Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OSCE CRAM > Medical Emergencies > Flashcards

Medical Emergencies Flashcards

1
Q

Medical emergency immediate protocol

A

ABCDE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How to assess airway

A

Can patient talk
Listen for stridor/snore/wheezing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Manoeuvres to assess airway

A

Head tilt chin lift
Jaw thrust
Oropharyngeal airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a normal respiratory rate?

A

12-20 breaths per min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to check breathing

A

Look for chest rising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is respiratory rate

A

The number of breaths you take per min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

02 saturation levels

A

98% normal
82% fingers and lips go blue
60% tongue goes blue (hypoxic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How to check patients circulation

A

Pts pulse on wrist or neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is normal heart rate

A

60-99bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Time frame for capillary refill to be a sign of organ perfusion

A

Under 2s on fingertips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How to check disability

A

ACVPU - Glasgow Coma Scale
Alert
Confusion
Verbal
Pain
Unresponsive
Assess pupils - size + symmetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to check exposure

A

Rashes - sign of anaphylaxis/adverse drug reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ABCDE for anaphylaxis

A

A - swelling
B - increased RR
C - increased HR
D - LOC
E - rash/swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tx for anaphylaxis

A

Do not stand up as can cause cardiac arrest
Lie flat elevate legs
Administer 15l 02 100% non rebreathable mask
Administer adrenaline 0.5ml 1:1000
If not effective repeat at 5 min intervals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dose of adrenaline in an epi pen

A

0.3mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ABCDE for asthma

A

A- struggling to talk
B - increased RR
C - increased HR
D - often alert
E - tripod position to get more O2 in

17
Q

Tx for asthma

A

Mild/moderate
Salbutamol 100mg 2x puff with spacer (can give up to 10 puffs)
15l/min 100% O2 non rebreathable mask
Life threatening
RR <8
HR <50
Begin chest compressions

18
Q

ABCDE for angina

A

A - talking
B - increased RR
C - increased HR
D - chest pain, pain spreading to left or right arm
E - pale, clammy, central chest pain, sick, lightheaded

19
Q

Tx for angina

A

ABCDE
2 sprays GTN sublingually
If pt doesn’t have satisfactory BP and doesn’t improve after GTN then consider MI and give aspirin

20
Q

ABCDE for MI

A

A - talking
B - increased RR
C - increased HR
D - chest pain, pain spreading to left or right arm
E - pale, clammy, central chest pain, sick, lightheaded

21
Q

Tx for MI

A

GTN spray 2x sublingually
300mg dispersible Aspirin chewed, no water for 10 mins as absorbed through oral mucosa

22
Q

ABCDE for seizure

A

A - can be compromised
B - can be altered
C - can be altered
D - unresponsive
E - seizure activity, incontinence

23
Q

Tx for seizure

A

Make environment safe
Recovery position
o2
If longer than 5mins or 3 or more in 1 hour then administer midazolam or oromucosal solution 10mg

24
Q

ABCDE for Hypoglycaemia

A

A - initially talking, slurred
B - initially increased but can then decrease
C - initially increased HR but can then decrease
D - initially alert can lead to LOC
E - irritable, confused, sleepy, blurred vision

25
Q

Tx for Hypoglycaemia

A

If alert:
3-4 glucose tablets
If unconscious or unable to swallow:
IM glucagon injection

26
Q

ABDCE for syncope

A

A - compromised
B - reduced rate
C - reduced rate
D - unresponsive
E - pale, clammy, dizzy, lightheaded

27
Q

Tx for syncope

A

Lie flat elevate legs loosen tight cloting
Can give O2 but usually not needed
Once conscious offer glucose

28
Q

Choking tx

A

Ask if can cough (then can breathe)
5 back slaps
5 abdominal thrusts

29
Q

Adrenaline for Anaphylaxis drug dose

A

IM injection
Tension on thigh, aspirate
On removal bring out half then fully remove to avoid loss of drug

30
Q

Salbutamol (B2 bronchodilator) for asthma attack dose

A

100mg 2 puffs spacer

31
Q

GTN spray for angina/MI dose

A

400mg 2 sprays sublingually

32
Q

Aspirin for MI dose

A

300mg dispersible - absorbed by oral mucosa

33
Q

Glucose for Hypoglycaemia dose

A

20g fast acting glucose
3 glucose tablets or glucogel

34
Q

Glucagon for Hypoglycaemia (pt unable to swallow/unconscious)

A

1mg iM

35
Q

Midazolam oromucosal solution for seizure dose

A

10mg midazolam into buccal sulcus
Always give o2 as well

OSCE CRAM (40 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions