1. Medical Emergencies Edward Davis GPST2 Teaching 12/09/2012

2. Objectives GP curriculum statement 3.03 Key messages – Recognise the signs of illnesses and conditions that require urgent intervention – Keep your resuscitation skills up to date Anaphylaxis Pre hospital management of suspected ACS Refresh knowledge of resuscitation guidelines Quiz Discussion of answers and guidelines

3. Quiz

4. Question 1 What symptoms and signs would you expect to see in a patient with anaphylaxis?

5. Question 2 What would be your initial response to observing these signs?

6. Question 3 A 14 year old male attends the surgery with his mother. He is known to be allergic to peanuts and he accidently has eaten one. He does not have his Epipen with him. He is breathing rapidly and wheezing. You suspect he is having an anaphylactic reaction and decide to administer Adrenaline. Choose the most suitable option from the list below. – A. 300mcg IM – B. 300mcg IV – C. 500mcg IM – D. 150mcg IM – E. 500mcg IV

7. Question 4 You are eating your lunch in your consulting room and a 3 year old girl is brought in after being stung by a bee. She is pale, clammy and striderous. You diagnose her as having anaphylaxis and decide to give adrenaline. What volume would you administer? – A. 0.5ml of 1:10 000 – B. 0.15ml of 1:1000 – C. 0.15ml of 1: 10 000 – D. 0.3ml of 1:1000 – E. 0.3ml 1:10 000

8. Question 3 You have administered the adrenaline to the 3 yr old girl and now decide to give Chlorphenamine. What dose would you give? – A. 20mg – B. 10mg – C. 5mg – D. 2.5mg – E. 1.25mg

9. Question 4 What pain relief should be given in patients with suspected ACS?

10. Question 5 Which antiplatelet would you give to a patient with suspected ACS and at which dose?

11. Question 6 A patient with suspected ACS has oxygen saturations of 95% on air, would you give supplemental oxygen?

12. Question 7 A patient with COPD has suspected ACS and their oxygen saturations are 89%, would you give supplemental oxygen?

13. Question 8 You find a collapsed man on your way home from buying a pint of milk. He is not breathing and there is no pulse. What ratio of chest compressions to rescue breaths should you do?

14. Question 9 A 5 year old girl is unresponsive. You open her airway and find she is not breathing. How many rescue breaths should you now give?

15. Question 10 There are no signs of life after giving rescue breaths. What ratio of chest compressions to rescue breaths should you now perform?

16. Guidelines

17. Summary Anaphylaxis Pre hospital management of suspected ACS Refresh knowledge of resuscitation guidelines

18. Thank you for listening