hi
in case of a patient coming to the ER with GI bleeding, how do you approach the patient? start the ABCs right away or take some time to get the history and do the physical examination?
please if somebody can answer, i'll appreciate it.
thanx
hi
in case of a patient coming to the ER with GI bleeding, how do you approach the patient? start the ABCs right away or take some time to get the history and do the physical examination?
please if somebody can answer, i'll appreciate it.
thanx
any emerg patient i think best approach is quick survey.... check response......... AVPU then proceed. It is a simplification of the Glasgow Coma Scale
* Alert - a fully awake (although not necessarily orientated) patient. This patient will have spontaneously open eyes, will respond to voice (although may be confused) and will have bodily motor function.
* Voice - the patient makes some kind of response when you talk to them, which could be in any of the three component measures of Eyes, Voice or Motor - e.g. patient's eyes open on being asked "are you okay?!". The response could be as little as a grunt, moan, or slight move of a limb when prompted by the voice of the rescuer.
* Pain - the patient makes a response on any of the three component measures when pain stimulus is used on them. Recognised methods for causing the pain stimulus include a Sternal rub, where the rescuers knuckles are firmly rubbed on the breastbone of the patient, pinching the patient's ear and pressing a pen (or similar) on the bed of the patient's nail. Normal responses would be withdrawal from pain.
* Unresponsive - Sometimes seen noted as 'Unconscious', this outcome is recorded if the patient does not give any Eye, Voice or Motor response to voice or pain.
PU level is bad...... then you have to assess ABC and proceed with resuscitaion..... otherwise if alert you can sttraight go for history and physical exam
hi
in case of a patient coming to the ER with GI bleeding, how do you approach the patient? start the ABCs right away or take some time to get the history and do the physical examination?
please if somebody can answer, i'll appreciate it.
thanx
any emerg patient i think best approach is quick survey.... check response......... AVPU then proceed. It is a simplification of the Glasgow Coma Scale
* Alert - a fully awake (although not necessarily orientated) patient. This patient will have spontaneously open eyes, will respond to voice (although may be confused) and will have bodily motor function.
* Voice - the patient makes some kind of response when you talk to them, which could be in any of the three component measures of Eyes, Voice or Motor - e.g. patient's eyes open on being asked "are you okay?!". The response could be as little as a grunt, moan, or slight move of a limb when prompted by the voice of the rescuer.
* Pain - the patient makes a response on any of the three component measures when pain stimulus is used on them. Recognised methods for causing the pain stimulus include a Sternal rub, where the rescuers knuckles are firmly rubbed on the breastbone of the patient, pinching the patient's ear and pressing a pen (or similar) on the bed of the patient's nail. Normal responses would be withdrawal from pain.
* Unresponsive - Sometimes seen noted as 'Unconscious', this outcome is recorded if the patient does not give any Eye, Voice or Motor response to voice or pain.
PU level is bad...... then you have to assess ABC and proceed with resuscitaion..... otherwise if alert you can sttraight go for history and physical exam
I am sorry I gave you the wrong answer...........
First check whether patient is stable, unstable, or dying...... rapid assessment just looking at the patient....... then proceed with ABC then AVPU........ this is called primary survey.
if alert you can straight go for history and physical exam
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