A – Clear & self maintaining.
B – Rate 35, SpO2 88%.
C – Pulse 140, BP 190/95.
D – E4 V5 M6 pupils equal
E – Temp 36.9°C
Cold, sweaty and in Respiratory distress
B/L profuse crepitations on auscultation
Raised JVP and pedal edema
Why We Simulated
Ageing of the population and prolongation of the lives of cardiac patients has led to an increasing incidence of heart failure (HF).
Among patients hospitalised for HF, in-hospital mortality and length of hospital stay have decreased, despite an increase in the severity of HF
Management of Heart Failure starts with simple measure: Oxygen and Sitting Up
Consider the full range of Drugs: Furosemide/ GTN/ Diamorphine
CPAP may be appropriate – but be aware of removing oxygen whilst setting up the CPAP.
For a reminder of how to set up our CPAP: https://vimeo.com/100323900 (password: cpap)
Summarising treatments given and verbalising the next step is good practice – but it is worth making sure you team is aware you are doing it.
It is worth thinking why has this patient gone into Acute LVF as this may require intervention.
Edit & Peer Review by Rebecca Prest