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    Abcde: Observations & Assessments

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    rjt903
    This document outlines assessments and interventions for the ABCDE approach to emergency response. It describes how to assess a patient's airway by looking, listening, and feeling for obstructions, breathing by evaluating effort, effectiveness, and effects, and circulation by examining appearance, pulse, temperature, and causes of problems. It also covers assessing disability using Glasgow Coma Scale and examining posture and pupils. Recommended interventions are provided for airway, breathing, and circulation issues. The document stresses the importance of continually reassessing patients and considering different possible causes of any problems observed.

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    Abcde: Observations & Assessments

    Uploaded by

    rjt903
    27 views12 pages
    This document outlines assessments and interventions for the ABCDE approach to emergency response. It describes how to assess a patient's airway by looking, listening, and feeling for obstructions, breathing by evaluating effort, effectiveness, and effects, and circulation by examining appearance, pulse, temperature, and causes of problems. It also covers assessing disability using Glasgow Coma Scale and examining posture and pupils. Recommended interventions are provided for airway, breathing, and circulation issues. The document stresses the importance of continually reassessing patients and considering different possible causes of any problems observed.

    Original Description:

    A to E assessment presentation

    Original Title

    Abcde

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    This document outlines assessments and interventions for the ABCDE approach to emergency response. It describes how to assess a patient's airway by looking, listening, and feeling for obstructions, breathing by evaluating effort, effectiveness, and effects, and circulation by examining appearance, pulse, temperature, and causes of problems. It also covers assessing disability using Glasgow Coma Scale and examining posture and pupils. Recommended interventions are provided for airway, breathing, and circulation issues. The document stresses the importance of continually reassessing patients and considering different possible causes of any problems observed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    27 views12 pages

    Abcde: Observations & Assessments

    Uploaded by

    rjt903
    This document outlines assessments and interventions for the ABCDE approach to emergency response. It describes how to assess a patient's airway by looking, listening, and feeling for obstructions, breathing by evaluating effort, effectiveness, and effects, and circulation by examining appearance, pulse, temperature, and causes of problems. It also covers assessing disability using Glasgow Coma Scale and examining posture and pupils. Recommended interventions are provided for airway, breathing, and circulation issues. The document stresses the importance of continually reassessing patients and considering different possible causes of any problems observed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    ABCDE

    OBSERVATIONS & ASSESSMENTS


    AIRWAY
    Look
    • Is the chest moving?
    • Are there any visible obstructions?

    Listen
    • For stridor, gurgling, snoring etc.
    • Is the patient talking, crying?

    Feel
    • Breath on face for at least 10 seconds
    • Misting on an O2 mask
    AIRWAY
    Possible causes of an obstructed airway
    • Swelling
    • Secretions, vomit, mucus, blood
    • Foreign body
    • Drug induced
    • Congenital
    AIRWAY
    Interventions
    • Airway reposition – chin lift, jaw thrust
    • Suction
    • Medication
    BREATHING
    Effort
    • Assess respiratory rate, regularity and depth
    • Accessory muscle use
    • Recession
    Effectiveness
    • Degree of chest expansion
    • Breathing sounds and symmetry
    • SpO2 in air
    Effects
    • Skin colour
    • Mental status
    • Sympathetic nervous system
    BREATHING
    Interventions
    • Administer high flow oxygen
    • Continually assess effectiveness of oxygen
    • Elevate patient if possible
    • Rescue breaths – BVM
    • Medication
    CIRCULATION
    Look
    • Capillary refill
    • Skin appearance
    • Urine output
    • Visual Infusion Phlebitis

    Feel
    • Temperature gradient
    • Pulse volume
    • Heart rate
    • Heart rhythm
    CIRCULATION
    Possible causes of a circulation problem
    • Hypovolaemia
    • Sepsis
    • Anaphylaxis
    • Primary cardiac problem
    • Blood flow obstruction
    • Anaemia
    CIRCULATION
    Interventions
    • Establish IV access
    • Fluid bolus
    • IV antibiotics
    DISABILITY
    Consciousness
    • Alert – GCS 15
    • Voice – GCS 12
    • Pain – GCS 8
    • Unresponsive – GCS 3
    Posture
    • Hypertonia
    • Decerebrate
    • Decorticate
    • Responsive to pain
    Pupils
    • Equal and reactive to light
    EXPOSURE
    Skin appearance
    • Evidence of blood, lesions, rashes etc.
    • Temperature
    Don’t
    Ever
    Forget
    Glucose

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