RRAPID Flashcards
Recognise Airway
Look
Chest movements - paradoxical/ see-saw
Accessory muscles
Foreign body
Listen Stridor gargling wheeze Silence
Feel
inhalation/exhalation from mouth
Response of Airway
15L non re-breath mask
Head tilt/chin lift
jaw thrust
Oropharyngeal airway
Nasopharyngeal airway
Laryngeal mask airway
Ventilate using bag and mask
Recognise Breathing
Look RR O2 sats Cyanosis Chest expansion Scars
Listen Chest sounds Wheeze, stridor, cough Speaking in full sentences percussion auscultation
Feel
Pulse Rate
Trachea
Chest expansions
Response of Airway
Pulse oximetry
ABG
CXR
Sputum culture
Recognise Circulation
Temp
CRT
pulse
BP
JVP
auscultate heart sounds
Urine output
Response of Circulation
2 largest bore cannulas
Bloods
12 lead ECG
Fluid challenge
Reassess
Recognise Disability
AVPU - GCS
Pupils - pupils equal and reactive to light
Glucose
Neuro exam
Seizures?
Drug charts
Response of Disability
Ensure airways are safe
Recognise Exposure
Temperature
Expose patient
bleeding or rash
Abdo exam
Top to toe examination
Patients notes
Response of Exposure
SBARR
Documentation
Response for acute severe asthma
SIT PATIENT UP
15L O2 non-reservoir mask
Salbutamol Nebulised (SABA)
Ipratropium SAMA
Hydrocortisone IV or predinisolone orally
Magnesium sulphate
bloods
ABG
CXR
Response for acute COPD
SIT PATIENT UP
Controlled O2 therapy, aim O2 sats 88-92% with venturi mask
Salbutamol nebuliser
Ipratropium bromide nebuliser
Hydrocortisone IV or prednisolone orally
Antibiotics if evidence of infection
Bloods
Sputum cultures
CXR
ABG - T2RF? –> non-invasive ventilation
intubation and ventilation if appropriate
Tension pneumothorax response
Give O2 15 L/min via a reservoir mask
Do not delay management by waiting for a chest X-ray
Needle decompression – large bore needle (14-16G) 2nd intercostal space mid-clavicular line (leave in place before insertion of chest tube)
Insertion of chest tube
PE response
SIT PATIENT UP
O2 15 L/min via a reservoir mask
Support respiration if necessary with non-invasive or invasive ventilation
Treat hypotension with a fluid bolus
Anti-coagulate patient with low molecular weight heparin
Consider thrombolysis
Do not transfer a patient for a confirmatory CT pulmonary angiogram unless patient is stable
Bloods
ABG
ECG
response of ACS
STEMI
O2 15 L/min via a reservoir mask aim 94-98%
Morphine
aspirin with clipadogrol or ticagrelol
GTN
ECG
IV access and bloods
PCI
refer to cardiologist
NSTEMI
O2 15 L/min via a reservoir mask aim 94-98%
Morphine
aspirin with clipadogrol or ticagrelol
GTN
ECG
IV access and bloods
refer to cardiologist
LMWH subcutaneously after discussion with cardiologist
