine contraindications - ✔✔1. Crush injuires
2. Eye injuries
3. Hx of malignant hyperthermia
4. Burns >24 hours old
5. Hyperkalemia
6. Any nervous system disorder (guillain-barre)
7. spinal cord injuries less than 6 mos
8. degenerative muscle diseases (ALS, muscular dystrophy, etc)
-May cause malignant hyperthermia
Zone of Coagulation - ✔✔The area of the burn that received the most severe injury with
irreversible cell damage
Zone of stasis - ✔✔area in a burn surrounding the zone of coagulation that is characterized
by decreased blood flow and ischemia
Things Exam with Questions and 100%
Correct Answers
Considerations for use of barbituates in RSI - ✔✔-rapid onset of
action -short duration of action
-can only be used in hemodynamically stable pateitns because it may precipitated
myocardial depression and hypotension
Considerations for use of benzodiazepines in RSI - ✔✔-has a slightly longer onset of
action -significantly longer duration of action
-can cause hypotension secondary to vasodilation
-frequently used for sedation after intubation in the hemodynamically stable patient
Ketamine for RSI - ✔✔-has stable hemodynamic profile and bronchodilatory properties
, -best for reactive airways (COPD, asthma, CHF, etc)
-best with use on patients in shock
Etomidate for RSI - ✔✔-rapid onset
-short duration
-stable hemodynamic profile
-safe for reactive airways (COPD, asthma, CHF, etc)
Propofol for RSI - ✔✔-has associated vasodilation and hypotenions
-good for pregnant patients
-very short onset
Succinylcholine - ✔✔-Depolarizing neuromuscular blocker
Succinylcholine contraindications - ✔✔1. Crush injuires
2. Eye injuries
3. Hx of malignant hyperthermia
4. Burns >24 hours old
5. Hyperkalemia
6. Any nervous system disorder (guillain-barre)
7. spinal cord injuries less than 6 mos
8. degenerative muscle diseases (ALS, muscular dystrophy, etc)
-May cause malignant hyperthermia
Zone of Coagulation - ✔✔The area of the burn that received the most severe injury with
irreversible cell damage
Zone of stasis - ✔✔area in a burn surrounding the zone of coagulation that is characterized
by decreased blood flow and ischemia
