ED station

Question 1

Signs of shock

Answer 1

Cool peripheries
! Prolonged CRT >2 sec
! Tachycardia
! Confusion / reduced conscious level (cerebral hypoperfusion) ! Oliguria / anuria (renal hypoperfusion)
! Hypotension (late sign, particularly in young fit patients)

Question 2

Type of fluid

Answer 2

plasmalyte or sodium cholride 0.9%

-both crystaloid for replacemnet

Question 3

signs of fluid overload

Answer 3

• Increased RR
• Increase JVP
• basal crepitiations
• decrease spo2
• increase SOB

Question 4

Sepsis 6

Answer 4

3 test

• Blood culture
• lactate + haemoglobin
• Urine output

3 management

• Antibiotics
• fluids
• oxygen

Question 5

FAST scan

Answer 5

• perihepatic space
• perisplenic space
• pericardium
• pelvis

Question 6

Causes of sepsis

Answer 6

pneumonia
UTI
other source
cellultiitis/soft tissue infection
-menengitis, encephalitis

Question 7

Types of shock

Answer 7

Pump

• cardiogenic - heart cant pump (MI,
• obstructive (PE,

Pipes

• anayphylaxis (0.5ml of adrenaline 1/1000)
• sepsis
• neurogenic

Fluid

• Haemorhage
• dehydration.gi losses

Question 8

SIRS criteria

Answer 8

TEMP - high or low (36-38)

• RR - >20
• HR - >90
• WCC > 12 000

Question 9

patient is bleeding - other tests

Answer 9

FAST

• thrombocytopenia test
• coagulation tests

Question 10

Types of masks and oxygen

Answer 10

Nasal 2-4
Hudson 4-8
Non-rebreather - 15
Bag and mask -15L