1 / 11

D & E

D & E. Lecture aim. How to assess disability & everything else How to treat disability & other problems. Assess Treat Re-assess. Disability– How to assess. What does “disability” mean in ABCD?. Disability = Conscious Level. How can you assess conscious level?.

idra
Download Presentation

D & E

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. D & E

  2. Lecture aim • How to assess disability & everything else • How to treat disability & other problems

  3. Assess Treat Re-assess

  4. Disability– How to assess What does “disability” mean in ABCD?

  5. Disability = Conscious Level How can you assess conscious level?

  6. Conscious Level (D=Disability) AVPU Alert A Responds to Voice V Responds to Pain P Unresponsive U Glasgow Coma Scale is hard to remember!

  7. Low Conscious Level – how to treat • Protect airway • Lateral Position • Consider hypoglycaemia

  8. Hypoglycaemia Common cause of unconsciousness & fitting Easy, cheap treatment For all unconscious, semiconscious or fitting patients: Check blood sugar urgently or give a bolus of sugar 5ml/kg 10% dextrose

  9. Seizures Dont put anything in mouth! Diazepam IV or rectal not IM 0.2-0.3mg/kg (iv) 0.5mg/kg (pr) Repeat treatment if needed

  10. E = “Everything Else” • Diagnose underlying disease and treat • Secondary Survey • Call for help • Admit ICU? • Maintain clear airway • Lateral position, suction

  11. Summary • Disability = Conscious Level = AVPU • Everything Else = Diagnose underlying disease and treat Treatments for unconsciousness are: Protect the Airway – Lateral position Consider hypoglycaemia

More Related