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Samenvatting ABCDE-methodiek

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Samenvatting ABCDE-methodiek

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  • Abcde
  • November 23, 2021
  • 6
  • 2021/2022
  • Summary

1  review

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By: anabele • 3 months ago

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ABCDE methodiek

Systematisch beoordeling van de vitale parameters, waarbij het belangrijk is om zo snel
mogelijk levensbedreigende problemen op te sporen.
‘ Treat First What Kills First’.

Primary survey
Snelle identificatie en behandeling van (potentieel) levensbedreigende verwonding/
aandoening.
 Stabilisatie van vitale functies
 Diagnostiek en (levensreddende) therapeutische interventies lopen parallel

Secondary Survey
 Herbeoordeling van de primaire opvang
 Uitgebreide anamnese
 Top tot Teen onderzoek

A : Aiway (hoge luchtwegen)
B: Breathing (lage luchtwegen)
C: Circulation (circulatie)
D: Disability (neurologische status)
E: Exposure (temperatuur/ontkleden)



Airway



Observeren

Airway
CWK Is er verdenking op CWK letsel? Indien aanwezig: nek stabiliseren
Kijken AVPU
Wonden hoofd/gezicht
Mond-keel holte inspectie
Luisteren Stidor
Rochelen
Reutelen
Voelen Expiratielucht
Integriteit benige structuren
Integriteit weke delen
Meten -




1

, Interventies



Ademweg vrij? Behandel oorzaak




- Chin lift
- Jaw Thrust
- Uitzuigen
- Heimlich manoeuvre


Ja

- Oropharyngeale aiway
- Nasopharyngeale
airway




- Subraglottic airway
device
- Endotracheale
intubatie
Breathing - Naald
cricothyroidotomie



Breathing



Observeren

Breathing
Kijken Wonden
Halsvenen
Trachea in midline
} Hals
Subcutaan emfyseem

Symmetrie in thoraxexcursie
Ademfrequentie en doepte
Ademhalingspatroon
- Regelmaat } Thorax
- Gerbuik vacn hulpademhalingsspieren
Huidskleur (centrale cyanose)
2
Wonden
Luisteren Expiratoir stridor / ronchii
Auscultatie

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