ABCDE-triage

ABCDE-triage

"treat first what kills first"



1 / 15
suivant
Slide 1: Diapositive
EngelsMBOStudiejaar 1

Cette leçon contient 15 diapositives, avec diapositives de texte et 1 vidéo.

time-iconLa durée de la leçon est: 6 min

Éléments de cette leçon

ABCDE-triage

"treat first what kills first"



Slide 1 - Diapositive

Slide 2 - Vidéo

ABCDE methode

Slide 3 - Diapositive

Why ABCDE
"To select an entry complaint, it is determined whether the patient is ABCDE-stable. If not, immediate assistance is called for.

By following this methodology, all injuries and disorders can generally be recognized and treated."

Slide 4 - Diapositive

Where does ABCDE stand for
You normally start with the D
Disability (less consiousness)
Airway 
Breathing 
Circulation 
Exposure/Environment 

Slide 5 - Diapositive

Disability
Quick neurological evalutation: AVPU method
A alert= Is the person awake/alert
V vocal= Does the person react 
P Pain= the person only reacts on painsignals
U unresponsive= the person does not react at all 

Slide 6 - Diapositive

What do you observe at D
"The patient is confused/drowsy.

You ask: Is the patient alert/clear? If yes: Ask about A. If no: Assess AVPU. Does the patient respond to being spoken to, shaken, or a pain stimulus, or is there no response at all?"

Slide 7 - Diapositive

Airway
"The airway is free when the patient responds normally.

Audible breathing indicates an airway obstruction.

Acute stridor: abnormal breath sounds caused by turbulent airflow in a partially obstructed or narrowed airway. It occurs during inhalation."




Slide 8 - Diapositive

What do you observe at A
The patient is severely short of breath:
 he cannot speak a full sentence and breathes audibly in.

Slide 9 - Diapositive

Breathing
Once the airway is open, the quality and quantity of the breathing must be assessed. Attention is given to the frequency, regularity, and depth."


Slide 10 - Diapositive

What do you observe at B
The patient is severely short of breath: he cannot speak a full sentence.
The patient breathes audibly.
The patient breathes rapidly.

Slide 11 - Diapositive

Circulation
The patient is losing blood (vomiting blood/blood in the stool/rectal bleeding).
The patient has a rapid pulse.
The patient reports feeling 'blacked out.'
The patient feels like they are losing consciousness.
Skin color.

Slide 12 - Diapositive

Environment
"If there is a problem with the environmental factors, the following may be noticed:
The patient is in panic.
The patient is threatening to harm themselves.
The patient says: 'I’m going to end it.'
There is smoke or other threatening environmental factors."




Slide 13 - Diapositive

ABCDE stable
Choose an appropriate presenting complaint.
Even then, a high urgency may arise!
Stay alert to alarming signs and symptoms.
See Table 2 from the NHG Triage Guide."

Slide 14 - Diapositive

Assignment
Write down 3 questions per letter in English which you could probably use in the conversation with the patient.
Hand these in via the assignment in Teams

Slide 15 - Diapositive