Clinical Approach

Question 1

Pre Arrival points?

Answer 1

Plan for case

Biases/human factors

Question 2

Dangers, what are they?

Answer 2

PPE
Dangers
Dynamic Risk Assessment

Question 3

Rapid assessment steps

Answer 3

Well vs Unwell.
IF well move to History.

Unwell 
Response
Airway, C spine 
Breathing 
Circulation, haemorrhage check 
Disability AVPU 
Exposure 

Immediate Mx + Sitrep
Establish limitation of treatment

Question 4

1. History (as appropriate)

Answer 4

Timeline 
Nature 
Prodromal symptoms 
Hx of similar episodes 
Associated circumstances 
Aggravating/relieving factors

Question 5

2. History

Answer 5

CAMRES

Conditions 
Allergies 
Medications
Risk factors 
Environmental factors 
Social factors

Question 6

Assess VSS and Adjuncts

Answer 6

PSA- HR, BP, Skin, GCS
RSA

“BEETS”
BGL
Ecg 4 and 12 lead
ETco2
Temp
spo2

Weight of pt

Question 7

Assess VSS and Adjuncts

Answer 7

RSA- 
A
S
S 
R
R
E
P
S
CS

Question 8

Secondary Survey - trauma

Answer 8

Trauma

Head
Neck 
Chest/back 
Arms 
Abdo
Pelvis 
Legs

Question 9

Secondary Survey - medical

Answer 9

Neuro- pupils, vision, facial droop, speech, grip strength
CVS- pulses, skin, cap refill, heart sounds, oedema
Resp- lung sounds, rate, rhythm, cough, cold
GIT- bowels, masses, scars, palpate, listen, distended, SNT
Renal- continant/incont, smells, normal vs retention
Sexual- pregnancy, STI, sexually active, contraception
Skin- scars, overall health, turgor
Musculoskeletal- joints, comparing bilat sides
Neurovasc- colour, warmth, sensation, comparing both sides