Too Hot to Handle: The MH Crisis Room

Too Hot to Handle: The MH Crisis Room

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Intro

You have entered a dark and unknown world from which you have to get out before it's too late and you will be locked in forever. Just kidding, you are in the OR and your patient is exhibiting early signs of MH.

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Mission 1

Locked

Locked

Locked

Answer the question and you will find out the address of the following scenario

Where is the Malignant Hyperthermia (MH) kit located at Gillette?

PACU near crash carts

PICU in clean supply

OR near Control Desk

Mission 2

Locked

Completed

Locked

Drag and discover

You've opened the MH kit to find your most crucial intervention. What are you grabbing from the kit?

Cold Packs

Charcoal filter

Ryanodex®

Mission 3

Completed

Completed

Locked

The CRNA in the room has started hyperventilating the patient and is changing out the circuit/Soda Lime. They ask for Ryanodex® to be prepared for the patient. What is the dose for Ryanodex®?

5mg/kg IVP

10mg/kg IVP

2.5mg/kg IVP

You have just come into the room to assist and have been assigned to preparing medications (typically PACU RN). Given what we know about MH, what medications do you anticipate preparing after Ryanodex® has been administered?

Potassium chloride, calcium gluconate, and amlodipine

Calcium chloride, glucose, and insulin

Lidocaine, potassium chloride, verapamil

Anesthesia asks for standard MH labs to be drawn. What labs are standard for an MH crisis?

Blood gas, PT/PTT/INR, BMP, CK total,lactate, serum myoglobin

Blood gas, CBC, PT/PTT/INR, electrolytes, TSH

Urine myoglobin, CBC, electrolytes, FSH, ANA

Remember the code

216

Continue

Completed

Completed

Completed

Mission 4

You are functioning as a runner for the room. You've been asked to prepare the bed for transport to the PICU for monitoring and recovery. What equipment do you need to prepare?

Oxygen and transport monitor

Sedation medications

iStat and cartridges

14+3

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You have reached the last mission 🎉 Do you know what the code is?

Enter the password

Congratulations, you made it out!

Wrong answer!

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