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Wat causes Vfib? - 🧠 ANSWER ✔✔
Airway - Look - 🧠 ANSWER ✔✔Obstructions, Swelling, Secretions, vomiting,
bleeding, See sawing, Colour, flushed
Airway - Feel - 🧠 ANSWER ✔✔Airflow/breath at mouth and nose
Airway - Listen - 🧠 ANSWER ✔✔Is the patient speaking?
Stridor/Snoring/Gurgling/Crowing
Airway management - 🧠 ANSWER ✔✔◼ Ensure the airway is patent and
maintained
◼ Simple airway manoeuvres - jaw thrusts
◼ Position
◼ Suction
,◼ Consider using adjuncts
MET criteria airway - 🧠 ANSWER ✔✔Airway obstructed
Breathing- Look - 🧠 ANSWER ✔✔O2 sats, resp rate and pattern,Symmetrical
chest movement,Use of accessory muscles, Colour, tracheal deviation, ABG
Breathing- Feel - 🧠 ANSWER ✔✔for position of trachea, surgical emphysema or
crepitus, symmetrical chest expansion
Breathing - listen - 🧠 ANSWER ✔✔to the patient talking and noisy breathing,
orientation
Breathing Management - 🧠 ANSWER ✔✔oxygenation, ventilation,
medications,Position patient,High concentration oxygen,Oxygen saturation
monitoring,Bag valve mask,Consider nebulisers (oxygen driven)
Breathing MET criteria - 🧠 ANSWER ✔✔sats <90% despite 02 administration
Respiratory rate <8 Respiratory rate >30
Circulation- Look - 🧠 ANSWER ✔✔At the skin colour for pallor and peripheral
cyanosis
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,At the capillary refill time
pale
JVP
peripheral oedema
Temp
Urine output
IVC
INR
Insensible loss & Hemorrhage
Circulation - Listen - 🧠 ANSWER ✔✔Manual Bp
Heart Sounds
Circulation - Feel - 🧠 ANSWER ✔✔Your patients' hands and feet - are they warm?
Patients' peripheral pulses for presence, rate, quality, regularity and equality
Cap refill
Circulation Management - 🧠 ANSWER ✔✔◼ Ensure patent IV access
◼ Take appropriate bloods
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, ◼ Consider blood cultures GIVE IV FLUID BOLUS 500mls over 5-10 minutes
◼ Assess response (monitoring) and repeat as necessary
◼ Consider urinary catheterisation
ECG
Heparin
Circulation MET criteria - 🧠 ANSWER ✔✔<40 bpm >130, Systolic BP <90, UO
31ml/kg/hour - Unexplained fall to <100ml over 3hrs
Disability - Assessment - 🧠 ANSWER ✔✔AVPU - awake/alert, verbal, responds to
pain, does not respond/unconscious
Pupils equal round reactive to light -can indicate if there is pressure on cranial
nerves
Mental status-Questioning on orientation, attention, calculation , judgement and
insight
BGL
GCS
NVO
Seizures
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PRIVACY STATEMENT. ALL RIGHTS RESERVED