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Major body system assessment

so17254

Created on April 19, 2023

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Transcript

Performing a Major Body System Asssessment

What is triage?

Step 1: cardiovascular assessment

Step 2: Respiratory assessment

Step 3: Neurological assessment

What should I do?!

What is a major body system assessment?

  • A rapid assessment with the aim to:
  • Identify patients in need of immediate treatment
  • To help prioritise order in which patients are cared for

Before you move to the next slide - can you list the 3 'major' body systems?

Major body system assessment

Great! The 'major' body systems are generally considered to be the cardiovascular, respiratory and central nervous system. Next - consider what you would check upon physical exam to assess these 3 body systems, before moving on.

Central nervous system

Cardiovascular

Respiratory

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Top tips!

Stay calm

  • Remember the owner will be anxious!
  • Be friendly and kind
  • Explain who you are and what you are doing - this will help to reassure the owner

Step 1

Cardiovascular assessment

• Auscultate the heart - check the heart rate, rhythm and for any abnormal heart sounds• Check the patient's mucous membranes - their colour and capillary re-fill time • Feel the patient's pulses - their strength and if they are synchronous with the heart beat. Click on the to find out more.

You are looking for evidence of hypoperfusion - do you know how this presents?

Step 2

Respiratory assessment

• Observe the patient breathing• Count the breaths per minute • If necessary (i.e. the patients respiratory rate and effort are normal), auscultate the chest Click on the to find out more.

You are looking for evidence of dyspnoea - do you know how this presents?

Step 3

Central nervous system assessment

• Observe the patient’ mentation and response to the environment • If necessary check the pupils for symmetry and PLR • If necessary check the blood pressure Click on the to find out more.

You are looking for signs of raised intra-cranial pressure and/or seizures - do you know these presents?

Top tips!

Don't worry about looking silly...

  • If you are worried about your patient/in doubt, ask for someone else to check the patient
  • Don’t worry about looking silly
  • We would always rather be too cautious than miss something important!

Top tips!

Be prepared

  • In advance of your patient arriving, consider setting up the following on/around the examination table in ICU:
    • IV catheter equipment, including several lengths of tape and pre-prepped flush
    • Blood sampling equipment, including EDTA, plain, heparin tubes and separate blood gas syringe
    • An oxygen delivery system if appropriate eg. dyspnoeic patients
    • Appropriately sized blood pressure cuff
    • A multiparameter monitoring unit

Good luck with your triage