ae

Question 1

attach patient to monitors
ask for help early
start a-e assessment
A- airway - patent, upper airway noises?
B- breathing - SAT, RR, resp distress/WOB, ascultate - air entry and added sounds
* if concerns 15L non-rebreathe*
C - circulation - HR, BP, CRT, pulses, heart sounds, cyanosis,
signs of shock (hypovolaemic or septic) IV access, bloods including FBC, U&Es, crp, blood gases, blood cultures if temp raised. bolus 10ml/kg NaCl, ESCALATE consider abx
D- temperature (paracetamol/ibuprofen), AVPU, glucose, Pupils
E- expose patient, abdo exam, bleeding, rashes, bruises, ENT etc
repeat each stage as you go and see if still stable/worse/improve on treatment

Answer 1

Diagnosis
print resus council emergency algorithm
gain Hx once patient more stable
update the family
document in notes
debrief

Trust antimicrobial guidelines and check for allergies

Question 2

SBAR handover

Answer 2

Situation - who and why
Background - admitted…, have had…, normal condition…
Assessment - problem is…, I have given…
Recommendation - please can you come…, what shall i do in meantime?