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emq: resuscitation
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Match each clinical vignette to the most appropriate therapy.
Adrenaline infusion Bilateral thoracotomies Noradrenaline infusion Adrenaline 500mcg IM injection Thrombolysis |
High dose steroids Massive transfusion protocol Emergency thoracotomy Dobutamine infusion Dopamine infusion Heparin infusion |
EMQ 1.
A 5 year old child on chemotherapy for leukaemia presents with a fever of 39 degrees and an altered level of consciousness. She has a capillary refill time of 4 seconds, and her serum lactate is 4.8mmol/L. After 60ml/kg of NaCl 0.9% her blood pressure remains 67/32 mmHg and her heart rate is 165.
EMQ 2.
A 24 year old motorbike rider has presented after a high speed accident. A CT trauma scan identifies a posteriorly displaced T2 fracture, and no other major injuries. Despite 2L of crystalloid his blood pressure remains 60 systolic.
EMQ 3.
A 16 year old girl presents with stridor and lip swelling after being stung by a bee.
EMQ 4.
A 28 year old drug user presents after calling an ambulance for acute dyspnoea. On arrival he has oxygen saturations of 76% on a NRB mask, and a blood pressure of 75mmHg systolic.
EMQ 5.
A 66 year old woman presents after a motor vehicle accident. She has been intubated by the prehospital team at the roadside, and has become progressively more unstable en route to the hospital. Her BP on arrival is 55mmHg, and on examination she has generalized surgical emphysema across her anterior chest.
A 5 year old child on chemotherapy for leukaemia presents with a fever of 39 degrees and an altered level of consciousness. She has a capillary refill time of 4 seconds, and her serum lactate is 4.8mmol/L. After 60ml/kg of NaCl 0.9% her blood pressure remains 67/32 mmHg and her heart rate is 165.
EMQ 2.
A 24 year old motorbike rider has presented after a high speed accident. A CT trauma scan identifies a posteriorly displaced T2 fracture, and no other major injuries. Despite 2L of crystalloid his blood pressure remains 60 systolic.
EMQ 3.
A 16 year old girl presents with stridor and lip swelling after being stung by a bee.
EMQ 4.
A 28 year old drug user presents after calling an ambulance for acute dyspnoea. On arrival he has oxygen saturations of 76% on a NRB mask, and a blood pressure of 75mmHg systolic.
EMQ 5.
A 66 year old woman presents after a motor vehicle accident. She has been intubated by the prehospital team at the roadside, and has become progressively more unstable en route to the hospital. Her BP on arrival is 55mmHg, and on examination she has generalized surgical emphysema across her anterior chest.