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A snapshot of the summary - FCCS
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1 Recognition and Assesment of the Seriously Ill Patient
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How long does physiological deterioration preceed cardiopulmonary arrest?Several hours
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What is the direct methodology?Detection, intervention, reassessment, effective communication and teamwork
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1.1.1 Assessing Severity
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Cognitive signs of deteriorationConfusion, irritability, impaired consciousness or sense of impending doom.
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Signs of deterioration during inspection (4)Shortness of breath
Sympathetic response: pallor, sweating, cool extremities. -
Six most relevant vital signsPulse rate, blood pressure, respiratory rate, oxygenation, temperature and urine output
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The main goal of the early stage of assessment (primary survey)
- Recognize existing problems
- Maintaining physiological stability
- Pursuing the cause
- Initiation treatment
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1.2 Initial Assessment of the Critically Ill Patient
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What is the goal of the primary survey? (Initial Contact - First minutes)Finding the main physiological problem
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What is the goal of the secondary survey?Finding the underlying problem
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What do you need to know from the history in the primary survey?Main features of circumstances and environment
- Witnesses, personnel, relatives
- Main symptoms: pain, dyspnea, altered mental status, weakness
- Trauma or no trauma
- Operative or nonoperative
- Medications and/or toxins
- What treatment has been given so far?
- Delay in treatment?
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What do you need to know from the examination in the primary survey?Look, listen, feel -> ABCD (D: level of consciousness)
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The following topics are covered in this summary
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primary, survey, blood
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icp, succinylcholine, fasciculations
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ttm, targeted, temperature
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patient, tube, cardiac
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respiratory, controlled, paradoxical
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vt, nppv, cm
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acidosis, metabolic, hco3
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shock, distributive, oxygen
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brain, injury, icp
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acs, elevation, risk
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treat, surgury, agetransplant
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hypokalemia, mmol, potassium
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treatment, hyperkalemia, glucose