ABCDE Assessment
Initial assessment Measure Action Consider
Secure - If patient is talking. Non-patent airway:
Not secure - snoring, stridor, 1. Jaw thrust vs Head
obstruction (secretions, tilt/chin lift.
vomit, blood, oedema), 2. Suction if needed.
AIRWAY Aspirated, GCS<8. 3. Naso vs
oropharyngeal tube vs
intubation.
Cyanosis, accessory muscle 1.Respiratory rate 1. Hypoxia - bag/mask 1. ABG
use, trachael position, chest 2. SpO2 oxygen. 2. Chest X-ray
symmetry, auscultate breath 3. Chest exam 2. Decompression of
sounds and percussion. 4. Check calves for pneumothorax
BREATHING DVT. 3. Positioning of
patient
Initial assessment Measure Action Consider
Secure - If patient is talking. Non-patent airway:
Not secure - snoring, stridor, 1. Jaw thrust vs Head
obstruction (secretions, tilt/chin lift.
vomit, blood, oedema), 2. Suction if needed.
AIRWAY Aspirated, GCS<8. 3. Naso vs
oropharyngeal tube vs
intubation.
Cyanosis, accessory muscle 1.Respiratory rate 1. Hypoxia - bag/mask 1. ABG
use, trachael position, chest 2. SpO2 oxygen. 2. Chest X-ray
symmetry, auscultate breath 3. Chest exam 2. Decompression of
sounds and percussion. 4. Check calves for pneumothorax
BREATHING DVT. 3. Positioning of
patient
