Resus Testing | Lecture Note

University:
The University Of Western Ontario
Course:
ANAT 2200B | Systemic Anatomy of the Human Body
Academic year:

2022
Views:

452

Pages:

3
Author:

Kyuwon J.

Resus testing ● Rapid detection of reversible life threats ● Confirmation of interventions ● Treat first ● Test in parallel ○ Do not delay on airway/oxygen for labs ● ABCDE ○ Re-assessment post intervention ■ Testing iterative Airway ● Bedside ○ Speak ■ If the patient is able to talk, airway is patent ○ Feel ■ Stridor, gurgle ■ Chest and neck movements ■ Snoring ■ Paradoxical ○ Suction response ■ OPA ■ NPA ■ Airway adjunct tolerance ○ Continuous capnography ■ EtCO2 if intubated ■ Symmetrical. Rise of chest ■ Auscultation ■ Tube depth marking Breathing ● Immediate ● SpO2 ● Waveform quality ● Respiratory rate with work of breathing ○ Unequal air entry ○ Wheeze ○ Silent chest ○ Crackles ● Fast adjuncts ○ ABG/VBG ■ Ventilation and oxidation trend ■ Lactate if shocked ○ CXR ■ Post intubation of chest drain Circulation ● HR,BP cpa refill ● Glucose ○ Must not miss on reversible causes ○ ABG/VBG+lactate ■ Perfusion maker Disability ● GCS/AVPU ● Pupils ○ Size and reactivity ● Bedside glucose ○ Repeatable ○ Reversible ○ Toxidromes, seizure activity must be considered ■ Hypercapnia ■ Hypoxia Exposure ● Skin check ○ Rash, bleeding, trauma makrs ○ Temperature ■ hypothermia common ○ Source search ■ GI bleed ■ Postpartum hemorrhage ■ Sepsis ■ Anaphylaxis