ABCDE Flashcards
AIRWAY
Observations
(5)
- Speaking?
- Snoring
- Stridor
- Something stuck? (e.g.foreign body, vomit, blood, edema)
- Cervical spine
AIRWAY
Interventions
(3)
- Head tilt, chin lift, jaw thrust
- Suction
- Naso/oropharyngeal airway
BREATHING
Observations
(3)
Cyanosis
tripodding
evidence of respiratory distress
BREATHING
Bedside tests (6)
Lab investigations (2)
Intervention (1)
Bedside tests
- Chest Exapansion
- Trachial deviation
- Auscultation
- Percusssion
- Resp rate
- O2 Saturation
Lab investigations
- CXR
- ABG
Intervention
- High flow Oxygen 15L/min non-rebreather bag
CIRCULATION
Bedside tests (5)
Intervention (3)
Bedside tests
- BP
- Pulse (radio-radial delay)
- Capillary refill
- Temperature
- Heart auscultation
Intervention
- 12 lead ECG
- Cannulae 2 large (orange if adult, blue if child, pink if neonate)
- FBC, LFT, CRP, BNP, U&E, Troponin, Group and Save
CIRCULATION
Observations (2)
Observations
- Inspecting the oral mucosa for hydration
- Assessment of jugular venous pressure (JVP)
DISABILITY
(3)
blood glucose
pupillary responses
AVPU
Sounds heard on auscultation
(6)
Vesicular breath sounds = normal
Inspiratory Stridor = upper airway obstruction
Wheeze inspiratory/expiratory = COPD/asthma
bibasal coarse crackles = pulmonary oedema
localised coarser crackles = pneumonia
fine crackles = pulmonary fibrosis
EXPOSURE
Inspection (5)
Investigations (2)
Inspection (3)
- Inspect the legs
- Abdo exam
- check meds
- patient’s catheter
- surgical drains
Investigations (2)
- USS
- D-dimer
What is the approach to ECG interpretation?
Details: (3)
Technical: (1)
Interpretation: (3)
Rhythm Strip: (6)
Details:
- Patient name
- DOB
- time and date
Technical:
- calibrated correctly
Interpretation:
- Rate
- Rhythm
- Rotational axis
Rhythm Strip
- P wave
- PR interval
- QRS complex
- ST-segment
- T wave
- QT interval
Chest X-ray Interpretation
Intro (4)
Technical (4)
Interpretation (7)
Intro:
- Patient name
- DOB
- film type
- date image taken
Technical:
- Rotation
- Inspiration
- Position
- Penetration (exposure)
Interpretation:
- S: Soft tissues
- B: Bones
- T: Trachea
- M: Mediastinum
- P: Pleura
- D: Diaphragm
- L: Lung fields
What are the findings of a normal ECG?
(5)
Regular rhythm at a rate of 60-100 bpm (or age-appropriate rate in children).
Each QRS complex is preceded by a normal P wave.
Normal P wave axis: P waves should be upright in leads I and II, inverted in aVR.
The PR interval remains constant.
QRS complexes are < 120 ms wide.
Causes of radio-radial delay include: (3)
Aortic coarctation
Aortic dissection
Subclavian artery stenosis (e.g. compression by a cervical rib)
