Air Methods Critical Care Exam Latest Updated

Coopernail's Sign - ANSWER-bruising of the scrotum or labia -indicating pelvic bleeding/ abdominal bleeding -pelvic fx Halstead's Sign - ANSWER-Marbled abdomen- bleeding Cullen's sign - ANSWER-ecchymosis in umbilical area, seen with pancreatitis Murphy's Sign - ANSWER-pain with palpation of the RUQ during inspiration -indicative of cholecystitis Factors fetal well-being - ANSWER-1.) Viability (most important) 2.) Fetal Heart rate 3.) Fetal movement PEEP (positive end expiratory pressure) - ANSWER--Causes increased pulmonary vascular resistance -Can cause hypotension over 15 cmH2O -Normal: 5 cmH2O - lowest pressure the lungs will see steps in resuscitation of the neonate - ANSWER-Dry, warm, position to open airway, suction mouth then nose Tactile stimulation (HR100 or apnea/IR breath rub back and put) Oxygen near the face Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm) reposition head, reapply mask, suction again prn, if no response in 30 sec Intubate - if HR 60 after PPV for 30 sec, then Chest compressions - 3:1 ratio (90 compressions / 30 breaths) Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or (preferably) through umbilical venous line, volume loss give 10ml/kg NS pulmonary contusion - ANSWER-Chest pain bruising over sternum Progressive dyspnea decreased breath sounds on one side rales low sats despite being on o2 hemoptysis irregular pulse-dysrthymia ruptured diaphragm - ANSWER-abd contents herniate into the thoracic cavity compressing the lung