SIM session

Question 1

What acronym would you use to treat patients in A&E? (what would you do at each section?)

Answer 1

Symptoms

Allergies

Medications

Past medical history

Last oral intake

Events → how it happened

Airway → is it patent?

Breathing → O2 sats, ABG, breath sounds, CXR?

Circulation → perfusion, BPP, HR, urine output, heart sounds, ECG

Disability → GCS, pupils, glucose levels, able to squeeze both hands

Everything else → abdo exam, skin (rashes), temp, glucose

Question 2

When would you request for help in a clinical situation?

Answer 2

Question 3

How do you do a handover?

Answer 3

1. I am…
2. I am calling from…
3. I think this is…
4. Situation
5. Background
6. Assessment
7. Recommendation

Question 4

What is the acute (hospital) management of ACS?

Answer 4

Morphine

Oxygen → if abnormal stats

Nitrate → GTN spray

Aspirin

Question 5

What is the acute (hospital) investigations of ACS?

Answer 5

• Echocardiogram
• Lifestyle → NO smoking, diet, exercise

Question 6

What is the chronic (home) management of ACS?

Answer 6

Clopidogrel

Ramipril

Aspirin

Beta blocker

Statin

Question 7

What is the management of COPD & asthma?

Answer 7

Oxygen

Help

Salbutamol

Hydrocortisone/oral prednisolone

Ipratropium

Theophylline

Magnesium

Escalate