Other than decreased conscious state, list two (2) indications for immediate intubation in this patient. (2 marks) Impending complete airway obstruction Hypoxia on maximal O2 Significant hypovolaemia List three (3) features shown in this image that predict the probability of significant airway burns. (3 marks) Singed nasal hairs/ moustache Soot on lips Facial/ check burns Oxygen requirement The patient deteriorates and requires intubation. Your 1st attempt at direct laryngoscopy fails. List three (3) steps that you would institute to improve your likelihood of success for your next attempt. (3 marks) Any 3 of: Ensure adequate sedation Ensure adequate paralysis Reposition head/neck Cricoid manipulation- BURP Introducer Bougie Different shaped blade Smaller ETT size Use of video laryngoscopy What is the Brooke-Parkland formula? (1 mark) 2-4 ml/kg/% burn area added to maintenance (lower mortality with 2%) How is it applied? State 3 points of explanation. (3 marks) Represents the addition fluid required over maintenance ½ in 1st 8/24 (colloid) ½ in following 16/24 (1/2 colloid ½ Hartmanns) Gives starting guide for fluid maintenance- rate should be adjusted with aim of UO > 0.5ml/kg/hr Question 3 (12 marks) Non specific Trichomonas Bacterial Candidiasis vulvovaginitis vaginosis Extra info for Mixed vaginal / Trichomonas Gardnarella Candida albicans vaginitis you only enteric flora vaginalis RF DM, OCP, Abs, pregnancy Commonest cause of (& mixed vaginal discharge Uncommon b4 puberty anaerobes)
Other than decreased conscious state, list two (2) indications for immediate intubation in this patient. (2 marks) Impending complete airway obstruction Hypoxia on maximal O2 Significant hypovolaemia List three (3) features shown in this image that predict the probability of significant airway burns. (3 marks) Singed nasal hairs/ moustache Soot on lips Facial/ check burns Oxygen requirement The patient deteriorates and requires intubation. Your 1st attempt at direct laryngoscopy fails. List three (3) steps that you would institute to improve your likelihood of success for your next attempt. (3 marks) Any 3 of: Ensure adequate sedation Ensure adequate paralysis Reposition head/neck Cricoid manipulation- BURP Introducer Bougie Different shaped blade Smaller ETT size Use of video laryngoscopy What is the Brooke-Parkland formula? (1 mark) 2-4 ml/kg/% burn area (lower mortality with 2%) added to maintenance How is it applied? State 3 points of explanation. (3 marks) Represents the addition fluid required over maintenance ½ in 1st 8/24 (colloid) ½ in following 16/24 (1/2 colloid ½ Hartmanns) Gives starting guide for fluid maintenance- rate should be adjusted with aim of UO > 0.5ml/kg/hr Question 3 (12 marks) Non specific vulvovaginitis Trichomonas Bacterial vaginosis Candidiasis Extra info for you only Mixed vaginal / enteric flora Trichomonas vaginitis Commonest cause of vaginal discharge Gardnarella vaginalis (& mixed anaerobes) Candida albicans RF DM, OCP, Abs, pregnancy Uncommon b4 puberty