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12 Cards in this Set
- Front
- Back
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Altered mental status |
IS IT / MEAT
INTRACRANIAL - Infection, Structural, ICH/Ischemia, Trauma _______________________ EXTRACRANIAL - Metabolic, Endocrine, Anoxia, Toxins/withdrawal |
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Intubation preparation
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STOP I C BARS
Suction Tubes Oxygenate Prepare with Preload, Position, Pharmacy (drugs), Post-intubation plan IV's CO2 monitoring Bougie & Blades Alternate airway Rescue airway Surgical airway |
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Desaturation post-intubation
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DOPE
Dislodged tube Obstructed tube Pneumothorax Equipment failure |
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CHF treatment
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POND
Positive-pressure ventilation Oxygen Nitroglycerine Diuretics |
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Ingestions that are not absorbed by activated charcoal
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PHAILS
Pesticides Hydrocarbons Acids/Alkalis/Alcohols Iron Lead/Lithium Solvents |
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Causes of anion-gap metabolic acidosis
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KULT
Ketones Uremia Lactate Toxins |
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Hydrocarbon additives that require GI decontamination
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CHAMP
Camphor - seizures Halogenated HC - dysrhythmias/hepatotoxicity Aromatic HC - bone marrow suppression/cancer Metals (arsenic, murcury & lead) Pesticides - cholinergic crises/seizures/resp depression |
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Mass casualty triage protocol
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Use the START (Simple Triage And Rapid Treatment) Protocol
Remember with ABCD |
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PERC Rule |
Apply if clinical gestalt = low risk for PE
HAD CLOTS H - Hormone (estrogen) use A - Age > 50 D - DVT or PE history (have they HAD CLOTS?) C - Coughing blood L - Leg swelling disparity O - O2 sats < 95% T - Tachycardia (>100bpm) S - Surgery or Trauma (recent) |
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CATCH Rule - High Risk Criteria |
WIGS
W - Worsening Headache I - Irritability G - GCS <15 2 hours after the injury S - Suspected open/depressed skull # |
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CATCH Rule - Medium Risk Criteria |
SDH
S - Skull # D - Dangerous mechanism (MVC, fall >3ft or 5 stairs, bike accident without helmet) H - Hematoma (boggy) |
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Causes of Seizure
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STATUS EPILEPsy
S - alicylates / Seizure med noncompliance T - ricyclic Antidepressants A - VM / Acute hydrocephalus / Anticholinergics T - rauma / Traumatic bleed (ICH, SDH) U - remia (Renal Failure) S - trychnine E - lectrolytes (Hyponatremia, Hypocalcemia) P - esticides I - ctogenic foci (e.g. post TBI, post stroke) L - ithium / Lidocaine intoxication / Low BG E - clampsia / EtOH withdrawal Psy - chogenic Non-Epileptic Seizures (formerly known as ‘pseudo seizures’) |
