Managments

Question 1

When attending an elderly fall - what are the assessments required

Answer 1

Fast
12 lead ECG
Postral drop
Head to toe ( trauma )
Mobility test

Question 2

When attending an elderly fall what history questions are important

Answer 2

• mechanism of injury ( intrinsic/ extrinsic
• duration on floor ( long lie)
• LOC
• Prior, during the fall, after fall

Question 3

What are the symptoms of symptomatic bradycardia
2) treatment plan

Answer 3

1) bradycardia causing poor precision - (HR 40-), BP(less 90), confusion, HF

2) O2 (94%+), pads, cannulate, atropine (600mcg -5 mins), fluids (100mmgh maintain)

3) if unrespetive to treatment plan = prealert

Question 4

How would you manage a fracture

Answer 4

• Early pain relief ( enternox)
• Assess neurovascular compromise
• Longer lasting analgesia ( parcemol/ morphine
• Vacuum splint

Question 5

What is the assessment pathway for patient with asthma

Answer 5

Rapid primary survey ( derterminLT features )
- RR + HR + ISIFS ( give nebs + hydrocortisone)
- if GHOST is present ( Adrenaline 1:1000 + 02 then nebs + hydrocortisone)

Full set of OBS + 12 lead ECG

• if pt not receptive to treatment = pre alert

Question 6

What is the basic management plan for an arrythmia ( Brady / svt)

Answer 6

S - support abc
T - 12 lead
O - oxygen ( if needed)
P - pads
P - pre alert
I - IV + fluid( if needed)
T - tamper ( atropine / vagas monover)