BDS3 Medical Emergencies Flashcards
Steps of assessment?
A- Airway
B- Breathing
C- Circulation
D- Disability
E- Exposure
REASSESS, back to start
Principles of assessment?
A to E
Treat as you meet
Continual reassessment
Causes of airway obstruction?
Loss of consciousness
Infection, inflammation, swelling
Treatment of Airway Obstruction?
Triple manoeuvre- head tilt chin lift/ jaw thrust
Green oropharyngeal airway most common for females
Orange for males
How to check breathing rate?
Ask to take pulse- don’t let pt know
Hand on shoulder, count 12-16 breaths pm average
O2 saturation indicators?
94- normal
84- nail beds/ lips blue
60- tongue blue
How to check circulation?
Pulse check- RATE RHYTHM VOLUME
What are the different pulse points indicators of?
Radial pulse present at BP of 100mmHg
Inner elbow 70-60mmHg
Jugular 50mmHg
Causes of disability?
drugs/brain injury/hypo
OPTIMISE ABC
How to recognise disability?
A- Alert
C- New confusion
V- Verbal
P- Pressure (apply pressure on trapezius)
U- Unresponsive
What should be used in all emergency conditions?
15L Oxygen via non rebreathing mask
Ensure to press valve shut on mask to allow bag to inflate before application
Seal to face
Signs of Anaphlaxis
A- swelling, strider
B- increased rate, wheeze
C- increased rate, hypotension
D- LOC
E- rash, swelling
REMEMBER THERE IS CAUSE- food, medication…
Treatment for Anaphylaxis
Adrenaline 1:1000, 0.5mg IM Injection
Use ‘Z’ injection technique
What is the Z injection technique
Tension in skin/muscle
Insert
Aspirate
Inject
Halfway out
Release tension
Full way out
Angina/MI Assessment signs
A- Still talking
B- increased
C- Increased
D- Alert
E- pale, clammy, central chest pain
How to treat stable angina?
Sit down
Angina attack treatment?
GTN spray- 400 micrograms per dose (Sublingual)
Venous Dilator
Symptomatic relief, NOT TREATMENT
MI Treatment?
300 mg Aspirin crushed or chewed
No water for 10 mins
If taken within 10 mins of MI, reduced hospital stay, reduced chance of re infarction…
