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Shock (Primary Survey (Circulation: (HR, BP, cap refill, Fluid resus:…
Shock
Primary Survey
Breathing: RR, SpO2, provide oxygenation as needed
Circulation:
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Bloods (FBC, UEC, VBG/ABG, group and save)
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Disability: AVPU/GCS, pupils, BGL
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Exposure: Temp, examine skin/body
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Types of shock
Obstructive
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Tension pneumothorax
Immediate needle decompression, 14 - 16 guage needle in 2nd ICS, mid clavicular line
If above fails, follow by immediate tube thoracostomy with 24-28 French, 5th ICS mid axillary line
Distributive
Anaphylactic
Adrenaline before airway: IM adrenaline 0.5mg (can give up to 3 doses every 5 minutes, then consider IV or nebulised adrenaline)
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Other drugs: antihistamines, salbutamol, steroids
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Cardiogenic
MI
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Ix: ECG, CXR, Trops, echo
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