1 / 18

RESUS

RESUS. Passing Resus. Pass mark slightly higher than other clinical skills (easier to kill someone!!) Percentage passed last year = Its the station where most students fail Key to passing – staying calm!!!! Patient MAY NOT BE DEAD when you walk in. Assessment of acutely unwell patient ABCDE.

lidia
Download Presentation

RESUS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. RESUS

  2. Passing Resus • Pass mark slightly higher than other clinical skills (easier to kill someone!!) • Percentage passed last year = • Its the station where most students fail • Key to passing – staying calm!!!! • Patient MAY NOT BE DEAD when you walk in

  3. Assessment of acutely unwell patientABCDE

  4. A = Airway • Obstructed? • Head tilt • Chin lift • Jaw thrust • Suction • Oropharyngeal airway • (Nasopharyngeal airway)

  5. B= Breathing • Chest movement • Respiratory rate • Sats • Auscultate in 4 main areas • Oxygen – prongs? Mask? Mask + reservoir bag? • O2 – 15L/min

  6. C = Circulation • Pulse • Blood pressure • Capillary refill • Warm peripheries – hands and feet • IV access – 250-500ml fluid ASAP!

  7. (D = Disability) • AVPU – alert, voice, pain, unresponsiveness • BM – hyper/hypoglycaemic • Pupils

  8. (E = everything else) • Expose patient fully and top to toe exam

  9. SHIT THEY’VE ARRESTED...

  10. Confirming arrest • Measure pulse and watch for resps for 10s • NB - Airway must be patent or they won’t be able to breathe

  11. HEEEEEELP!!! • Call 2222 • “Cardiac arrest, ward 3”

  12. Hearts definitely stopped... • CPR 30:2 until defib arrives • 2 breaths should be given with bag valve mask

  13. To defib or not to defib • (video of defib is on eemec) • Take your time and look at the rhythm on the screen • Shockable – VF/ VT • Non- shockable – PEA/Asystole

  14. Algorithm • In the back of your 3rd year resus study guides!

  15. Drugs • Need to know doses and timing of 3 drugs • Non shockable – Adrenaline 1mg immediately and then every 2nd cycle of CPR (Atropine 3mg if PEA <50bpm only once) • Shockable – Adrenaline 1mg (not immediate) every second cycle, Amiodarone 300mgs after fourth cycle

  16. Reversible causes • Hypoxia – give oxygen • Hypovolaemia – give fluids/blood • Hypo/hyperkalaemia/metabolic- correct imbalance • Hypothermia – warm patient • Tension pneumothorax – decompress • Tamponade – drainage of fluid (refer to surgeon) • Toxins – antidotes/dialysis • Thrombosis – anticoagulants

  17. Hoorah they’re back...what the hell do I do now? • Repeat ABCDE from the beginning • If not breathing on own or unstable BP = ICU • If breathing on own with stable BP = HDU • The patient may well die or the scenario will be stopped so don’t worry if this happens!

More Related