PANCE · PANCE

PANCE Emergency Medicine

Emergency presentations, triage priorities, and time critical management steps tested on the PANCE.

43 cards · basic cards · AI-written, checked twice. Edit anything.

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In the ABCDE trauma primary survey, the first priority assessed before breathing is the ____.
airway
What is the door-to-balloon time goal for STEMI treated with primary PCI?
90 minutes
What is the door-to-needle time goal for STEMI treated with fibrinolytics?
30 minutes
What is the treatment window for IV tPA in acute ischemic stroke?
4.5 hours from symptom onset
What are the three components of Cushing triad?
Hypertension, bradycardia, and irregular respirations
Cushing triad is a clinical sign of what underlying process?
Increased intracranial pressure
What is the maximum score for the eye-opening component of the Glasgow Coma Scale?
4
What is the maximum total score on the Glasgow Coma Scale?
15
At what Glasgow Coma Scale score is airway protection with intubation generally indicated?
8 or less
What is the recommended initial IV fluid bolus for septic shock?
30 mL/kg of crystalloid
Within what time frame should broad-spectrum antibiotics be started in septic shock?
Within 1 hour of recognition
What is the first-line treatment for anaphylaxis?
Intramuscular epinephrine
Where is IM epinephrine injected when treating anaphylaxis?
Anterolateral thigh (vastus lateralis)
What is the immediate treatment for a tension pneumothorax?
Needle decompression
Where is needle decompression classically performed for tension pneumothorax?
Second intercostal space, midclavicular line

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