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A-G Assessment, by Louise Dempster

CIRCULATION

Conclusion

A-G is a systematic and thorough method to assess and treat patients

  • Check hands and fingers- What colour are they?

  • Assess limb temperature with your own hands.

  • Take observations: 1-Pulse- rate-rhythm-strength

2- Capillary refill

3-BP

"Call for help early and ensure it arrives" NPSA, 2007:p10

BP- 140/90 or more hypertension

90/60 or less hypotension

At any point during the assessment help

may be needed

DISABILITY

If not A then move to the GCS

  • Pupils-size & reaction to light
  • Mobility
  • Check BM- 4-7 mmol/l

BREATHING

  • Assess the depth & rhythm

  • Equal movement on both sides

  • Check Oxygen sats -94-98%

COPD- 88%-92%

Where is the best place to observe a patients breathing?

Exposure

AIRWAY

  • Ask the patient how are they?
  • Listen to response

This gives you a clear picture as to whether the patients AIRWAY is obstructed

FEEL & COUNT

  • respiratory rate
  • less than 8
  • more than 25

LISTEN for

  • snoring
  • gargling
  • coughing
  • wheezing
  • stridor

LOOK for

  • Colour of patient- Blue
  • Gain access to patients body, to do an all over view

  • Maintain dignity

  • Make sure you have informed consent

Check IV sites

Things to look out for

  • wounds
  • drains
  • scars
  • marks
  • rashes

Why? & When

  • To reduce patient mortality
  • Trigger for using A-G is a change in a patients condition

  • When patients deteriorate they show signs in their
  • respiratory
  • cardiovascular
  • nervous system

(resuscitation council, 2010)

Did you get them all?

GOALS

  • Physiological monitoring plan

  • Reporting the findings to the doctor

  • Use SBAR

Definitive management plan-involves the doctors, Recommended by NICE (2007)

FURTHER INFORMATION

A-AIRWAY

B-BREATHING

C-CIRCULATION

D-DISABILITY

E-EXPOSURE

F-FURTHER INFORMATION

G-GOALS

  • Further or Full information

  • Review the patients notes and any relevant investigations they have had

  • Look at the drug chart- paper or EPR

Things to look for?

(Clinical skills, 2012)

  • Has the patient any allergies?
  • Is the patient diabetic?
  • What investigations have been carried out? Results?

Quick Quiz

  • Can you tell me what A-G

stands for?

  • Why do we use it?

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