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Summary

Summary A-E management

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Summary of 7 pages for the course Medicine at Medicine (A-E management)

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  • August 1, 2024
  • 7
  • 2024/2025
  • Summary
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nasiruddinpatel
AIRWAY:

Look: obstruction (foreign bodies, vomit), position (head, spine), chest
movement/expansion (bilateral/unilateral, fluid/secretions, oedema)

Listen: airway obstruction (breathing, stridor – whistle, added sounds,
hoarseness)

Feel: air movement, chest movement/expansion (equal), crepitus

Measure: O2 sats, Capnography

Treat: Open airway & keep open




CIRCULATION:

Look: general condition, colour, hydration, JVP

Listen: heart sounds
Vasopressin: inducewarmth
Feel: temperature, vasoconstriction Refill
(cold = cap. elevate MAPdone
 best  raise low BP
on central
BREATHING:
sternal approach), pulses (radial)
- E.g., Vasopressin, Adrenaline, Noradrenaline, Terlipressin
Look: chest movement
Measure: BP, ECG,(equal/asymmetry),
HR deformities, cyanosis, respiratory distress
Inotropes:
(increased increase
breathing heart muscle
rate, colour change,contraction  inc.
grunting, nose cardiac
flaring output
(nostrils + HR
widen),
Obtain:
wheezing, bloods,accessory
sweating), urine muscle usage (scalene, sternocleidomastoid, pec. major,
- E.g., Adrenaline, Noradrenaline, Dobutamine, Digoxin
trapezius, external intercostals)
Treat: IV/IO access, control bleeding, blood transfusion, CPR, drugs
Chronotropes: increase heart rate (alter electrical conduction of heart)
Listen: air entry, added sounds, percussion
- E.g., Atropine, Theophylline, Dopamine
Feel: chest movement (bilateral/asymmetry?), tracheal deviation, raised JVP, cyanosis

Measure: O2 sats, ETC02 (End-Tidal CO2 = amount released at end of exhaled breath)

Treat: oxygen, ventilation, analgesia

, DISABILITY:

Look: alertness (AVPU/GCS)

Listen: answers (AVPU)

Feel: response to pain (AVPU), fits

Measure: BM, Pupils reactivity & symmetry (should constrict), Neuro exam

Treat: Glucose, Seizures




ENVIRONMENT:

Look: injuries, IVDU, clothing, skin (burns, pressure sores, scars, wounds),
oedema, signs of infection/sepsis

Listen: witnesses

Feel: crepitus, warmth, general condition

Measure: temperature

Treat: hypothermia/hyperthermia

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