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OSCEs > ILS > Flashcards

ILS Flashcards

1
Q

Emergency Handover
- Verbal Structure

A

SBARD

S - Calling about Mr/Mrs ___ on ___ ward who is septic/___

B - They are ___YO with b/g of ___.
- Febrile and ___ admitted ___ to ____

A - A: Clear
- B: RR __, Sats __ on __l O2, ABG
- C: HR 1__ BP __/__, CRT __, T ___
- D: Drowsy
- E: SNT

R - Prepping __ medication
- Need help with ___

D - We have agreed you will___

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2
Q

Airway Manoeuvres

A

Airway manoeuvres

  • Head-tilt Chin-lift
    1. Palm on forehead
    2. Other fingers under chin
  • Jaw thrust
    1. C Grip
    2. E Grip
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3
Q

Simple Airway adjuncts
- Two Paths

A

Simple Airway adjuncts

1 Oropharyngeal
2 Nasopharyngeal

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4
Q

Advanced Airway Adjuncts

A

Advanced Airway Adjuncts

  1. Supraglottic
  2. ET
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5
Q

Airway Protection
- Fluids and Secretions

A

Airway fluids

  1. Suction visible areas
    - 5-10 seconds
    - Pouch of cheek - arch of tongue - pouch of cheek
    - Yankauer catheter
  2. Recovery position
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6
Q

Anaphylaxis

  1. Definition
  2. Treatment dose adrenaline
A

Anaphylaxis

  • Sudden onset and rapid progression
  • Life-threatening A/B/C problems
  • Skin/mucosal changes

Adrenaline
- 0.5ml (1mg/mill)
- Children 0.3ml

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7
Q

Choking
- Maneuvers

A

Choking maneuvers

  1. Cough
  2. Back-slaps
  3. Abdominal thrust
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8
Q

AVPU - GCS Correlation

A

AVPU- GCS

A - 15
V - 12
P - 7/8
U - 3

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9
Q

Pupillary Light Reflex
- Normal vs Abnormal

A

Pupillary Light Reflex

  1. Bright light
    • 2-4mm
  2. Dark
    • 4-8mm
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10
Q

Miosis vs Mydriasis

A

Miosis
- Constricted
- Opioids

Mydriasis
- Dilated
- ICP
- Brain insult
- Cocaine/marijuana/amphetamines

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11
Q

Hypoglycaemia
- Mx

A

Hypoglycaemia mx

  1. Quick acting carbohydrates
    - 60mls gluco juice
    - 150 mls fruit juice
    - 5-7 dextrose tablets
  2. Long-acting carbohydrates
    - 2 biscuits
    - 1 slice bread/toast
    - 200-300ml milk
    - Normal meal
  3. Hourly obs
    - IV insulin infusion if necessary
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12
Q

Assessing AKI
- Stages 1-3
- Serum Creatinine vs Urine

A

Assessing AKI

Stage 1
- 1.5-1.9 x baseline (>26micromol/litre)
- <0.5ml/kg/hr urine x 6hr

Stage 2
- 2-2.9 x baseline
- <0.5ml/kg/hr x 12 hr

Stage 3
- 3 x baseline (>354 micromol/litre)
- <0.3ml/kg/hr 24hr or anuric 12 hr

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13
Q

Acute Asthma
- Mx

A

Acute Asthma

O - xygen

S - albutamol (5mg)
H - ydrocortisone
I - pratropium bromide (500mcg)
T - hipholine/aminophylline 5mg/kg

M - agnesium
E - scalate care

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14
Q

Advanced Life Support
- Algorithm

A
  1. CPR 30:2
  2. Assess Rhythm

A: ROSC
- Return of spontaneous circulation

B: Shockable (VF/pulseless VT)
- Shock x 1
- CPR x 2 min
- Adrenaline 3-5min
- Shock x 3 - Amiodarone

C: Non Shockable (PEA/Asystole)
- CPR x 2 min

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15
Q

Reversible Cardiac Arrest

H
1,2,3,4

T
1,2,3,4,

A

Reversible causes of cardiac arrest

Hs
1. Hypoxia
2. Hypovolaemia
3. Hyp(o/er)thermia
4. Hyp(o/er)kalaemia

Ts
1. Thrombosis
2. Tension pneumothorax
3. Tamponade
4. Toxins

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16
Q

Chest compressions

  1. Position
  2. Rate
A

Chest compressions

  1. Lower half of sternum
  2. 100-120 per minute
17
Q

Defibrillator
- Pad requirements

A

Defibrillator pad requirements

  1. Dry
  2. Not hairy
  3. Piercings on chest
  4. Known implanted device
18
Q

AE Defibrillator ‘Shock Advised’

  1. Checks
  2. Joules
A

AED Shocks

  • Checks
    1. Oxygen
    2. Metals on chest
    3. Indirect/direct contact
    4. Fluids in zone
  • Joules (auto escalation)
    1. 200J
    2. 300J
    3. 360J
19
Q

AED Lifepak 20e
- Converting to Manual

A

Converting to manual AED

  1. Turn on and wait for full start
    - will beep
  2. Press manual button
  3. Open door
20
Q

Lifepack 20e
- Converting back to AED

A

Converting back to AED

  1. Press analyze
  2. Prompts will resume
21
Q

Manual defibrillation
- Analysis

A

Manual defibrillation

  1. Stop compressions
  2. Check monitor
  3. Check for pulse if required
  4. Prepare for safe shock
22
Q

Cardiac arrest

  1. Shockable rhythms
  2. Non-shockable rhythms
A

Cardiac arrest

  • Shockable
    1. Pulseless VT
    2. VF
  • Non-shockable
    3. PEA
    4. Asystole
23
Q

ALS
- Asystole Mx

A

Asystole Mx

  1. CPR
    - 2 minute 2 checks
  2. IV/IO access
    - 1mg Adrenaline IV (1:10,000) immediately
    - Repeat adrenaline IV
24
Q

ALS
- PEA Mx

A

PEA Mx

  1. CPR
    - Check every 2 minutes
  2. IV/IO access
    - Adrenaline IV 1mg (1:10,000)
25
Q

ALS
- VFib Mx

A

VFib Mx

  1. Shock at 200J
  • CPR
  1. Shock at 300J
  • CPR
  1. Shock at 360J
    - 1mg Adrenaline +flush
    - 300mg Amiodarone +flush (only once)
    - CPR
26
Q

ALS
- pVT Mx

A

pVT

  1. Shock at 200J
    - CPR
  2. Shock at 300J
    - CPR
  3. Shock at 360J
    - 1mg Adrenaline +flush (repeat)
    - 300mg Amiodarone +flush (only once)

OSCEs (8 decks)

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