Special Circumstances Workshop Asthma. Learning outcomes By the end of this session the candidate will: Understand how to assess and treat the patient.

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Presentation transcript:

Special Circumstances Workshop Asthma

Learning outcomes By the end of this session the candidate will: Understand how to assess and treat the patient with asthma Recognise the signs and symptoms of severe, life-threatening, and near-fatal asthma Understand the potential complications following tracheal intubation and ventilation

Case study Clinical setting and history A 58-year-old ‘brittle’ asthmatic is brought in to the hospital with shortness of breath. He is unable to speak and is starting to tire. Clinical course ABCDE -A : Clear -B : RR 30 min -1, PEFR unrecordable, SpO 2 86% on 6 litres min -1 oxygen via Hudson mask -C : P 140 min -1, BP 100/60 mmHg -D : Unable to speak and starting to tire -E : Pale and clammy What action will you take?

Case study (continued) Arterial blood gas analysis: Inspired oxygen40% (FiO 2 0.4) estimated normal values PaO 2 51 mmHg> 75 mmHg on air pH – 7.45 PaCO 2 50 mmHg35 – 45 mmHg Bicarbonate20 mmol l – 26 mmol l -1 Base excess-4 mmol l -1 +/- 2 mmol l -1 What are you going to do now?

Case study (continued) Clinical course The patient’s trachea is intubated and shortly afterwards there is no palpable pulse What will you do now? - The patient’s trachea is intubated - what considerations to ventilation of the patient are needed?

Any questions?

Advanced Life Support Course Slide set All rights reserved © Australian Resuscitation Council and Resuscitation Council (UK) 2010