Teaching Flashcards
Airway station: adult basic
Talking, Apply O2, c spine, pulse ox
Deteriorate; gurgle, snor
Suction, Jaw thrust, NP, OP
BVM 1 and 2 person; 4 stage?
I gel, intubation indications, LEMON
Airway paediatric infant
Roll under torso
Jaw thrust
Avoid NP
OP; no 180
BVM
Airway FONA
Indication; CICO, LEMON
4 stage
Under 12 needle cricothyroidotomy
Over 12 surgical; scapel bougie tube
Disability; TBI
Case
GCS on board
Demonstrate GCS on patient
Pupillary response
Lateralising signs
BG
Deteriorates
Reassess, imaging, TBI priorities
Avoid; normalise O2 and CO2, avoid low BP
Head up, no neck restriction
Correct coag, TXA
Disability: spinal
Case
Demonstrate neuro exam
Discuss myo and Dermatomes
C7/L1 level , plan
Deteriorates, reassess
X-ray approach
ROCSM
Demonstration collar and blocks
From chin to trapezius meeting neck
Assess candidates
Discuss cases pros and cons ROCSM
A to E report
Trauma team, major haemorrhage
C - immobilise, MIL
A - patent, tube, depth, CO2
B - Sats on %, RR
- look, feel, listen
C - BP, HR,
- look, feel: skin, pulse
- abdo, pelvis, femur
D - GCS, pupils, BG, lateralise
E - temp, expose, log roll
A to E treatments
Trauma call, major haemorrhage
C - manual, block and collar
A - suction, O2, BVM, RSI, tube
B - Thoracostomy; needle, drain
- NG tube, sedation
C - tourniquet, p binder
- IV/IO, TXA
- level 1, blood/FFP
- splint, catheter
D - head up, NaCl, mannitol
- RSI, CO2
E - bait hugger, warm Fluid
Pelvic XR
3 rings; pelvic ring, 2x obturator
3 lines; Shenton’s line, iliopectineal, ilioischial
Joint space; SI and symphysis pubis <5mm
Hips
Pelvic XR
3 rings; pelvic ring, 2x obturator
3 lines; Shenton’s line, iliopectineal, ilioischial
Joint space; SI and symphysis pubis <5mm
Hips
Secondary survey
Top to toe
Look feel move
With obs
Head;
Eyes, contacts, lens, acuity
Ears haemotympanum
A to E
Limbs; look, feel pulses, tender, move
PN exam
