AIR METHODS 1 EXAM QUESTIONS 2024 MARKING SCHEME | 100% CORRECT
What is the First adjustment you should make to a vent - Tidal Volume first then rate
Three killers of vent patients during flight - pericardial tamponade
tension pneumothorax
hypovolemia
ET tube depth - Adult 3 ...
Ischemia
Injury
Infarct - ST depression >1mm in 2 leads
ST elevation >1mm in 2 leads
Q wave >25% height of R wave
Pediatric 10 11 12 rules - uncuffed tube under 10
needle cricothyrotomy only under 11
no nasal intubation under 12
Controlled Mandatory Ventilation-CMV vent mode - preset volume or PIP at set rate;
patient cannot initiate breath;
All breaths are triggered, limited and cycled by vent;
used in sedated, axenic or paralyzed patients
Assist Control- AC vent mode - preset volume or PIP with every breath;
pt can trigger breath but can't control tidal volume;
preferred method respiratory distress;
used in ARDS
Synchronized Intermittent Mandatory Ventilaiton-SIMV vent mode - assisted
mechanical ventilation synchronized with patients breathing;
delivers a breath sync with patient;
spontaneous breathing occurs;
if patient fails to take breath vent provides;
preferred with intact respiratory drive;
Similar to CPAP Bipap
, must be administered within - three hours of onset of chest pain
acute respiratory failure - pO2 below 60;
pCO2 above 55;
pH below 7.2;
only one needs to be off to indicate the need to intubate
calculate cardiac output - heart rate x stroke volume
Mac Mblade Mlifts Mthe M- M Mvallecula
miller Mblade Mlifts Mthe M- M Mepiglottis
Gold Mstandard Mfor MET Mtube Mplacement Mconfirmation M- M MXray M2-3cm/above Mthe Mcarina;
level Mof MT2 Mor MT3 Mvertebrae;
Murphys Meye M(vent Mhole) Mlocated Mon Mside Mof Mclavicle Mbones
Intubation Mindications M- M Munable Mto Mswallow;
unable Mto Mventilate/oxygenate;
GCS M<8;
Inhalation Mburns;
circumferential Mneck Mor Mchest Mburns;
anaphylaxis; M
apnea;
airway Mobstruction-foreign Mbody/maxillofacial Mtrauma;
respiratory Mfailure
LEMON M- M MLook
Evaluate
Mallampati
Obstructions
Neck MMobility
ETCO2 M- M Mmeasured Mon Mexpiration
7 MP's Mof MRSI M- M MPreparation M
Pre-oxygenate
Pretreatment
Paralysis Mwith Minduction
Protect Mand Mposition M
Placement Mwith Mproof
Post Mintubation Mmanagement
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