ABCDE Flashcards
what do you do if the patient is unconcious / unresponsive but breathing normally?
head tilt chin lift
what do you do if a paitnet is breathing but no pulse?
start CPR + call resus team on 2222
what do you do if a pulse is present but the RR is <12?
15L O2 through non rebreather mask
what do you do is a pulse is present and RR is 12-20?
continue with ABCDE
what is the normal RR?
12-20
what do you do for a low O2 sat <94%?
order ABG
what should you order if there is tracheal deviation or lung pathology suspicions?
CXR
what do you give for a low RR in someone with COPD?
venturi mask 4L 34%
how do you manage a tension pneumothorax?
needle decompression 2 ICS at midclavicular line
what is a normal heart rate?
60-100
what do you do if the patient is hypovolaemic?
give 500ml 0.9% saline fluid over 15 minutes
what should you do before taking bloods?
insert wide bore 14G canula
which bloods would you request?
FBC
U+Es
LFTs
which extra blood tests do you want in sepsis?
CRP
lactate
blood cultures
which extra blood tests do you want in heamorrhgae?
coagulation
cross match
which extra blood tests do you want in acute coronary syndrome?
troponin
which extra blood tests do you want in arrhythmia?
calcium, magnesium, phsophate, TFTs, coaglatio
which extra blood tests do you want in pulmonary embolism?
d-dimer
which extra blood tests do you want in overdose?
toxicology screen eg for paracetamol
which extra blood tests do you want in anaphylaxis?
serial mast cell tryptase levels
what would you request in chest pain, arrhytmias, murmur or electrolyte imbalance?
ECG
what do do in hypervolaema?
catheterisation
which medication would you give in acute coronary syndrome?
pain reflied nitrates aspirin clopidogrel oxygen
what is the sepsis 6 pathway?
O2 blood cultures IV antibiotics IV fluids serial lactates ongoing monitoring of urine output
what should you assess in disability?
AVPU
pupils
drug chart
blood glucose + ketones
what should a normal blood glucose be?
4-11
what do you do if GCS if <8?
call an anaesthetist
what do you do if a patient is hypoglycaemic?
oral or IV glucose
who can you call for help?
medical registrar on call
