In deze les zitten 15 slides, met tekstslides en 1 video.
Lesduur is: 6 min
Onderdelen in deze les
ABCDE-triage
"treat first what kills first"
Slide 1 - Tekstslide
Slide 2 - Video
ABCDE methode
Slide 3 - Tekstslide
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 - Tekstslide
Where does ABCDE stand for
You normally start with the D
Disability (less consiousness)
Airway
Breathing
Circulation
Exposure/Environment
Slide 5 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
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 - Tekstslide
Assignment
Write down 3 questions per letter in English which you could probably use in the conversation with the patient.
Lesduur is: 6 min
