Critical Care A to E assessment

Question 1

You are the A & E doctor

You have been called to see Mr Smith a 55 year old gentleman.

You initiate your A to E assessment.

What is the first thing you should do before carrying out your A to E?

Answer 1

Have a look at the OBS or ask for the most recent OBS

Temperature
HR
BP
RR 
Sats

Question 2

You are the A & E doctor

You have been called to see Mr Smith a 55 year old gentleman.

You have seen from the obs that the patient has sats of 92 but he doesn’t appear breathless. He does not have COPD

How would you resolve this problem?

Answer 2

15 L Oxygen

Non re-breathe mask (Hudson)

Question 3

Give a list of common CVS Emergencies

Answer 3

Cardiac Arrest
Hypertension
ACS
STEMI
HF
AF
PE
DVT

Question 4

Give a list of common Respiratory Emergencies

Answer 4

Respiratory arrest
Asthma
COPD
Spontaneous pneumothorax

Question 5

Give a list of common GI Emergencies

Answer 5

Gi Bleeding

Question 6

Give a list of common Metabolic Emergencies

Answer 6

DKA

Hypoglycaemia

Question 7

Give a list of common Neuro Emergencies

Answer 7

Stroke
Epileptic Seizure >15 min
Anaphylaxis