For any signs of airway obstruction For evidence of mouth/neck/swelling/haematoma For security of artificial airway Look At the chest wall movement, to see if it is normal and symmetrical To see if the patient is using their neck and shoulder muscles to breathe (accessory muscles) At the patient to measure to measure their respiratory rate Look At the skin colour for pallor and peripheral cyanosis At the capillary refill time At the patient’s central venous pressure and jugular venous pressure Look At the level of consciousness For facial symmetry, abnormal movements, seizure activity or absent limb movements At pupil size, equality and reaction to light
Listen For noisy breathing e.g. gurgling, snoring or stridor
Feel For the presence of air movement For security of artificial airway Feel For the position of the trachea to see if it is central For surgical emphysema or crepitus If the patient is diaphoretic (Sweaty)
Listen To the patient talking to see if they can complete full sentences For noisy breathing e.g. stridor, wheezing
Listen To the patient for complaints of dizziness and headaches For patient’s blood pressure and heart sounds
Feel Your patient’s hands and feet to see if they are warm or cold Your patient’s peripheral pulses for presence, rate, quality, regularity and equality. Feel For patient’s response to external stimuli For muscle power and strength
Listen To patient’s response to external stimuli and pain For slurred speech For patient’s orientation to person, place and time.
Give oxygen Position your patient Call for help if you can’t manage Never leave a deteriorating patient without a priority management and review plan
Look Listen Feel For any bleeding e.g. investigate wounds and drains For air leaks in drains The patients abdomen that may be hidden by bed clothes For...