ABCDE assessment Flashcards
A
Airway
B
Breathing
C
Circulation
D
Disability
Diabetics
E
Exposure
A, steps
1) Any obstruction full/partial
2) Patent airway, patient ability to speak in full sentences
Causes of airway obstruction? (3)
- Altered level of consciousness
- Anaphylaxis reaction
- Foreign body
Signs of partial airway obstruction? (3)
- Breathing sounds
- Choking
- Accessory muscles
Signs of complete airway obstruction ? (3)
- Patient unable to speak
- No air entry at auscultation
- Cyanosis
B, steps
1) Equal bilateral chest expansion
2) Respiratory rate (12-20)
3) Noise free no wheezing/stridor/rattling
4) Airway free of sputum
C, steps (6)
1) Peripheries, blue/pink/pale/warm/cold
2) Capillary Refill Time (CRT) <2 seconds
3) Heart rate, regularity (51-90)
4) BP systolic between (111-129)
5) Signs of haemorrhage, drain present
6) IV access
D, steps
Warning sings for ?
1) AVPU
2) GCS
3) Blood glucose
-ketoacidosis
E, steps
Remember what at all times?
Begin to consider what?
1) Skin rashes/wounds/pressure injury
2) VTE
3) Temperature
4) MUST
5) Allergies
6) Medication
Dignity
Appropriate investigations
F and G stand for ?
Further information
And
Goals