Introduce yourself to the patient including your name and role.Īsk how the patient is feeling as this may provide some useful information about their current symptoms.Īn inability to speak in full sentences indicates significant shortness of breath. Introduce yourself to whoever has requested a review of the patient and listen carefully to their handover. You may be asked to review a patient with pulmonary oedema due to shortness of breath. Initial stepsĪcute scenarios typically begin with a brief handover from a member of the nursing staff including the patient’s name, age, background and the reason the review has been requested. You might also be interested in our medical flashcard collection which contains over 1000 flashcards that cover key medical topics. Your assessment and management should be documented clearly in the notes, however, this should not delay initial clinical assessment, investigations and interventions.Any medications or fluids will need to be prescribed at the time (in some cases you may be able to delegate this to another member of staff).Make use of your local guidelines and algorithms in managing specific scenarios.Review results as they become available (e.g.If you require senior input, call for help early using an appropriate SBARR handoverstructure.Clearly communicate how often would you like the patient’s observations relayed to you by other staff members.All critically unwell patients should have continuous monitoring equipment attached for accurate observations.Make use of the team around you by delegating tasks where appropriate.Re-assess regularly and after every intervention to monitor a patient’s response to treatment.Treat all problems as you discover them.General tips for applying an ABCDE approach in an emergency setting include: You might also be interested in our premium collection of 1,000+ ready-made OSCE Stations, including a range of ABCDE assessment and emergency stations □ Tips before you begin
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