DME Crib Sheet

Question 1

What does ABCDE stand for

Answer 1

Airway
Breathing
Circulation
Disability
Exposure

Question 2

What comes under airway

Answer 2

Initial obs
Audible sounds
Visual inspection

Question 3

What comes under breathing

Answer 3

Pulse oximetry
Respiratory rate
Peak flow (if asthma suspected)

Question 4

What comes under circulation

Answer 4

Reported symptoms (dizzy/faint)
Heart rate/rhythm
Blood pressure

Question 5

Disability

Answer 5

Blood glucose
AVPU
Pain

Question 6

Exposure

Answer 6

Visual inspection of skin
Past medical history/drug history
History of complaint

Question 7

What does AVPU stand for

Answer 7

Alert
Verbal
Pain
Unresponsive

Question 8

What is normal SpO2

Answer 8

94-98 or 88-92 if at risk of hypercapnia

Question 9

What is a normal heart rate?

Answer 9

Regular and 60-100 bpm

Question 10

What is normal blood pressure

Answer 10

110
Do not give GTN if below 90 because this is low. If below 110 but above 90 give one spray and see how patient gets on in lazy W

Question 11

What is normal blood glucose

Answer 11

4-8 mmol

Question 12

How do you use GTN

Answer 12

Invert prime away from pt, two sprays sublingual while others holds breath

Question 13

How do you give salbutamol

Answer 13

In spacer, shake nod give on outbreath and wait for five breaths then shake and repeat

Question 14

How do you use adrenaline

Answer 14

500mg 90 degree angle in leg stretch skin aspirate

Question 15

How do you use glucagon

Answer 15

Subcut injection in stomach 45 angle and pinch skin with bevel facing up