Falls Flashcards
1
Q
falls DDx
complications?
A
mechanical dehydration postural hypotension confusion (electrolyte abnormality, dementia, sepsis) arrythmia aortic stenosis
complications: mechanical injury, cerebral bleed
2
Q
falls during call
A
witnessed? head injury?
background
observations and GCS
anticoag?
ask for: ECG and postural BP
3
Q
falls Hx + exam
A
falls Hx
NS
CVS + RS
headache, vomiting, injury
obs + postural bp GCS + pupil reactivity neuro exam injuries, skin bruising, bleeding bone fracture (skull, flex/rotate hip)
4
Q
falls Ix
A
BOXES Bloods - glucose, FBC, WCC, CRP ECG CT head if head hit: and - on anticoag - 2 or more vomits - focal neurology - suspected skull fracture - GCS decreased by <1 or more - post traumatic seizure
sepsis Ix
XRay - fracture
5
Q
Rx falls
A
Rx cause
Rx injuries
Neuro obs if hit head or unwitnessed
