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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Cardio |
1.Anaphylactic shock 2. Aortic dissection 3. Cardiogenic Shock 4. HTN Emergency 5. HTN Emergency specific 6. Massive Hemorrhage 7. Massive PE 8. Septic Shock 9. Undifferentiated Hypotension |
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Respiratory |
1. SCAPE 2. Crashing on Ventilator 3. Cricothyroidotomy 4. Failed Intubation 5. Massive Hemoptysis 6. Posterior Epistaxis 7. Crashing Asthmatic 8. Tracheostomy Disasters |
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Neurology |
1. Acute Ischemic stroke 2. Agitated delirium 3. Increased ICP 4. Status epilepticus 5. ICH 6. Undifferentiated Coma |
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Metabolic |
1. Accidental Hypothermia 2. Hyperkalemia 3. LAST - Local Anesthetic Systemic Toxicity 4. Severe Hyponatremia 5. Thyroid Storm 6. Toxic Bradycardia
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Trauma |
1. Burns 2. MCI 3. Multi trauma |
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OB |
1. Resucitative Hysterotomy 2. Post party hemorrhage (PPH) 3. Precipitous Delivery |
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Anaphylactic Shock Fist (8 steps) |
1. Remove all clothes 2. Consider early intubation- edema 3. Give Jigh flow oxygen (NRB) 4. 2 large bore IVF’s @ 20cc/kg 5. Give epi (1:1,000) IM Always x 3 6. Failed epi— IV epi 5mcg—> 20mcg 7. Failed infusion— Alt agents 8. Adjunctive therapy once HD stable |
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Anaphylactic Shock Anaphylactic Shock meds 1. Epi routes (4) 2. Alt agents (5) 3. Adjunctive one stable (3) |
1. Nebulized (5mg standard epi) IM (0.3 mg 1:1,000 q 3min x 3) IV bolus (5-20 mcg) IV infusion (5-20mcg/min) 2. Epi bolus (100mcg) Norepi infusion (0.1 mcg/kg/min) Vasopressin (0.01 units/min or 2U bolus) Glucagon 1mg IV over 5 min, IV infusion (5-20mcg/min) Methylene Blue (1.5-2mg/kg bolus) infusion (0.5mg/kg/hr) 3. Dexamethasone 10mg IV Benadryl (50 mg) Pepcid (40mg) |
1. Nebulized (5mg standard epi)
IM (0.3 mg 1:1,000 q 3min x 3) IV bolus (5-20 mcg) IV infusion (5-20mcg/min) 2. Epi bolus (100mcg) Norepi infusion (0.1 mcg/kg/min) Vasopressin (0.01 units/min or 2U bolus) Glucagon 1mg IV over 5 min, IV infusion (5-20mcg/min) Methylene Blue (1.5-2mg/kg bolus) infusion (0.5mg/kg/hr) 3. Dexamethasone 10mg IV Benadryl (50 mg) Pepcid (40mg) |
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Aortic dissection (9 steps) |
1. Large bore IV’s 2. (F+E) Fentanyl + Esmolo (HR<60 SBP <120) 3. F+E fails-> add agents 4. CTA chest + abdomen 5. Blood bank +/- MTP 6. CT surgeon 7. Notify OR 8. Hypotensive (tamponade, MI, Aortic valve insufficiency, Aortic rupture) 9. Take to OR or ICU |
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Aortic Dissection Meds (3- ENC) |
1. Esmolol (500 mcg/kg bolus. Infusion: 50mcg/kg/min—> increase by 50mcg q 10 min (rebolus 50cg each time)) MAX 300mcg/kg/min. 2. Nicardipine (Infusion: 5mg/hr —> increase by 2.5mg/hr q5min) MAX 15mg/hr 3. Clivedipine (Infusion: 1mg/hr) MAX 32mg/hr |
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Cardiogenic Shock (13 steps) |
1. Oxygen (spo2 > 90) 2. Itubate if airway fails 3. EKG for STEMI 4. ASA + heparin if STEMI 5. Labs 6. Review ddx (MI,valve dysfx, Peri/myocarditis, Tamponade, PE, Dysrhytmia, Tox, Metabolic, PTX, Thyrotocicosis) 7. Echo or RUSH 8. Monitor CO if available 9. Start Norepi get (5mcg/min —> 1mcg/kg/min) dose (0.1mcg/min) 10. Failed NE -> inopressor/inotrope 11. Insert CVC, art line, Foley catheter 12. Request Interventional Cardiology for bridging tx 13. Consider ECMO |
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Cardiogenic Shock (meds x3) |
1. NE (5 mcg/min—> 1mcg/kg/min) 2. Epi (0.01-0.08mcg/kg/min) 3. Dobutamine (2-20mcg/kg/min) |
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Hypertensive emergency (differentials x 10) |
1. Acute on Chronic 2. Pre-eclampsia 3. Drugs (cocaine,synphatomimetics) 4. Drug withdrawal 5. Pheochromocytoma 6. Renal Artery Stenosis 7. Thyroid storm 8. ICH 9. CVA 10. Epilepsy |
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Hypertensive emergency- Pre-Eclampsia (7 steps) |
1. Tx. If SBP >160 or DPB > 110 2. MagSulf 4-6 grams IV loading dose —> 1-2gram q1 hr 3. MAP reduced by 25% in 1st hour. SBP 140-160, DBP 90-100 4. Start nicardipine infusion (5mg/hr-> MAX 15mg/hr) or labetalol (20mg IV) or hydralazine (5-10mg IV) 5. Nitroglycerin for pulmonary edema 6. Consult OB/Gyn 7. NEVER: ACEi, LOsatan |
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Hypertensive emergency: Cocaine/amphetamine |
1. Diazepam ( |
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