Airway
What is one of the easiest ways to first assess airway patency in a conscious patient
-Asking them to respond to a question
-Look and listen
This is immediately assessed after Airway
Breathing
Name the components of a circulation assessment
-HR
-Temp (also allowed for D)
-Blood pressure
-ECG
-Pallor, skin warmth, cap refill
What includes a neurological assessment
GCS (EVM)
Pupil size
Motor Response
Look at the patients full skin
look for rash, trauma, wounds, breakdown etc
What part of the anatomy confirms the airway is patent in an unconscious patient
-Observing chest rise and fall
-listening for breath sounds
What is a normal rate for an adult patient
12-20 breaths per minute
When should an ECG be attended and what immediate action should taken once an ECG is completed
ECG should be attended on all patients presenting with CP, ECG, acute SOB or indications of cardiac issues. Should also be attended with patients of a certain age, females with atypical chest pain, Pre operative patients.
Show the ECG to a medical officer - Senior
What is an A-WPTAS
Head injury assessment
GCS Neuro
remembering 3 objects
Passing within 2-3 hours
A petechiae and purpura rash in a patient with a patient may indicate what illness
meningococcal
Stridor
What is the RATES acronym
R- Resp Rate
A- Auscultation
T- Trachea
E- Effort
S- sp02
A patient with a normal BP, increased HR, Cool peripheries and delayed cap refill is presenting in what stage of shock
Compensated
Neurological deterioration
below what temp indicates hypothermia
above what temp indicates hyperthermia
In adult patients
35.5 (35)
38.5
What maneuver is used to open a patients airway is you suspect a c-spine injury
Jaw Thrust
Sp02 should only be used as a reliable observations in conjunction with what else
WOB, Use of accessory muscles, patient presentation and appearance, patient condition
This circulation finding is the earliest indicator of shock in adult patients
tachycardia
A patient obeys commands but is confused. What Verbal score would you give
4
Battles sign can indicate what
At what point is A assessed and why
assessed first in ABCDE. If no airway no point as the patient will be DEAD or soon DIE
A patient has a RR of 34, using accessory muscles, appears tired and shallow RR
Their sp02 is 96% on RA
What is the likely cause of their respiratory presentation
Hypercapnia
A drop in diastolic blood pressure with narrowing pulse pressure suggests failure of this mechanism
Systemic Vascular Resistance
A decline in GCS in trauma is most concerning because it may indicate what?
increased intracranial pressure
Trauma induced hypothermia worsens what process
Triad of death
-Hypothermia
-Acidosis
-Results in coagulopathy