Topic: A structured Approach to recognize and assess of acutely ill patient
Learning outcomes:
• Identify those patients at risk of developing critical illness.
• Apply a structured approach to the assessment and management of the acutely unwell patient.
• Prioritise and manage problems as arise during the structured assessment.
• Devise a management plane/investigations.
• Recognise when help is needed.
• Identify what help is needed.
Patients at particular risk of developing critical illness
Those with co-existing disease (Asthma, COPD, Ischaemic heart disease, Diabetes, Renal failure and immunocompromised).
All emergencies admissions.
Elderly patients.
Specific acute illness including sepsis, pancreatitis, myocardial infarction, major surgery, and significant trauma.
Major Haemorrhage.
As with all emergencies, it is essential to undertake a full assessment of the patient, using a structured and prioritised …show more content…
– Suction, air way adjuncts
Added noises: position
See- sawing movement – Administer high flow O2 via face mask
The Airway consists of nose /mouth, oropharyngeal and nasopharyngeal cavities, the pharynx, larynx and trachea. It provide the route for the passage of air from the atmosphere to the bronchial tree; therefore any obstruction is an immediate threat to life.
Assess all acutely unwell patient using the Look, Listen, and Feel Approach
Look: Most common cause of the upper airway obstruction is an altered level of consciousness and pharyngeal obstruction by the tongue. Left unmanaged airway obstruction may lead to hypoxia and ultimately death. Inspect the mouth for any foreign bodies and remove anything obvious. DO NOT PERFORM BLIND FINGER SWEEPS.
Well lifting dentures may be left in place. Check the upper airway for any vomit, blood or secretions. Obstruction may also be due to swelling caused by trauma or