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2015/9/17

GPMEC

@gmail.com

Dr

2015/9/17


Best supportive care


COPDOMI

PHS

C
91


BLSACLS
JATEC

2015/9/17

General appearance

First impression

.
.

ABCD

Vital signs

General appearance

General



Ns

2015/9/17

General appearance


First impression

D
A
B()()
()()

C
()()

2015/9/17

D
JCS

!!

AB





First impression

First impression

Vital signs

N

DABC

2015/9/17

90mmHg
AMI

45

90
36.1
15%

Shock Index
L

SIRS

AMI 15

HR>90RR>20KT>38<36WBC>12000<4000



7.6%

15
15

A
86


SpO2


SpO2

ABCD
VitalBPHR80

COPD762

91

BDJCS
BP124/68RR26HR110KT37.2

ABCJCS3
BP180/92HR64RR18KT36.4

SIRS

2015/9/17

C()ABDOK
BP 120/90HR 116RR 24BT 36.8

General

SIRSShock index

Vital

Impression

AMIEF

Fitz-Hugh-Curtis

5611103

VTVF

2015/9/17

2015/9/17

2015/9/17

ABCD

86

COPD762

10

2015/9/17

C
91

Confusion Assessment Method(CAM)


9410090-95%

24

101

1g2g

JCS

<(_ _)>

11

2015/9/17

Onset

Magnitude

12

2015/9/17

A
86

C
91




MAX!!

B
COPD762


COPD

13

2015/9/17

RIME
Reporter()

SO

Interpreter()

SOA

Manager()

AP

Educater()

presentation skills
Basic Presentation Skill
TPO

MPSMinimal Presentation Skill

SPSStandard Presentation Skill



7%

Basic

38%

55%

Minimum
Standard

14

2015/9/17

Basic

Minimum
Standard

ISBARC

SBAR
4

.
.

15

2015/9/17

.
.

AMPLE
Allergy
Medication
Past history
Pregnancy
Last meal
Event

16

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