LAST PR BP DATA: (details about each case to help make decisions)
Location, Age, Sex, Temperature
Pulse rate, Respiratory rate
Blood Pressure & BMI
Drugs, Alcohol, Tobacco, Allergies…….
DOMAINS OF CCS...1.DIAGNOSIS 2. THERAPY 3.MONITORING 4.TIMING 5. SEQUENCING
6. LOCTATION…………THEN
1st: ABCD:
Airway, Breathing,
Circulation
V-POLICE SI:
Pulse Oxy
Oxygen
L (nothing: D)
IV access
IV FLUIDS
Cardiac monitoring
BP MONITOR
EKG
ELEVATE HEAD END
Sugar(fingerstick) /
Suctioning (airway)
IMMOBILIZE
SPINE(TRAUMA).
Emergency
treatments:
MONAA
Morphine
Oxygen
Nitrates
Aspirin
Antidotes (for
poisonings) – Thiamine
and Naloxone
2nd do physical
3rd, Labs:
CBC, LFT, ICU, PAX:
CBC
BMP
Cardiac enzymes
LFT, Lipid profile
FOBT
Thyroid tests
Immunological tests
(HIV, An/Ab tests, PCR)
Iron (iron profile, Retic
count, Haptoglobin,
LDH)
Imaging
(CT/MRI/USG/Echo)
Culture (Blood, Urine,
Wound, CSF)
Urine analysis &
toxicology
PT/PTT
Pregnancy Test
Pulmonary function
tests (PEFR, FEV, PFT,
D-Dimer)
Amylase & lipase, ABG
X-rays
4th, step:
CCC:
Comfort – pain,
vomiting, diarrhea,
fever (treat these as
first step if patient is
unstable or in acute
distress)
Cure
Consults
5th if admitting the
patient:
ADMIT COR:
Activity (bed rest. etc.)
Diet
Medications
Intake & output
T (nothing: D)
Temp i.e. vitals
Compression stockings
Omeprazole (stress
ulcer prophylaxis)
REPEAT NEEDED TEST
(CBC, BMP, PT)
6th pre procedure
orders:
ABC PIN
Antibiotics
Blood group & typing
Consent/CXR
PT/PTT
INR
NPO
7th, last 2minute screen
orders:
AFRAID BEAMSSS
Adults
Follow up tests &
screening tests for
later date (very
important and do this
first)
Reassurance
Advance directives
Immunizations
Diet advice, Drug
abuse counsel
Bracelet (for allergies),
Belt (seat belt counsel)
Exercise, Educate
family
Alcohol
Medication
compliance, side
effects
Sex (safe sex practice
counsel)
Smoking cessation
Safety
Screening tests
(for all of these you
could just type Counsel
and then select
multiple entries from
the options)
For children:
RSVP:
Reassurance
Safety
Vaccines
Parent education