ABCDEFG

After a horendous week of medical ward cover, I figured I was going into an arrest, or what we like to call a peri-arrest situation.

A - self-maintaining

B - equal chest movements bilaterally, tachypnoeic, saturation: 96% on air, chest auscultation: clear -----> need oxygen mask

C - cold & clammy, capillary refill time>2s, hypotensive, tachycardia, no urine output for 12 hours -----> need IV access + fluid challenge

D - Glasgow Coma Scale:
E 4 (hmm...maybe actually there is ptosis in both eyes),
V 4 (I'm mumbling but appears to be slightly confused/disorientated)
M 5 (will not obey commands, such as, drug prescription, venflons etc, but responds to pain)
= 13/15 (not a bad score at all!)

E - Looks in distress, sweaty, puffy eyes, dry mucosa, decrease skin turgor (dehydrated, totally forgot to drink), bilateral ankle swelling (standing all day), tender calves (again due to long
hours of standing), nil else to find on examination

F - Apyrexial

G - Blood glucose 1.6 -----> need 50 mls of 50% dextrose stat!!!

Lucky me, I did not go into an arrest. Otherwise, god knows what would happen! *phew