Critical Care/Flight Paramedic Specific Things 100% Accurate

CRITICAL CARE/FLIGHT PARAMEDIC
SPECIFIC THINGS 100% ACCURATE
Levine's sign - ANSWER clutching of the chest, may be cardiac in origin

Murphy's Sign - ANSWER Right upper quadrant tenderness on palpation typically
positive in cholecystitis or gallbladder disease

Grey Turner's Sign - ANSWER Retroperitoneal bruising, may indicate pancreatitis or
trauma

Cullen's Sign - ANSWER Periumbilical bruising, may indicate pancreatitis or intra-
abdominal bleeding

Halstead Sign - ANSWER Marbled appearance of the abdomen, may indicate necrosis
of the pancreas.

Kehr's Sign - ANSWER Referred pain down the left shoulder; indicative of a ruptured
spleen or ectopic pregnancy/rupture on other side

Hamman's Sign - ANSWER Crunching sound heard with auscultation, may be
synchronized with heart rate/pulse, may indicate tracheobronchial injury

DKA - ANSWER problem is with lack of or low insulin; acidosis is present; serum
glucose is usually less than 1,000 mg/dL.

Hyperglycemia hyperosmolar non-keotic coma (HHNK) - ANSWER problem is with high
sugar and high serum osmolarity; usually no productions of ketones or presence of
acidosis; serum glucose is usually greater than 1,000 mg/dL

cardiac injury (acute) - ANSWER ST elevation

Cardiac ischemia - ANSWER ST depression

Cardiac infarction - ANSWER Q waves present that measures >25% of the R wave

Sodium - ANSWER 135 - 145

Potassium - ANSWER 3.5 - 5.5

Calcium - ANSWER 8.8 - 10.4