temper temper cold cold heart here's the skinny treatments potpourri
100
What is less than 35 C
temperature that defines hypothermia
100
Osborn wave
feature seen on electrocardiogram with temp below 32 seen at the junction of the QRS
100
frostbite
most common freezing injury
100
nifedipine
treatment for refractory pernio
100
60-90 days "frostbite in january, amputate in july"
how long does it take for tissue to demarcate after frostbite?
200
32 C
the temperature at which shivering stops
200
Afib
common arrhythmia with temps below 32C
200
prefreeze
the phase of cold injury where cutaneous sensation is lost
200
iv penicillin for strep prophy
severe cases of frostbite should be treated with what antibiotic for prophylaxis?
200
cold induced vasodilation. in 5-10 minute cycles in temps below 10c the body will vasodilate to protect the extremity from prolonged vasoconstriction
what is the hunting response?
300
25 C
cerebral autoregulation is maintained with an increase in vascular resistance until what temp?
300
atropine
bradydysrhythmias in hypothermia are refractory to a common code drug. name it.
300
frostnip
superficial injury that presents with numbness and tingling that resolves after rewarming
300
solumedrol/hydrocortisone for presumptive adrenal insufficiency, and/or thyroxine for potential myxedema
a patient presents comatose, hypothermic. treated and fails to rewarm. what meds should be given?
300
eskimo or lapp/nordic
people of this ethnic descent are capable of stronger cold-induced vasodilation than average
400
32 C
temperature at which myocardium becomes irritable
400
bretylium
name the drug effective for chemically defib in hypothermia(no longer regularly available)
400
chilblains(pernio)
cold sores that affect exposed areas after 24 hours, usually with repetitive exposure
400
FALSE. tissue refreezing is disastrous, and it is preferable to ambulate to safety of frozen extremities if rescue will be delayed
true or false:rewarming should be initiated in the field regardless of whether there is a chance of refreezing
400
paradoxical undressing
name the clinical situation in which patients remove clothing in response to a cold stress
500
28-30 C
defibrillation is rarely successful below what temp
500
rewarm to 28-30 before reattempting defib, continue cpr
pt is in vfib with temp of 22F. defib is unsuccessful. what do you do?
500
trenchfoot
nonfreezing injury produced by prolonged exposure to wet cold at temperatures above freezing, commonly seen in people wearing neoprene socks
500
common in septicemia, broad spectrum abx
may also see in shaken baby
baby presents at 3 days of life with hypothermia. they are lethargic with a weak cry and rosy cheeks. workup/treatment?
500
False! tissue decomp, apparent rigor, dependent lividity, and fixed dilated pupils ARE NOT RELIABLE CRITERIA for withholding cpr in a hypothermic pt
true or false: a patient presents cold, stiff, cyanotic with fixed pupils and inaudible heart tones. pt should be pronounced.






Frostbite and Hypothermia

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