ABCDE assessment - an example case

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[ameliaferguson]

This video is life saving. Thanks for making this video accessible to all viewers/learners.

[charlie]

Found this and other videos of yours very helpful, now subscribing! Love from a Swedish nurse 🏩

[AliShah-tlkj]

Hi Jessica i watch your 2 videos on abcde assessement both are very usefull esp this example approach i am EM trainee thanks alot

[edwinml]

loved this case study and applying the previous ABCDE instructions here.

[muahaha]

wish i found this sooner but you're a lifesaver! really love all the illustrations!

[Adamantane]

thank you for making this video, it really helped me learn to prepare for a medical competition, greetings from Indonesia

[kf]

really useful video, even although I am in the UK, this was very helpful - thank you!

[samsaon]

Example scenario are sure as hell important

[JackStreet]

Subscribed, very useful ! Nursing student from Holland !

[namitbarde]

U deserve more subscribers. Thank you so much

[julioestradahoodvlogs]

Thank you, this was a very helpful video

[bruuuidogames]

Great video, clear and understandable. Thank you

[dariocambise]

Wonderful, I'm an Italian critical nurse! Thank you for your video

[dianneolaseinde]

Nice, you did great. Thanks for sharing

[medstudent]

Hi Jessica. Great video. Thought it would be helpful to provide a little scope as this video does seem to be working on the systems of different countries. I have to say I had a bit of a chuckle when you spoke about having a coffee with the nurses (there is barely ever time for this in our system!).

Here in the UK working within the NHS it is often not feasible to have a nurse with you as you do your A-E assessment due to short staffing and extremely high patient load. At night it is fairly common to have 1 nurse for 8 or more patients on a general medical or surgical ward. Thus when assessing an acutely unwell patient it is important to learn how to complete a full assessment independently even as a very junior doctor. Generally speaking, there is one of each per specialty/ward of: Foundation year 1, FY2 (1 & 2 years post qualification) and Registrar (anything from 3 to 9 years post qualification) in the hospital at night, with a senior doctor on call at home.

Staffing levels are higher during the day. However at night, senior support, although it is available, may take a significantly long period of time to arrive. This is especially true in a surgical specialty where it may be the case that the Registrar is in the OR (in the UK registrars are allowed to operate unsupervised where they are competent in procedures) and therefore unavailable. Therefore it is important that as a junior doctor you are comfortable acting, assessing, prescribing and treating independently, at least until senior support arrives. Protocols such as the Sepsis 6 (BUFALO) as well as integrated ABCDE assessments help to provide a framework in which juniors should feel comfortable acting, and then communicating with seniors to gain advice and support once the appropriate immediate action has been conducted are becoming far more commonplace in NHS hospitals. It is because of this that the ABCDE assessment is becoming far wider taught and implemented for clinical medical students by simulation alongside colleagues from other healthcare professions to ensure that once qualified, a doctor will have practiced and committed to memory all of the steps necessary to intervene even in the absence of senior supervision from the very start of their careers.

[trannyd]

for inspiration strider would you not include a head tilt chin lift / jaw thrust?

[shriramjawahar]

so easy to understand when you visualize it! thank you so much for the help!

[koria]

When you say go back to A and B, do you mean do those tests all over again???