Professional Documents
Culture Documents
FLS
Objectives
The
causes of cardiorespiratory
arrest
Identify and managing patients
at risk using the ABCDE
approach
FLS
Early recognition of the critically ill
patient
FLS
Pulse
Systolic BP
< 70
mmHg
< 40
41-50
71-80
Respiratory
Rate
<8
Temp C
< 35
CNS
81-100 101-199
35.136.5
> 130
> 200
9 -14
15-20
36.637.4
> 37.5
21-29
> 30
FLS
Causes of cardiorespiratory arrest
Airway
Breathing
Circulation
FLS
Causes of
cardiorespiratory arrest
Obstruction Airway
caused by: problems
CNS depression
Blood
Vomit
Foreign body
Trauma
Infection
Inflammation
Laryngospasm
FLS
Causes of cardiorespiratory arrest
Breathing problems
Decreased respiratory
drive
CNS depression
Decreased respiratory
effort
muscle weakness
nerve damage
restrictive chest defect
pain from fractured ribs
Lung
disorders
pneumothorax
haemothorax
infection
acute exacerbation
COPD
asthma
pulmonary embolus
ARDS
FLS
Causes of cardiorespiratory
arrest
Circulatory problems
Primary
Acute
coronary
syndromes
Dysrhythmias
Hypertensive heart
disease
Valve disease
Drugs
Electrolyte / acid base
abnormalities
Secondary
Hypoxaemia
Blood loss
Hypothermia
Septic shock
FLS
The ABCDE approach to the
critically ill patient
A
B
C
D
E
FLS
ABCDE approach
Rules
Call for help early
Priority of treatment
Complete initial assessment
Reassessment
safety
Patient
responsiveness to treatment
FLS
ABCDE approach
Airway
FLS
ABCDE Approach
Airway
FLS
ABCDE approach
Breathing
Listen
Auscultate breath sounds, noisy breathing
Feel
palpat expansion, percussion, tracheal position
Pulse oxymetry
FLS
ABCDE approach
Breathing
breathing if inadequate
FLS
ABCDE approach
Circulation
peripheral pulse
perfusion
Blood pressure
Monitor
FLS
ABCDE approach
Circulation
Treatment
Airway, Breathing
Oxygen
IV access, take blood sample
and lab investigations
Treat cause
Give fluids
Haemodynamic monitoring
MONA if acute coronary
syndrome
ABCDE
approach
Disability
AVPU or GCS?
Examination
Points
Eye opening
Spontaneous
To speech
To pain
None
4
3
2
1
6
5
4
3
2
1
5
4
3
2
1
Disability
Glasgow
Coma
Score
FLS
ABCDE approach
Disability
FLS
ABCDE approach
Exposure
Remove
clothes to enable
examination
- e.g. injuries, bleeding, rashes
Avoid heat loss
Maintain dignity
FLS
Any
questions
FLS
Early
Summary