ABCD emergencies

Question 1

Airway

Issues

Answer 1

Airway emergency
Impending airway obstruction
- low GCS, swelling, trauma, FB

Question 2

Breathing

Issues

Answer 2

Hypoxic
Respiratory failure (T1/2)
Acute T2RF
Decompensated T2RF  
Respiratory distress (paeds)
Exhausted 
Life threatening asthma

Question 3

Circulation

Issues

Answer 3

Shocked
- septic, cardiogenic, neurogenic, obstructive, anaphylactic, distributive

Bradycardic
Tachycardic
- narrow/wide complex

Question 4

D (Disability)

Issues

Answer 4

GCS<8
Agitated and confused 
Obtunded
Vomiting 
Impending airway obstruction

Question 5

Airway

Tx

Answer 5

Neb adrenaline 5ml 1:1000
6.6mg IV dexamethasone

NP tube
Guedel
Waters circuit
BVM

IGel
Surgical airway

Question 6

Breathing

Tx

Answer 6

PEEP - waters, high flow, CPAP
Ventilation - BiPAP, waters, BVM

Salbutamol, steroid, magnesium, aminophyline

Thoracostomy

Question 7

Circulation

Tx

Answer 7

IVF, Blood, products
Pressure bag, L1 transfusor

IV hydrocortisone 50-200mg
Pressors; 
- Metaraminol 0.5mg/ml
- Adrenaline 10mcg/ml 
Inotropes
- Atropine 0.5mg (max 3mg)

DC sync shock
Trans cut pacing + sedation

Question 8

Disability

Tx

Answer 8

ABCDEFG
Glucose

Ceftriaxone 2g, aciclovir 10mg/kg

Head up 30 deg
MAP>65
Hypertonic saline (100ml, 5%)

Naloxone
Ventilation (hypercapnic)

Question 9

Disability

Causes of low GCS

Answer 9

ABCDEFG
BG

Infection
Intracranial badness

Encephalopathy
- OD, hypercapnic, liver failure

Question 10

Minimum ABCD

Answer 10

Patent
Sats -> Auscultation
Radial pulse, CRT
GCS, BG