ABCDE

Question 1

airway

Answer 1

can they talk patent

Question 2

airway compromised mx

Answer 2

look and listen for signs of obstruction also in mouth

head tilt chin lift
jaw thrust
oro/nasopharyngeal airway

Question 3

breathing check and investigation interventions

Answer 3

resp rate
o2 sats
general inspection & chest
auscultation

tracheal position
chest expansion
percussion

ABG
chest xray

positioning (sit upright)
oxygen

Question 4

Circulation check

Answer 4

heart rate
blood pressure
fluid balance
Temp
CRT
Pulse
JVP

Question 5

circulation interventions

Answer 5

fluid recuss
bood transfusion in significant haemorhage

Question 6

circulation investigations

Answer 6

Iv canula
bloods - fbc u&e lft (and whatever else eg sepsis = lactate and cultures)
ECG
Bladder scan
pregnancy
cultures/swabs
fluid output/cather

Question 7

Disability check and investigations

Answer 7

consciousness = ACVPU or GCS
pupils

blood ketones
CT head

Question 8

refractory anaphylaxis

Answer 8

2x doses of adrenaline and no improvement

5 mins inbtween ie no improvement after 10 mins

Question 9

tx ref anaphylaxos

Answer 9

bare fluids and IV adrenaline

only done by ITU so escalate early

keep giving IM until this protocol started
f1 = GET acess and escalate