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Neuro Assessment Steps
GCS
Pupils
Motor/sensory function
Respiratory Assessment
Rate
Rhythm
Effort
Skin
Sounds
Speech
Cardiovascular Assessment
Pulse
BP
ECG
BGL
SpO2
Temperature
5 Rights of Drug Administration
Right Drug
Right Dose
Right Route
Right Time
Right Patient
NEXUS Criteria
ALOC
Focal Neurological Deficit
Distracting Injury
Cervical Midline Tenderness
Suspected Intoxication
Chest Pain Differentials
ACS (myocardial infarction or unstable angina)
Aortic dissection
Paricarditis/myocarditis
Cardiac tamponade
Pulmonary embolism
Pneumothorax
Pneumonia
Pleurisy/pleuritic pain
Costochondritis
Musculoskeletal pain
Cholelithiasis (gall stones) or Cholecysitis (inflammation)
GERD
Peptic ulcers
Anxiety
Many more
Perfusion Status
Blood pressure
Pulse rate
Conscious state
Skin
Anaphylaxis
Any acute onset illness with typical skin features PLUS involvement of respiratory and/or cardiovascular and/or severe gastrointestinal symptoms
Syncope Red Flags (8)
History of cardiac disease
New shortness of breath
Syncope during exertion
Signs of cardiac failure
History of anemia
Family history if sudden cardiac death
Patient over 50 years old
ECG abnormalities
These patients MUST BE TRANSPORTED!
Hypoglycaemia Mandatory Transport Criteria (14)
Newly diagnoses diabetes
No previous history of diabetes
Pregnant
Recovered but no adult to monitor for 4 hours/cannot self care
Not returned to normal state w/in 10 min of IV glucose
Intentional O.D.
Severe hypoglycaemia in previous 48 hours
Risk of prolonged or recurrent hypoglycaemia
Unwitnessed onset or prolonged episode
long acting oral hypoglycaemic agents that caused hypo
unable or unwilling to eat complex carbs
Seizure
Suspected hypo due to illness requiring further investigation
Injury sustained from hypo requiring further investigation