ER Nursing Essentials

Assessment in ER 37:46 Initial impression, ABCs, secondary assessment, and focused respiratory, cardiac, neuro and GI assessments. Triage 6:38 How patients are categorised by acuity, the factors that drive that call, and the five Emergency Severity Index levels. Asking the Right Questions 14:13 SAMPLE and PQRST, complaint-by-complaint question sets, and what to ask emergency services on handover. Diagnostic Workups 16:41 Chest pain, shortness of breath, abdominal pain, ALOC, syncope and the sepsis workup: what gets ordered and why. ALS Medications 15:58 Cardiac arrest drugs, doses and purpose, then the vasopressors and the receptors that explain what each one does. H's and T's 1:03 The reversible causes of cardiac arrest, and the treatment for each. Rhythms and their Treatments 3:39 Quick reference for the deadly rhythms: what to give, what to shock, and when to sync. Defibrillate, Cardiovert and Pace 3:09 Step by step on the monitor: pads, joules, sync, charge, capture. ECG's 8:12 The waveform and what each part means, the rhythms to recognise, and reading a STEMI by consecutive leads. Cardiorespiratory Arrest 6:25 Preparing the room before they arrive, running the code, and what the job becomes after ROSC. Cardiac Emergencies 31:07 STEMI, NSTEMI, CHF, hypertensive emergency, tamponade, dissection, aneurysms, A-fib RVR and symptomatic bradycardia. Respiratory Emergencies 14:54 Pulmonary embolism, asthma, pneumo- and haemothorax, pneumonia and anaphylaxis. Rapid Sequence Intubation 4:26 Preoxygenation, hemodynamic optimisation, the equipment, and the drugs that sedate and paralyse. Neurological Emergencies 20:05 Intracranial haemorrhage, seizures, ischemic stroke, and running a Code Stroke from recognition to tPA. Metabolic and Endocrine Emergencies 16:08 Diabetic ketoacidosis, hyperkalemia and hypoglycemia. Substance Abuse, Gastrointestinal, Behavioral 20:56 Alcohol withdrawal and delirium tremens, GI bleeding, and de-escalating and sedating the violent patient. Medications 46:38 The drug chapter: safety checks, vasopressors, arrest drugs, RSI, rate control, sedation, psych, antidotes and the rest.