ABCDE Flashcards
How should you prioritise patients on your on-call shift?
ABCDE
What is the treatment for a tension pneumothorax?
2nd ICS mid-clavicular line
What is the treatment for severe pulmonary oedema?
IV Furosemide
What is the treatment for anaphylaxis?
0.5ml 1 in 1000 solution adrenaline (0.5mg)
What is the acute treatment for an asthma attack?
Oxygen
Salbutamol
Hydrocortisone
Ipratropium
Theophylline
Magnesium
ANaesthetics
What is the treatment for bronchiolitis?
Supportive
What is the treatment for croup?
Oral dex
What is the first-line antibiotic for tonsillitis?
Phenoxymethylpenicillin
What is the first-line antibiotic for meningitis?
Ceftriaxone
What should be done within the sepsis 6 protocol?
Give 3 - fluids, antibiotics, oxygen
Take 3 - cultures, urine output, lactate
What is the treatment for unstable angina/NSTEMI?
MONA+T - Morphine, Oxygen, Nitrates, Aspirin & Tricagrelor/antiplatelet
What is the treatment for a STEMI?
MONA+T - Morphine, Oxygen, Nitrates, Aspirin & Tricagrelor/antiplatelet
STEMI - PCI
What are the treatment options for hypoglycaemia?
If can swallow - 100mls fruit juice/biscuits then a piece of toast
If semi-conscious - 1-2 tubes glucogel
Unconscious - IM Glucagon
What is the management for DKA?
IV Insulin & saline then once glucose < 13 glucose & insulin
What is the treatment for opiate toxicity?
Naloxone
What is the treatment for status epilepticus?
rectal diazepam or buccal midazolam
How should you manage a suspected stroke?
CT to exclude haemorrhagic
Infarct - thrombolysis (within 4.5h of onset)
How should you manage major bleeding?
Initiate major haemorrhage protocol & call 2222
Consider source of bleeding and who you need to call
What is the treatment for hyperkalaemia?
10mls 10% calcium gluconate then insulin/dextrose infusion and consider salbutamol
What is the essential investigation in hyperkalaemia?
ECG
What causes should be considered during ALS?
4Hs and 4Ts - hypoxia, hypokalaemia/hyperkalaemia, hypothermia/hyperthermia, hypovolaemia, tension pneumothorax, tamponade, thrombosis, toxins
Which drugs can be used during ALS?
Adrenaline every 3-5 mins and Amiodarone after 3 shocks (if shockable)
Which scoring system is used in DVT/PE?
Well’s score
Which scoring system is used to evaluate risk in upper GI bleed?
Glasgow-Blatchford Score
What is the scoring system for severity of CAP?
CURB-65
Which scoring system is used to assess need for anti-coagulation in AF?
CHADS-VASC
Which scoring system is used to assess the risk of bleeding in anti-coagulation in AF?
HAS-BLED
What is the dose of adrenaline given in cardiac arrest?
10ml 1 in 10,000 (1mg)
