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The A-E Approach for an Out of Hours F1 - Part 2

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Summary

This medical session invites medical professionals to explore the importance of calling for help early when faced with a medical emergency and to look at the underlying principles of treating a readying patient in such a situation. In this session, medical professionals will gain hands-on experience in assessing the airways of patients, learn different types of airway junctions, and also explore potential causes of seizures. Come and join us for this fun and informative session!

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Learning objectives

Learning Objectives

  1. Demonstrate an understanding of the A, B, C process of assessing a patient.
  2. Describe the importance of calling for assistance when managing medical emergencies.
  3. Identify appropriate assessments and interventions for a patient with a potential airway issue.
  4. Explain appropriate airway interventions for a patient with suspected seizures.
  5. Analyze different causes of seizures and develop appropriate interventions.
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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

okay, We should be back. And hopefully that should be fixed. And someone just put in the chapel. You happy? And then we'll catch up. Maybe state 10 minutes after, if that's okay with everyone. Lovely. Okay, so I'll carry on. So we got Teo, Uh, this state. So I think I mentioned very early on, and I think we spoke about some of the underlying principles. Is that is that correct? Yes, I get it. I'm gonna crash. Also, he's in 20 to 22 to a medical emergency or a very a rescue. So we'll speak about a few more of these. Say, let's respect about calling for help very early. The final thing I said, it's that I can give you this and some of my colleagues have been given. This is well, is that when you feel out of your depth and he put out on medical emergencies, call All you want is someone to come and help you on. Diffuse done. You're a two way and you have implemented some interventions and you really don't know where to go. Where you want to do is drink and disappear. But actually, if it's 2 a.m. in the middle of the night. You know that patients better than anyone else, probably in the hospital at the time to you really are the best person to be able to have that patient over and communicate what needs to happen next. So really, I'd say kind of if you can stay there given, given, appropriate and over, and see how you can help out, Because just by everyone being very senior to you, you've done a lot of the leg work for them already. Good. So we'll move on to some cases. So this one's answering it on those united she's got potentially an airway. Problem is, we're starting today, So let's say for the for the start you. But you're on the ward that you're sat in the doctor's office and the nurse comes in and says, Doctor, please assess Internet. She's very drowsy. I've taken observations, and here they are for you that the bottom of screen I'm worried is the handover sheet says she's elected that he's been admitted of a urinary tract infection and just several seizures this morning on the ward there resolved after 10 15 minutes after a Peter doses of more as a parent. She's at 16 mg today. So in the comments, someone tell me how they're going to approach this situation. Anything. It'll is absolutely fine. Let me know. What you do is certainly office, and And is that not responding to on us? And don't worry about getting getting things wrong. This what it's for? Good to see. Check out ways, patients. Very good. So actually going to assess the patient is a good idea. Luck in the ward? Yes. So you might need Okay, stop by assessing GCS. Okay. Safer Aleve are medically, um well, patients. Luckily following our ABC even before that, we're going to go for our doctor's name on it. So we're going to assess with injure. And luckily, the bedside is clear. We're gonna assess the response, and we walk over to answer, and she is not responding to stimuli. So you decided to be a bit of a mean if one f two and you give her a little trap squeeze on still no response and were very worried. The answer When it isn't responding to us a tool and as you get it closer. Um, what we notice is we hear some snoring and gurgling sounds she breathes in. She's making clear respiratory sign that she's got this kind of weird storing sounds. So how are we going to respond to that situation? Anyone have any ideas? Good. So you sound wants to see if we can do anything about it right away, because we worried. It's strong interest sounds on machine. Those things that we can do. You're right. We can do it ahead to gyn lift. Um, we've also got good look in the mouth and see if there's anything there good and your frosted. Another option. But essentially, what we're going to try and do is have a look at this airway and see if it's Peyton and see if there's anything we can do. And actually, one thing I'd suggest that this stage is if we've got someone that's had Strider, and it's clearly got quite low GCS in that they're tolerating a trap squeeze. They already wasted past mainly fresh hold for for a 20 to 22 period rescue. All because I'm really worried, and I certainly is an F one. Don't want to be managing someone's airway on my own. 2 a.m. because that patient isn't going to do very well, but that's very good. And they're there Any other things that we can do for someone that potentially isn't protecting their airway? So we let's say fans, whenever we do withdraw, frustrate, we do a heads inch in with, and this stridorous noise goes away completely fine. We're looking the observations, and the observations are fine and she's maintaining maintaining your saturations. But we probably can't stand there all night with our hands around age or good. So we've got some different options. Airway junks fantastic, good, you guys and brilliant. So there are many different types of airway I junks and alter the the answer to the question. Which one should I use is anything is better than nothing. At this stage, we can try and empty as you can stop Over here, you can see we can go for a good a little, or if there's one close, we can do a laryngeal mask, airway, but ultimately anything that you're happy with. And if you want some information about how we insert quick scan of that of that code there, and it should hopefully tell you how you measure them up on how you insert them, but ultimately we want some kind of supraglottic area a device. Now we know she's an epileptic. So sometimes if we've got, for example, patient this having a convulsive, a generalized seizure, we really don't want to be sticking our hands in the mouth. And actually, they might be protecting their airway well together, so we might not worry about it. If we are worried about that, we might go for an anti, for example and put them in the recovery position and potentially trying insert a normal airway when they interictal. But at this stage, we know she's not convulsing, that she's got a nice, relaxed door, and we've already done and you're from so so anything that's available. And it'll be available in the in the crash trolley on a very easy and and appropriate to insert. Obviously, there are some contraindications to some of that which I encourage you to look up, but ultimately any away. And for argument's sake, Antonia is a young, young patient that we're not worried about any kind of go to retention, so we'll put a normally breathe on after that. Hopefully, by the time you've done All of that. Things crossed. You have a friendly in the sense that you've already put out 2020. Fantastic. Uh, any ideas about what might have caused the OTCs in this case, goods we've got on someone already going on to me to be so good. If we've secured the airway and we're happy, we absolutely will move on to be on their name. It's reason why this patient have allergies. Yes, it's having an Uncle Boxes seizure, for example. It might be the 60 mg of rather time. I suggest it's probably that that's course, that we can think about kind of definitive answers later on, but as actually saying that Hope you don't mind calling. Yeah, all we need to do is now move on to be, But we're going to meet away from Internet, and we're going to move onto a case that has a primary be problem. So really get started. Get excellent. Um, we're going to see about Burti and his breathing. So, Doctor, please, can you assess bility the saturated to 80% and it's now maintaining maintaining saturations or 60 liters a minute, 60% or if I to North 600.6 high flow nasal oxygen or nasal cannula. He's got more of a definitive hand over from the nurses, who is 80.