ABCDE Flashcards
A-airway
Call for help
A- look for signs of obstruction ? Struggling
Anything in mouth- clear with suction if so
Any sounds of stridor / wheeze
Use simple manoeuvres or adjuncts
High flow oxygen
B breathing
Attach stats probe
Look- work of breathing, accessory muscles
RR (normal is 12-20) assess patter of breathing, deep/ shallow kussmauls.
Is expansion equal? Tracheal location
Percussion
Any deformity? Drains or surgery?
Auscultation
Give high flow oxygen, if at risk of hypercapnic Resp arrest aim 88-92%
C- circulation
Look, are they cyanosed? Feel hands ? Clammy / temp, cap refil time (5 seconds cap bed and refil should be <2 s) Feel pulse - rhythm, rate and strength Look at JVP, ? Dilated neck veins Blood pressure Listen to heart sounds ? Murmur
Cannula in, bloods out with ABG/ vbg
Give fluid bolus , consider vasopressors, inotropes
D -disability
GCS
Eyes open to pain (2) voice (3) spontaneously (4)
Voice noises (2) words (3) confused (4) normal (5)
Motor extension to pain (2) flexion to pain (3) withdraw (4) localise (5) obey commands (6)
Glucose - if <4 then give 100ml 10% glucose and 1mg glucagon IM.
Temperature
E - expose
Check top to toe again
Asses abdomen
Legs, malaena etc