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9 Cards in this Set
- Front
- Back
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Nexus criteria for not needing c-spine xray
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--No evidence of intoxication
--Normal level of alertness --No focal neurologic deficit --No tenderness at the posterior midline of the cervical spine --No clinically apparent painful distracting injury |
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Most common injury from lower seatbelt
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duodenal hematoma
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What do you give patient en route who has + FAST scan
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FFP
formerly PBRCs, then FFP |
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Quick neuro exam
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stand up
go up on toes walk (gait/cerebellar) pronator drift |
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Suspicion of SAH but patient refuses LP, what can you substitute?
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CTA
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What is the main treatment of SAH?
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Lower BP to 150-160
nitro drip, nicardipine, esmolol reverse anticoagulation (DDAVP or factor?) |
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Most common cause of SAH
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aneurysm 2/3
AVM 1/3 |
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How do you catch a sentinel bleed diagnostically?
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blood on LP but not CT
likely SAH within 2 weeks |
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How long does it take xantochromia to appear?
How long does it persist? |
4-6 hours
3 weeks |
