RRAPID

Question 1

What is the RRAPID approach to a deteriorating patient?

Answer 1

Airway
Breathing
Circulation
Disability
Exposure

Question 2

What method is implemented to assess the airway?

Answer 2

Look, Listen, Feel

…and then manage

Question 3

When assessing airway, what do you need to LOOK for? (5)

Answer 3

1. Chest movements - present, absent, normal, abnormal
2. Paradoxical pattern
3. Use of accessory muscles
4. Tracheal tug
5. Foreign body obstruction

Question 4

When assessing the airway, what do you need to LISTEN for? (2)

Answer 4

1. Abnormal sounds - snoring/choking/gurgling/hoarseness/stridor
2. Silence - complete airway obstruction

Question 5

When assessing the airway, what do you need to FEEL? (1)

Answer 5

1. Airflow on inspiration and expiration through the mouth and nose

Question 6

What actions can be taken during the airway assessment? (4)

Answer 6

1. Head tilt chin lift (or jaw thrust if cervical spine injury)
2. Remove obvious foreign bodies/suction secretions
3. Airway adjuncts - oropharyngeal airway
4. If patient is not breathing - ventilate using BVM

Question 7

If the patients airway is threatened due to anaphylaxis, what steps can be taken?

Answer 7

1. Call for help
2. Removal of trigger
3. IM or IV adrenaline
4. Maintain airway patency - intubation may be necessary

Question 8

When assessing breathing, what signs/examinations need to be performed?

Answer 8

1. O2 sats pulse oximetry - respond with O2 at 15L/min via a reservoir mask if necessary
2. Respiratory rate
   3.