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Summary FCCS

- IC
- 2015 - 2016
- maastricht university
- Geneeskunde
261 Flashcards & Notes
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A snapshot of the summary - FCCS

  • 1 Recognition and Assesment of the Seriously Ill Patient

  • How long does physiological deterioration preceed cardiopulmonary arrest?
    Several hours
  • What is the direct methodology?
    Detection, intervention, reassessment, effective communication and teamwork
  • 1.1.1 Assessing Severity

  • Cognitive signs of deterioration
    Confusion, irritability, impaired consciousness or sense of impending doom.
  • Signs of deterioration during inspection (4)
    Shortness of breath
    Sympathetic response: pallor, sweating, cool extremities.
  • Six most relevant vital signs
    Pulse rate, blood pressure, respiratory rate, oxygenation, temperature and urine output
  • The main goal of the early stage of assessment (primary survey)
    1. Recognize existing problems
    2. Maintaining physiological stability
    3. Pursuing the cause
    4. Initiation treatment
  • 1.2 Initial Assessment of the Critically Ill Patient

  • What is the goal of the primary survey? (Initial Contact - First minutes)
    Finding the main physiological problem
  • What is the goal of the secondary survey?
    Finding the underlying problem
  • 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?
  • 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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