SBA & Dropbox Past Questions PDF

Do the SBA question book. Do the Dropbox past questions. Yew tree toxicity- what does it cause? Na and Ca channel injury. What has the highest lethal concentration time in concentration/mins/m3? Sulphur Phosgene Chlorine CS I went with CS as it was...

Do the SBA question book. Do the Dropbox past questions. Yew tree toxicity- what does it cause? Na and Ca channel injury. What has the highest lethal concentration time in concentration/mins/m3? Sulphur Phosgene Chlorine CS I went with CS as it was the least scary sounding of the lot. Rescue from a grain silo: FRS to build a tube around. Pull them out. Lie back. Drain from below. What’s most likely to kill them in a grain silo during rescue? Engulfment Low o2 Combustible dusts Crew go to a nursing home on re and loads of nannas die in the hospital and at the scene. What’s most likely to make them unhappy after? Traumatic arrest of a child Unsuccessful arrest of an old person A trainee has had a traumatising event. What is most worrying? Not going out and withdrawing Short-tempered and angry Remorseful, keep saying they should have done more. Who has responsibility for activities in a sector? Operational Tactical Strategic Command and control guidance is referred to multiple times, so de nitely know it. CCP feels tired on shift, what’s the best mitigation for fatigue? Nap Ca eine Vigorous exercise Roc vs sux- what’s most useful? Longer out of the fridge No fasciculations ff fi fi  Slower onset Can be used in hyperK patients Mega smashed four-limb CP with hypotensive shock and vomit in the airway- what to anaesthetise with? Roc ket Prop roc Sux prop Sux ket In fent vs morphine- what characteristic makes it more useful? Lipophilic or potency Who is responsible overall for activity in a sector? Anaphylaxis- likely agent between Roc, chlorhex, ABX, blood plus another in a trauma patient being tubes and has nothing. ETCO2 at lines intubated paed arrest No option for a check tube Change rescuer Call it Increase ventilations Increase depth or frequency of compressions Fallen and bitten by a snake, sweaty, anxious, and high RR Reassure Put in recovery position Antivenom PV vent Paed, high-pressure alarm but says 100%, chest rising, and ETCO2 trace normal Decompress Check tube Change alarm Head injured tube at 25cm high-pressure alarm Decompress Examine patient and check vent Withdraw ett to 22cm Hemiplegic paed- alert and playing RSI Awake nearest Ed Awake nearest Paeds neuro centre Discharge at scene Paed ingested some rat poison (-coum so warfarin like) Take to nearest paeds ed Take to nearest ed (no travel times given) Discharge Taser discharged well what does JRCALC say to do ECG and discharge Discharge Gp follow up ED (Probably just discharge as well) Who has overall oversight of JRCALC fl  RCEM Joint Royal colleges Aace (it’s this) domestic electrical contact who is well Discharge Admit ECG if normal discharge Flail chest q but only on 90% O2- what’s safest thing to do to increase oxygenation Increase peep Increase O2? Motorway blocked reverse access authorised- poorly worded and confusing question Proceed on hard shoulder Proceed lane 1 Proceed lane 2 Proceed lane 3 Await police escort Q on bapm guideline for prem birth- 22+5 I think Paeds transfer sats 88% on 90% not much more detail Do you want to transfer: No lights or sirens Lights on siren only for tra c Exceed speed limit with lights and sirens Lights and sirens only for tra c Renal hypertension and depression young male low gcs hypotension bradycardia Od Acei Beta blocker Ca blocker Ssri Tca Murdered kid, 30 mins asystole, role’d police say stay on scene Restart for and transfer to ed Leave in Situ A medical practitioner will need to attend to certify death Colour of re incident commander tabard White Tst 15 year old partially amputated hand, heavy bleeding walking triage category Tricky as I’ve seen guidance that says heavy bleeding sit them down and treat as not walking Tst 16 walking but with a penetrating chest wound with small amount of bleeding As above- Tst is designed to initiative life saving interventions earlier. See the supplementary guidance doc- I’m not sure whether these would be p3 or not. I P1’ed both fi fi ffi ffi fi Mitt- exactly 2 years, appears uninjured, gave some obs rr23, p90. Do triage. Is it