Resuscitation

Question 1

Signs and management of airway obstruction

Answer 1

• Paradoxical chest and abdominal movements
• Use of accessory muscle of respiration
• Central cyanosis
• No breath sounds or air entry diminished/noisy

Management

• Airway opening manoeuvres
• Airway suction
• Oropharyngeal/nasopharyngeal airway, tracheal intubation

Question 2

Oxygen saturation aims

Answer 2

Normal: >96%

Acute respiratory failure: 94-98%

Hypercapnic respiratory failure: 88-92%

Question 3

Signs of respiratory distress

Answer 3

• Sweating
• Central cyanosis
• Use of accessory muscles of respiration
• Abdominal breathing
• Increasing/high (>25) RR

Question 4

Respiratory examination

Answer 4

• Depth/pattern of breathing and chest expansion
• Chest deformity
• Raised JVP
• Presence/patency of chest drains
• Breath sounds - rattling, stridor
• Percussion
• Auscultation
• Tracheal position

Question 5

Circulation

Answer 5

• Peripheral temp and colour
• Cap refill time
• State of veins
• Palpate pulses: rate, quality, regularity, equality
• BP
• Auscultate heart
• Haemorrhage

Question 6

Disability

Answer 6

• Pupils: equality, size, reaction to light
• AVPU/GCS: alert, vocal stimuli, painful stimuli, unresponsive
• Capillary BG