Clinical Practice (CPGs) Flashcards
PSA
RSA
GCS
Secondary Assessment
Pillsduct
Clinical Approach - Assessment
Trauma Time Critical Guidelines
Oxygen Therapy
AVPU
Generalisation
Alert - 15
Voice - 10 - 14
Pain - 7 - 9
Unresponsive - Below 7
Clinical Approach - Diagnosis, Care Pathway & Transfer of Care
Clinical Flags/Patient Safety
Very wordy CPG and must read to learn all
RED FLAG SPECIFIC CONDITIONS
- stridor
- first presentation seizure
- anaphylaxis including resolved
- ACS including resolved
- ectopic pregnancy
- primary obstetric issue
-Stroke/TIA
- sudden onset headache
- unable to walk when usually able
- post-tonsillectomy blead up to 14 days after surgery
YELLOW FLAG SPECIFIC CONDITIONS
- ongoing patient or carer concern
- infection not responding to community based care
- immunocompromised with suspected infection
- surgical procedure within the last 14 days
- significant unexplained pain (>5)
- syncope (asymptomatic, normal vs, normal ECG)
- abdominal pain
Patient MUST be able to
attend hospital/GP
referral advice script
Paediatric Assessment
Paediatric Definitions
Paediatric pain assessment
Paediatric Asthma
Spo2 should be used throughout as hypoxemia is a late sign of deterioration
improvemnet in Spo2 is not nessecarily and improvment in condition
Severity:
Mild/Moderate - Normal CS, some increased WOB, tachycardia, speaking in phrases/sentences
Severe: Agitated/distressed, Marked increase in WOB (acss muscles/retraction, tachycardia, speaking words)
Critical: Altered CS, maximal WOB, marked tachycardia, unable to talk
Paediatric time critical guidelines
specific injuries and mechanism of injuries that constitute TTC are same as adult
Paediatric pain relief
Adult pain relief
Adult chest pain (ACS)
Adult asthma
Adult Hypoglycemia
Adult COPD
