Emergency/collapse

Question 1

What is included in the primary emergency survey

Answer 1

TPMR - temperature, pulse and quality, MM, CRT, respiratory rate/effort
Fast scanning
BP
Pain assessment
allows decisions on pain relief and fluid therapy before further assessment

Question 2

What is included in the secondary patient survery

Answer 2

blood glucose
ketometer
EPOC/iSTAT - machines give a lot of information
PCV/TP - septic often hypoalbuminaemic
Auscultation for arryhtmias/murmurs if not done already
Brief neuro exam
ECG

Question 3

What is in the tertiary patient assessment

Answer 3

history
full clinical exam
imaging
full blood tests
any other investigation

Question 4

collapsing patients

Answer 4

often normal at presentation
DDx - collapse, weakness, cyncope, fainting, fitting, seizures etc
history/description vital - video ideal

Question 5

syncope defintion

Answer 5

sudden short lived loss of consciousness

Question 6

clinical signs of syncope

Answer 6

sudden onset
generalised weakness/ataxia
flaccid collapse
loss of consciousness