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27 Cards in this Set
- Front
- Back
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ABCDE?
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A= Airway
B= Breathing C= Circulation D= Disability (Mental Status) E=Expose/ Environ |
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Initial Action?
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Is the airway or closed?
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After checking the airway, what do you do?
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Assess breathing.
Is breathing adequate? or Inadequate? |
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After breathing, you check?
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Is a Pulse/ signs of circulation present or not?
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If there is not pulse/ sign of circulation, what should you do?
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Check for electrical activity.
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VF?
PEA? Asystole? |
VFor VT-continue CPR and go to VF/VT algorithm
PEA-continue CPR and go to PEA algotithm Asystole (no Elec act), cont CPR and go to asystole algorithm |
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If there is a pulse present (+circulation), what do you do?
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Control major bleeding (if present)
Assess skin Assess cap refill |
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After you determine circulation and intervene, what should you check for?
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Assess disability in MS
AVPU Pediatric Glasgow Coma Scale |
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AVPU?
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AVPU
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After you assess disability of MS, what do you do?
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Expose/ environment
Preserve body heat Maintain appropriate temperature |
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After you intervene for expose/ environment, what do you do?
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Proceed to secondary survey
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What do you do for the secondary survey?
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Obtain VS
Attach pulse oximeter ECG and BP monitor |
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After you obtain VS, pulse ox, ECG, and BP monitor reading, what do you do?
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Obtain a focused SAMPLE or CIAMPEDS HISTORY
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ABCDE for focused SAMPLE or CIAMPEDS HISTORY?
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Airway
Breathing Circulation Detailed (or focused) examination, differential diagnosis, diagnostic prodedures Evaluate Facilitate |
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What do you do for Airway in secondary survey?
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Reassess effectiveness of initial airway maneuvers and interventions
Perform invasive airway management if needed |
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What do you do for Breathing in secondary survey?
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Reassess ventilation
If applicable, confirm tracheal tube placement (or other airway device) by at least 2 different methods Provide positive pressure vent. (if applicable) and eval effectiveness of ventilations |
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What do you do for Circulation in secondary survey?
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Establish vascular access/ administer medications if appropriate
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What do you do for detailed / focused examination,, DD, Diag Procedures in secondary survey?
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If unreponsive or significant mechanism of injury, perform detailed (head to toe)physical exam. If responsive or no significant mechanism of injury, perform focused exam
Search for, find, and treat reversible causes Glucose check Laboratory and radiographic studies |
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What do you do for Evaluate in secondary survey?
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Eval interventions and pain management
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What do you do for facilitate in secondary survey?
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Facilitate family presence for invasive and resus procedures
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After your ABCDEF, perform an ongoing assessment (monitor and reassess). What do you do?
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Reassess:
airway patency, O2 sat Breathing effectiveness Pulse rate and quality, perfusion status, cardiac rhythm capillary refill (if < 6 yrs old) Mental Status and activity level Document VS Emergency care interventions |
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What do you do for Breathing in secondary survey?
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Reassess ventilation
If applicable, confirm tracheal tube placement (or other airway device) by at least 2 different methods Provide positive pressure vent. (if applicable) and eval effectiveness of ventilations |
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What do you do for Circulation in secondary survey?
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Establish vascular access/ administer medications if appropriate
|
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What do you do for detailed / focused examination,, DD, Diag Procedures in secondary survey?
|
If unreponsive or significant mechanism of injury, perform detailed (head to toe)physical exam. If responsive or no significant mechanism of injury, perform focused exam
Search for, find, and treat reversible causes Glucose check Laboratory and radiographic studies |
|
What do you do for Evaluate in secondary survey?
|
Eval interventions and pain management
|
|
What do you do for facilitate in secondary survey?
|
Facilitate family presence for invasive and resus procedures
|
|
After your ABCDEF, perform an ongoing assessment (monitor and reassess). What do you do?
|
Reassess:
airway patency, O2 sat Breathing effectiveness Pulse rate and quality, perfusion status, cardiac rhythm capillary refill (if < 6 yrs old) Mental Status and activity level Document VS Emergency care interventions |
