A-E emergencies

Question 1

remember in B in pulmonary oedema

Answer 1

frothy sputum
cough
CXR
CPAP to clear fluids from lungs

Question 2

remember in C in pulmonary oedema

Answer 2

JVP, oedema, turgor
Trop & pro NT BNP
furosemide & high flow O2

Question 3

remember in C in AKI

Answer 3

mucus membranes, JVP, turgor, peripheral oedema
glucose, VBG, bicarcb, calcium, phosphate, eGFR
fluids
consider USS kidneys
urine dip

Question 4

remember in D in AKI

Answer 4

drug chart
STOP AKI

Question 5

remember in C in brady/tachycardia

Answer 5

troponin // pro NT BNP
consider atropine after ECG

Question 6

remember in C in delirium

Answer 6

TFTs, caclium, B12/folate, haematinics, cultures
urine dip
sputum sample

Question 7

remember in E in delirium

Answer 7

AMTS
consider haloperidol
lorazepam if long QT, 3rd degree heart block, ventricular arrhythmia

Question 8

remember in C in DKA

Answer 8

ketones, glucose, cultures, potassium
urine dip
urine MSC
fluids
fixed rate insulin 0.1 units/kg/hr
consider addition potassium if 3.5-5.5

Question 9

remember targets in DKA

Answer 9

glucose down >3mmol/hr until <14
cap ketones >0.5mmol/hr until …
venous bicarb up >3mmol until >15

Question 10

antiepileptics use in status epilepticus

Answer 10

IV lorazepam x2 doses –> IV phenytoin (or if 10-20min seizure) // consider thiamine & glucose

no IV access: diazepam rectal 10mg –> repeat after 15mins

if seizing >20mins –> GA

Question 11

in overdose/toxicity remember

Answer 11

tox screen