EMERGENCY MEDICINE QUESTIONS (EMQ)
Coordinator: Gavin Lloyd
| The first 150 words of the full text of this article appear below. |
See page 864 for answers
Theme: Treatment strategies
Which of the following bizarre treatment strategies are of proven benefit?
- Flumazenil for hepatic encephalopathy
- High-flow oxygen for cluster headaches
- Prednisolone with aciclovir for Bell's palsy
- Vasopressin for out-of-hospital cardiac arrest
Theme: Ketamine
Are the following statements regarding procedural sedation in children with ketamine true or false?
- Atropine should be administered prophylactically to reduce hypersalivation
- Midazolam should be administered prophylactically to prevent emergence phenomena
- The recommended intravenous loading dose is 1.5 mg/kg
- ECG and non-invasive blood pressure monitoring are recommended
Theme: Propofol
Are the following statements regarding propofol true or false?
- Propofol is contraindicated as an induction agent for patients with status epilepsy
- Propofol should not be given to patients allergic to soya or peanuts
- Propofol should generally be given in doses of 1 mg/kg followed by 0.5 mg/kg every 3 min as needed to achieve or maintain sedation
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