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History
Examination
B Breathing
O2 saturation percentage (sats)
Ventilation method: self-ventilating/non-invasive ventilation (CPAP or BiPAP)/invasive ventilation
Trachea position
Surgical emphysema
Air entry in lungs
Chest wall: chest drains and rib/sternum fractures
ABG:
pH | HCO3 | Hb |
pCO2 | Lactate | Na+ |
pO2 | Base excess | K+ |
Chest x-ray (CXR)
C Cardiovascular
Pump:
Mean arterial blood pressure (MAP) and central venous pressure (CVP)
Jugular venous pressure (JVP) and carotid pulse
Heart sounds: I + II + other
Inotropes
Peripheral oedema
ECG
Troponin and BNP36
Circuit:
Full examination of pulses:
neck: carotid
upper: supraclavicular, axillary, brachial, radial, ulnar
central: aorta
lower: femoral, popliteal, dorsalis pedis (anterior tibial artery), tibialis posterior (posterior tibial artery)
Peripheral perfusion: warmth and capillary refill time
Fluid:
Vascular access: central, peripheral, intraosseous
Evidence of external bleeding: urinary catheter, drains, stoma bags, rectal, vaginal or oral