Acute Medical Presentations — Flashcards

Flashcard 31: What are the 'Ts' of the reversible causes of cardiac arrest: _____ _____ _____ _____

Answer: Thrombosis (coronary/pulmonary)

Flashcard 32: Aortic Dissection can involve the spinal arteries leading to _____

Answer: paraplegia

Flashcard 33: In a shockable rhythm (VF/pulseless VT), a second dose of Amiodarone 150mg should be administered _____.

Answer: after the 5th shock

Flashcard 34: Chest Pain is more common in type _____ dissection and upper back pain is more common in type B

Answer: A

Flashcard 35: Aortic Dissection can involve specific arteries such as the coronary artery leading to _____

Answer: Myocardial Infarction (MI)

Extra: The Right Coronary Artery (RCA) is more commonly involved than the LCA, often leading to an inferior wall MI. This is a critical diagnosis to distinguish from primary MI because thrombolytics are contraindicated in dissection.

Flashcard 36: If thrombolytic drugs are given fo a suspected PE during ALS then _____

Answer: CPR should be extended for a period of 60-90 minutes

Flashcard 37: The ratio of chest compressions to ventilation is _____

Answer: 30:2

Flashcard 38: Following resuscitation oxygen should be titrated to achieve saturations of _____

Answer: 94-98%

Flashcard 39: What can cause early acute pericarditis (1-3 days) post MI _____

Answer: fibrinous pericarditis

Flashcard 40: What is the initial antithrombin therapy for NSTEMI/unstable angina if patients are: - not at high risk of bleeding/ not having angiography immediately _____ - immediate angiography is planned, or creatinine >265 umol/L unfractionated heparin (UFH)

Answer: fondaparinux