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Exam (elaborations)

SAEM Emergency Medicine Exam/ Q&A/ .

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  • SAEM Emergency Medicine
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  • SAEM Emergency Medicine

SAEM Emergency Medicine Exam/ Q&A/ . Terms like: (if intubated then continuous compressions and 1 breath every 6 seconds) Describe high quality chest compressions - Answer: 100-120 compressions per minute at a depth of 2 to 2.4 inches

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  • September 27, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • SAEM Emergency Medicine
  • SAEM Emergency Medicine
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Benzo
SAEM Emergency Medicine Exam/ Q&A/ 2024-
2025.
(if intubated then continuous compressions and 1 breath every 6 seconds)
Describe high quality chest compressions - Answer: 100-120 compressions per minute at a
depth of 2 to 2.4 inches


patient on hard surface or back board


watch for full chest recoil in between
During CPR, providers giving chest compressions should switch every - Answer: 2 minutes (5
cycles of 30 compressions and 2 breaths)
Describe ventricular tachycardia - Answer: wide regular QRS complexes
absent P and T waves
rate usually around 180
Which three electrolytes should you check in a patient with QT prolongation? - Answer: 1.
hypokalemia

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, 2. hypocalcemia
3. hypomagnesemia
what should you give a patient in torsades de points? - Answer: magnesium 1-2 grams IV
diluted in 10 mL normal saline over 30-60 seconds
What 5 things should you do for a patient who is in VT/VF/Torsades? - Answer: 1. high quality
CPR
2. early defibrillation
3. 1 mg of epinephrine 1:10,000 IV every 3 to 5 minutes
4. amiodarone boluses (300 mg IV first dose; 150 mg IV second dose)
5. magnesium 1-2 grams in 10 mL NS
What is the treatment for PEA/asystole? - Answer: give 1 mg of 1:10,000 epinephrine every 3-5
minutes


high quality CPR


nothing to shock :(
What should you give to treat severe hyperkalemia? - Answer: calcium chloride
insulin and glucose
sodium bicarb
ST elevation in leads II, III, and AVF


where is the MI? which vessels are blocked? - Answer: inferior


vessels = RCA or LCX


*don't give nitrates because can cause extreme hypotension


*often presents with vomiting due to location near stomach




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