Assessment of the critically ill patient

Rationale

Physical assessment framework

Initial assessment framework

2 levels of assessment

Australasian Triage Scale

Decision making based upon

Triage decision making based upon

Emergency assessment based upon

Primary and secondary survey

Primary survey - a systematic linear approach

Primary survey overview

Airway and C - Spine

Actions if airway totally or partially obstructed

Breathing - inspect, ausculate, percuss

Breathing interventions

Circulation assessment

Rapid assessment of blood volume loss

Ineffective circulation

Absent circulation

ABC actions

Disability assessment

ABC OK

Secondary survey

Exposure

Temperature

Gadgets and gather pathology

Head to toe history

History - MIST

History - SAMPLE

Inspect the back

Document

Critical Care Assessment

Cardiovascular

Cardiovascular diagnostic procedures

Respiratory and cardiovascular lab

Respiratory diagnostic procedures

Chest X ray

Capnography

Neurologic

Unconsciousness cocktail

Head, Ears, Eyes, Nose, Throat

Neurological Sytem Assessment

Neurologic system diagnostic procedures

Cerebro- spinal Fluid

Gastrointestinal

Gastrointestinal sytem diagnostic procedure

Genitourinary

Renal system assessment

Renal system diagnostic procedures

Musculoskeletal

Integumentary

Endocrine

Haematologic

Immune system

HIRAID Assessment

Additional to primary survey

Assessment purpose

Frequency of assessment