But Why: Episode 1

CEU quiz for the But Why? podcast

Question Title

* 1. Please enter your information

Name

Department and job role (EMT, Paramedic, RN, etc.)

City/Town

State/Province

Country

Email Address

Question Title

* 2. Which patient would be showing signs of heat stroke?

Hot skin, still sweating but it has decreased, oriented but very weak when talking

cool extremities but warm core, diaphoretic, oral temp of 102F

very hot dry skin, tachycardic, altered mental status

oral temperature of 104F

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* 3. Should heat stroke be considered a time critical diagnosis (TCD)?

No. TCD is only STEMI, trauma, classic stroke

Yes. Heat stroke must be treated rapidly or brain death/ organ failure will occur

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* 4. Above what temperature do cells begin to break down, starting the process of organ failure, DIC, and ultimately brain death?

104

98.6

106

110

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* 5. What is disseminated intravascular coagulopathy (DIC)?

A genetic condition that creates too many clotting factors

Clotting factors are used up causing uncontrolled bleeding from many areas

Clotting is localized to area of injury

Question Title

* 6. What is the Gold standard for treating a patient with heat stroke?

Ice bath submersion

Rapid cold fluid bolus

Calculated decrease in temperature over 60 minutes

Ice packs placed in groin and axilla

Question Title

* 7. In the absence of an ice bath, what treatment should EMS perform?

Leave clothes on to protect skin, douse patient with water

place 1 ice pack in each armpit, on either side of neck, and in groin, clothes can be removed or stay on

Strip patient as much as possible, mist or wipe down with water (cold if possible), point AC vents at patient or fan them (evaporative cooling)

Question Title

* 8. Is cooling the patient TOO much a serious concern?

Yes. Cooling should be steady over a predefined time

No. These patients are dangerously hot and need rapid intervention.

Question Title

* 9. Please rate the quality of the podcast and its speakers and leave comments about either.

comments

But Why: Episode 1

Question Title

* 1. Please enter your information

Question Title

* 2. Which patient would be showing signs of heat stroke?

Question Title

* 3. Should heat stroke be considered a time critical diagnosis (TCD)?

Question Title

* 4. Above what temperature do cells begin to break down, starting the process of organ failure, DIC, and ultimately brain death?

Question Title

* 5. What is disseminated intravascular coagulopathy (DIC)?

Question Title

* 6. What is the Gold standard for treating a patient with heat stroke?

Question Title

* 7. In the absence of an ice bath, what treatment should EMS perform?

Question Title

* 8. Is cooling the patient TOO much a serious concern?

Question Title

* 9. Please rate the quality of the podcast and its speakers and leave comments about either.

Question Title

* 10. Please give us any feedback and any topics you may want to hear in the future.