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Module 4 OSCE > Medical emergency > Flashcards

Medical emergency Flashcards

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1
Q

What is A?

A

Airway - is the airway open?

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2
Q

What do you check airway for?

A

Is it open?
Are there noises? Strider wheezing gurling

Noise = partial blockage
No noise = complete blockage

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3
Q

What is B?

A

Breathing

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4
Q

What do you check for with breathing?

A

Respiratory rate
SP02 levels
Chest expansion

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5
Q

What is a normal respiratory rate and a concerning rate?

A

Normal - 12-20
Concerning - >25

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6
Q

What should SP02 levels be?

A

96% and above

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7
Q

What is C?

A

Circulation

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8
Q

What are you checking for with circulation?

A

Pulse
Blood pressure
CRT

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9
Q

What is a normal and concerning pulse?

A

Normal - 60-100bpm
Concerning - >100bpm

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10
Q

What is normal high and low blood pressure?

A

Normal - 120/70
Hypertension - 140/90
Hypotension - 90/60

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11
Q

What should CRT be?

A

2 second below

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12
Q

What is D?

A

Disability

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13
Q

What are u checking for disability?

A

ACVPU
blood glucose

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14
Q

What is ACVPU?

A

Alert
Confusion
Verbal
Pain
Unconscious

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15
Q

What is a hypoglycaemic level?

A

<4mmols

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16
Q

What is E?

A

Exposure

17
Q

What are you checking for with exposure?

A

Blood loss
Swelling
Rash
Temperature

18
Q

What could a high temperature (pyrexial) imply?

A

Sepsis

19
Q

What is myocardial infarction?

A

Heart attack

20
Q

What are signs and symptoms of a heart attack?

A

Severe, crushing central chest pain which can radiate to neck jaw shoulders left arm and back)

Pallor, sweating
Nausea/ vomiting
Breathlessness

21
Q

What is the first thing you do in the instance of a medical emergency?

A

Call 999 and ABCDE approach

22
Q

What position would you put a patient in with signs of a heart attack?

A

Comfortable

23
Q

What would you administer for a heart attack?

A

GTN - 2 activations
If no allergy - 300mg aspirin orally (crushed or chewed)
Cyanosis/ losing consciousness - 15l/min 02

24
Q

What are signs and symptoms of hypoglycaemia?

A

Shaking
Slurred speech
Vagueness
Sweating
Double vision
Confusion
Unconsciousness

Children - lethargic

25
Q

What would you do first when suspecting a hypoglycaemic patient?

A

Measure blood glucose
Call 999 if patient not responsive

26
Q

What would you administer to a conscious hypoglycaemic patient?

A

10-20g glucose - orange juice, non diet fizzy drinks, 4 x glucose tablets/gel

27
Q

What would you administer to an impaired conscious hypoglycaemic patient?

A

Buccal glucose gel and or glucagon 1mg IM

Once consciousness returns offer oral glucose

28
Q

What is the paediatric dose of glucagon for hypoglycaemia?

A

<8 years/ <25kg: 0.5mg

29
Q

What are signs and symptoms of syncope?

A

Faint/ dizzy/ light headed
Collapse and loss of consciousness
Pallor, sweating, slow pulse, low BP
nausea/ vomiting

30
Q

How do you manage a patient with syncope?

A

Lie flat and elevate legs
Loosen tight clothing
Administer 02 15l/min

If unresponsive check for signs of life

Module 4 OSCE (4 decks)

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