PCH resus guidelines Flashcards
causes of respiratory failure
asthma
bronchiolitis
aspiration
pnuemonia
foreign body
croup
posioning
causes of circulatory failure
anaphylaxis
septic shock
hypovolaemia
congenital heart disease
arrythmia
trauma
central neurological failure
raised ICP
infections
trauma
seizures
airway assessment
stridor, hoarse voice, neck swelling or brusiing, airway foreign body
resus using: suction, airway mnouvres, airway adjuncts (oropharyngeal or nasopharyngeal airways)
endotracheal intubation, surgical airway
breathing assessment
effort: resp rate, nasal flaring, grunt, tracheal tug
efficacy: air entry, chest expansion, O2 sats
effects: heart rate, skin colour, mental status
resus for breathing
hgh flow oxygen via non-rebreathing mask with reservoir bag
support ventilation: humidified high flow oxygen, positive end expiratory pressure, bag valve mask ventilation
consider intubation and positive pressure ventilation
circulation aassessment
cardiovascular function, tissue perfusion, intravascular volume and control bleeding
- heart rate
- pulse volume
- capillary refill time
- blood pressure
resus for circulation
high flow oxygen
IV or inraosseous access with blood collection investigations
bolus of sodium chloride and repeat as necessary
early consideration of inotropes
control external bleeding
treat arrythmias
disability
conscious level
pupil size, symmetry and reactivity
posturing and tone
seizure activity
fontanelle
BGL
what shouldnt you forget during disability assessment
BGL
disability resus
consider inntubation
correct hypoglycaemia
treat status ellipticus
exposure asessment
temperature, abdominal examination
non-blanching rashes or purpura
urticaria or angiodema
exposure resus
aim for normothermia
antibiotics for suspected sepsis
treaat anaphylaxis
analgesia
aim of the secondary assessment
establish underlying cause
focused history and pysical examination
lab investigations and imaging
working diagnossiss
early antibiotics for suspected epsis
aim of ongoing assessment
reasses patient
ECG monitoring
pulse rate
resp rate
O2 saats
BP
temp