SAQ 4: Anesthesia & Pain Relief

Regarding anesthesia in the A&E department:

1)      Name 4 different methods of anesthesia which can be used to reduce a Colle’s fracture.  (2 points)

2)      What is the maximum dose of lignocaine with and without adrenaline. (1 points)

3)      Name 3 general anesthetic drugs which can be used in RSI for induction and their doses. (3 points)

4)      Until what age is straight blade laryngoscope preferable and why? (2 points)

5)      Name the Mechanism of action of Suxamethonium. What are the C/I of using Suxamethonium for paralysis in adults. (2 points)

EM Procedures: Ankle Brachial Index

Ankle Brachial Index is an easy procedure to diagnose the presence and or severity of a peripheral vascular disease, in patients with risk factors presenting to the ED with history of Claudication or Rest pain.

The normal value is 0.9 to 1.3, with values more than 1.3 suggestive of atherosclerotic or calcified vessels, and values less than 0.9 indicating a peripheral vascular disease.

(Courtesy: NEJM, 2010)