Sandbox/nct fire: Difference between revisions
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❑ [[Jugular venous distension]] <br>❑ [[Tachycardia]] <br> ❑ [[Hypotension]]<br>❑ Severe [[dyspnea]]<br> </div>}} | ❑ [[Jugular venous distension]] <br>❑ [[Tachycardia]] <br> ❑ [[Hypotension]]<br>❑ Severe [[dyspnea]]<br> </div>}} | ||
{{familytree | | | | | | | |,|-|-|^|-|-|.| | | | |}} | {{familytree | | | | | | | |,|-|-|^|-|-|.| | | | |}} | ||
{{familytree | | | | | | | B01 | | | | B02 | | | | B01=<div style=" width: 22em"> <div style="background: #FF0000"> {{fontcolor|#F8F8FF|'''Unstable patient'''}} </div> </div>| border=0| B02=❑ '''Stable patient'''}} | {{familytree | | | | | | | B01 | | | | B02 | | | | B01=<div style=" width: 22em"> <div style="background: #FF0000"> {{fontcolor|#F8F8FF|'''Unstable patient'''}} </div> </div>| border=0|B02=❑ '''Stable patient'''}} | ||
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{{familytree | | | | | | | B05 | | | | |!| | | | | | |B05=<div style=" width: 22em"> <div style="background: #FF0000"> {{fontcolor|#F8F8FF|'''❑ Assess airway, breathing, and circulation'''}} </div> </div>| border=0}} | |||
{{familytree | | | | | | | |!| | | | | |!| | | | | | | }} | {{familytree | | | | | | | |!| | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | B03 | | | | B04 | | | | | |B03=<div style="float: left; text-align: left; width: 20em; background: #F60A0A; padding:1em;"> {{fontcolor|#F8F8FF| '''Proceed with immediate needle decompression in the 2nd [[intercostal space]], [[midclavicular line]] of affected hemithorax'''}} </div>| border=0 |B04=<div style="float: left; text-align: left; width: em; padding:1em;"> '''[[Tension pneumothorax resident survival guide#Complete Diagnostic Approach of tension pneumothorax|Continue with the diagnostic approach]]''' </div>}} | {{familytree | | | | | | | B03 | | | | B04 | | | | | |B03=<div style="float: left; text-align: left; width: 20em; background: #F60A0A; padding:1em;"> {{fontcolor|#F8F8FF| '''Proceed with immediate needle decompression in the 2nd [[intercostal space]], [[midclavicular line]] of affected hemithorax'''}} </div>| border=0 |B04=<div style="float: left; text-align: left; width: em; padding:1em;"> '''[[Tension pneumothorax resident survival guide#Complete Diagnostic Approach of tension pneumothorax|Continue with the diagnostic approach]]''' </div>}} | ||
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===Complete Diagnostic Approach in Patients with Tension Pneumothorax=== | ===Complete Diagnostic Approach in Patients with Tension Pneumothorax=== | ||
Latest revision as of 19:11, 2 April 2014
First Initial Rapid Evaluation of Suspected Narrow Complex Tachycardia
Shown below is an algorithm for the First Initial Rapid Evaluation (FIRE) of suspected NCT
Identify cardinal signs and symptoms that increase the pretest probability of NCT ❑ Palpitations (Most common presentation) | |||||||||||||||||||||||||||||||||||||||||||||
❑ Unstable patient | ❑ Stable patient | ||||||||||||||||||||||||||||||||||||||||||||
If the rhythm isn't sinus: ❑ Urgent DC cardioversion | If the rhythm is sinus: ❑ Control the rate:
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First Initial Rapid Evaluation of Suspected Tension Pneumothorax
Shown below is an algorithm for the First Initial Rapid Evaluation (FIRE) of suspected tension pneumothorax.
Identify cardinal signs and symptoms that increase the pretest probability of tension pneumothorax | |||||||||||||||||||||||||||||||||||||||||
Identify any alarming signs or symptoms ❑ Jugular venous distension ❑ Tachycardia ❑ Hypotension ❑ Severe dyspnea | |||||||||||||||||||||||||||||||||||||||||
Unstable patient | ❑ Stable patient | ||||||||||||||||||||||||||||||||||||||||
❑ Assess airway, breathing, and circulation | |||||||||||||||||||||||||||||||||||||||||
Proceed with immediate needle decompression in the 2nd intercostal space, midclavicular line of affected hemithorax | |||||||||||||||||||||||||||||||||||||||||
❑ Insert chest drain immediately after needle decompression | |||||||||||||||||||||||||||||||||||||||||