ABCDEFG Assessment

Question 1

State the meaning of A-E

Answer 1

A- Airway
B - breathing
C - circulation
D -disability
E - exposure/ environment (temperature)
F - fluids
G - Glucose (goals)

Question 2

What is the aim of the AE assessment?

Answer 2

• Save life
• Providing rapid interventions
• Break down complex clinical issues into mangable parts
• Used for assessment and treatment algorithm
• Establish situational awareness
• To buy time to determine diagnosis

Question 3

How can you assess airway?

Answer 3

• Ask them questions – more than one word answer.
• Assessing latency – voice and breath sounds
• Intervention – look, listen, feel – open airway: head tilt, chin lift – intubation if required

Question 4

What are the stages of breathing assessment?

Answer 4

• See hear and feel
• Expect
• Palpitation and auscultation
• chest movement
• Sounds (wheezing or striding) - where the sound is coming from (infancy higher up)
• Respiratory rate (age of child, activity and position)
• Work of breathing
• Chest movement
• Auscultation
• Pulse oximetry (94%)
• Use of accessory muscle
• E, E, E

Question 5

What are some interventions that following breathing assessment?

Answer 5

• Position change
• Oxygen
• ## BVM

Question 6

How would you assess circulation?

Answer 6

• Heart rate (age and activity, auscultation)
• Colour (pallor, mottling and cyanosis)
• Capillary refill time
• Blood pressure

Question 7

What is an intervention for circulation assessment?

Answer 7

• Fluids – consider optimum route, oral/IV/IO – IV/IO2 – 20ml/kg (5-10ml/kg – trauma neonates cardiac shock)

Question 8

How do you assess disability?

Answer 8

• LOC - level of consciousness
• AVPU (alert verbal pain and unresponsive)
• GCS (glasgow coma scale)
• Position
• Behaviour -normal
• BM
• Respiratory rate/heart rate and BP

Question 9

What is an intervention used in disability assessment?

Answer 9

GCS – good score is 15 (1 is dead child) – modified for children – if not responsive to voice (AVPU) then (8 score around) this is the cut off to intubate.

Question 10

What does AVPU stand for?

Answer 10

Assess level of consciousness

• alert
• verbal
• pain
• unresponsive

Question 11

What would you assess in environment assessment?

Answer 11

• Temperature
• Glucose
• Rashes
• Skin integrity
• Endocrine
• Musculoskeletal

Question 12

What are some interventions for environment/exposure assessment?

Answer 12

• Manage pyrexia – paracetamol and ibuprofen to manage pain
• Mange hypoglycaemia
  Manage wounds

Question 13

What is SBAR?

Answer 13

Method of escalation

1. situation
2. background
3. Assessment
4. Recommendation

Also make sure you make documentation