ILs Osce Flashcards
What is the first step when approaching the scene?
Scene and patient safety - ask if it’s safe to approach
What must you do for scene safety to yourself
Apply gloves or ppe
What must you get if the patient is alert?
Consent - and explain wishes to patient
If not alter act under the doctrine of necessity
When scene is safe what do you do?
Ask about their general appearance, AVPU status - End of bed assessment
What do you do in the primary survey ?
ABC - comfirm primary survey positive or negative and if they are time critical
What can you use for airway management?
OPA, NPA, head chin tilt lift, jaw thrust, suction
What are you doing in the initial management and assessment
ABcDE,
Airway management - opa, npa, head tile chin lift, jaw thrust
Breathing - oxygen applied early, breathing assessed
Circulation - ecg monitoring, heart rate, bp
Expose and examine - any other injuries
Develop working and different diagnosis
Request backup - LUCAS device
Cardiac arrest management - what is the first step
Confirm cardiac arrest and update backup crew
What is the second step in cardiac arrest management
Immediately commence cpr - 30:2
What is going on after commencing cpr - cardiac arrest management?
Effectively managing airway using stepwise approach - HtCL - opa - npa - igel
Once the airway is secure and managed what do you do - cardiac arrest management
Ventilates using bvm
With cardiac arrest management what is important that you get on quickly?
The pads
What also needs to be attached to the monitur during cardiac arrest mangement?
Capnogrophy, establishing ETCO2
Once the airway is set up and the pads are on the chest what is important to do - cardiac arrest management?
Check the rhythm and verbalise what rhythm it is
If the rhythm is shockable, what energy should the defib be set at?
360 joules
