Treatment

Question 1

Acute coronary syndrome

Answer 1

Perform ECG (assess for STEMI)
If STEMI head to PPCI
Give aspirin
Give GTN (if necessary)
Give pain relief (if necessary)
Give oxygen (if necessary)
Have defibrillator prepared

Question 2

Stable angina

Answer 2

Perform ECG (assess for STEMI)
Give GTN
If resolved give worstening advice
If unresolved treat as acute coronary syndrome

Question 3

Aortic dissection

Answer 3

Give pain relief
Give oxygen (if necessary)
Rapid transport to hospital

Question 4

Aortic aneurysm

Answer 4

Give oxygen (if necessary)
Give pain relief (if necessary)
Givefluid (with caution for bleeding)
Transport to hospital

Question 5

Muskuloskeletal pain

Answer 5

Give NSAIDS
Give worstening advice

Question 6

COPD exacerbation

Answer 6

Confirm diagnosis and check for COPD rescue pack or alert card
Give salbutamol
If no response give ipratropium
Limit oxygen to 6 mins
If no response give hydrocortisone

Question 7

Heart failure

Answer 7

Confirm diagnosis and check if under care of speacialist
Give oxygen if required
Position sat upright
Perform ECG
Consider GTN
Transport to hospital

Question 8

Pulmonary embolism

Answer 8

Confirm diagnosis
Give oxygen if required
Perform ECG
Give pain relief if required
Give fluid if required
Transport to hospital

Question 9

Anaphylaxis

Answer 9

Remove trigger
Lie patient flat
Give adrenaline 1:1000
Open airway and give oxygen
Give salbutamol
Continue adrenaline
Give fluid

Question 10

Pneumonia

Answer 10

Give oxygen
Give fluid if required
Give pain relief if required
Transport to hospital

Question 11

Primary/ secondary pneumothorax

Answer 11

Give oxygen
Give fluid if necesssary
Give pain relief if necessary

Question 12

Bronchiolitis

Answer 12

Give oxygen if required
Refer to green/amber/ red flags
Take to hospital or leave with worstening advice to get antibiotics

Question 13

Epiglottitis

Answer 13

Give oxygen if required
Take to hospital

Question 14

Croup

Answer 14

Give oxygen if required
Give dexamethasone
Refer to green/ amber/ red flags and transport to hospital if necessary

Question 15

Pulmonary oedema

Answer 15

Establish cause
Give oxygen
Treat cause
Transport to hospital

Question 16

Pericarditis

Answer 16

Perform ECG
Give NSAIDS
Give additional pain relief if required
Transport to hospital

Question 17

Pancreatitis

Answer 17

Give oxygen if necessary
Give pain relief
Give antiemetics
Give fluids if necessary
Transport to hospital

Question 18

Peptic ulcer

Answer 18

Give oxygen if necessary
Give pain relief
Give fluids if necessary
Transport to hospital

Question 19

Cholecystitis

Answer 19

Give pain relief
Give fluid if necessary
Give antiemetics
Transport to hospital

Question 20

Cardiac tamponade

Answer 20

Give pain relief
Give NSAIDS
Transport to hospital

Question 21

Aortic stenosis

Answer 21

Give pain relief
Give fluid if necessary
Transport to hospital

Question 22

Gastro-oesophageal reflux disease

Answer 22

Give pain relief
Check urgent referral criteria
Transport to hospital if necessary
Consider antiemetics

Question 23

Costochondritis

Answer 23

Give NSAIDS
Give additional pain relief if necessary
Give worstening advice
Recommend corticosteroids if NSAIDS ineffective

Question 24

Tension pneumothorax

Answer 24

Confirm diagnosis
Perform chest drain
Give oxygen
Give fluid if necesssary
Give pain relief if necessary

Question 25

Mild to severe asthma attack

Answer 25

Establish severity of attack Monitor for deteriation Encourage use of patient inhaler if possible Give oxygen Administer salbutamol if no response Administer ipratropium if no response Administer hydrocortisone if no response Consider transport to hospital

Question 26

Life threatening asthma attack

Answer 26

Establish severity of attack Give oxygen Administer salbutamol Administer ipratropium if no response Administer adrenaline 1:1000 if no response Administer hydrocortisone if no response Monitor for tension pneumothorax Transport to hospital

Question 27

Biliary colic

Answer 27

Give pain relief Give worstening advice and leave at home