ABCDE Assessment | Sepsis | Emergency Simulation Scenario | OSCE Guide | UKMLA | CPSA

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  • Опубликовано: 4 июн 2024
  • This video provides a step-by-step demonstration of the recognition and immediate management of sepsis using an ABCDE approach (sometimes referred to as a head-to-toe assessment).
    You can read our guide alongside the video here: geekymedics.com/acute-managem...
    The ABCDE approach can be used to perform a systematic assessment of a critically unwell patient. It involves working through the following steps:
    00:00 Introduction
    01:01 Airway
    01:34 Breathing
    04:43 Circulation
    07:50 Disability
    08:54 Exposure
    10:58 Senior review (SBAR)
    Each stage of the ABCDE approach involves clinical assessment, investigations and interventions. Problems are addressed as they are identified, and the patient is re-assessed regularly to monitor their response to treatment.
    This guide has been created to assist students in preparing for emergency simulation sessions as part of their training; it is not intended to be relied upon for patient care.
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    Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
    Respiratory sounds - Andy Howes
    ECG - Ewingdo, CC BY-SA 4.0 via Wikimedia Commons
    CXR - James Heilman, MD, CC BY 3.0 via Wikimedia Commons
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Комментарии • 167

  • @geekymedics
    @geekymedics  9 месяцев назад +369

    This video required a lot of hard work from a bunch of amazing people (and me) so I hope you find it helpful! ❤ - Lewis | Founder

    • @rokeyakhan7960
      @rokeyakhan7960 9 месяцев назад +8

      Thnx to those amazing people from the core of my heart who worked to hard to make make this video which gives us a great opportunity to learn this procedure crystal celarly ❤❤❤

    • @fatemamahjabeen6197
      @fatemamahjabeen6197 9 месяцев назад

      Thank you so much.

    • @hajerabdulhameid8941
      @hajerabdulhameid8941 9 месяцев назад +1

      With exposure, what is significance of rash if found???

    • @geekymedics
      @geekymedics  9 месяцев назад +8

      It could indicate a dermatological source of infection, suggest an alternative pathology such as anaphylaxis or indicate something like meningococcal septicaemia (if non-blanching)

    • @ahmad_esha_81
      @ahmad_esha_81 8 месяцев назад +5

      I am a GMC registered doctor. I have been following you since my PLAB-2 exam 2 years ago. Your videos on clinical examinations were extremely helpful for me. Thank you.

  • @user-astrophile
    @user-astrophile 2 месяца назад +49

    Great video. The mannequin blinking had me questioning my sanity however, haha.

    • @mspinklady74
      @mspinklady74 21 день назад

      Me too wondered if was a person or a manniquin

  • @Marielle_DJR
    @Marielle_DJR 8 месяцев назад +61

    There are times when you think Geeky Medics can't get any better than they already are, and then they release these gems 🥰🥰🥳🥳👾👾👾

    • @geekymedics
      @geekymedics  8 месяцев назад +11

      That’s is such a lovely comment to start my Sunday too! Thanks so much it means a lot - Lewis | Founder

    • @Marielle_DJR
      @Marielle_DJR 8 месяцев назад

      You da best! @@geekymedics

    • @tjitjo
      @tjitjo 3 месяца назад +1

      Thought u said germs ehehahaheh

  • @davidleonardovargascarvaja8292
    @davidleonardovargascarvaja8292 9 месяцев назад +34

    You just blew my mind, congrats for this master piece.

  • @Varuncool111
    @Varuncool111 9 месяцев назад +35

    Beautifully made ! Real scenario feel. Thanks guys!

    • @geekymedics
      @geekymedics  9 месяцев назад +1

      Thanks for the kind words - makes it all worth it! 🙏

  • @olusesanonasanya7107
    @olusesanonasanya7107 8 месяцев назад +9

    please more videos like this, thank you for all you do

  • @gurudamn9245
    @gurudamn9245 26 дней назад +1

    Began learning about Septis in this semester. This video demonstration is wonderful. Subscribed immediately.

  • @alaayasser6982
    @alaayasser6982 9 месяцев назад +49

    Excellent and very helpful!
    Very comprehensive physical exam.
    Must rewatch and take notes
    Thank you so much 🙏🏻

    • @geekymedics
      @geekymedics  9 месяцев назад +2

      Glad it was helpful!

  • @user-ko5ey5qu5o
    @user-ko5ey5qu5o 8 месяцев назад +11

    I love this so helpful for nursing school. Please do more simulations!

  • @josephdahdouh2725
    @josephdahdouh2725 7 месяцев назад +37

    This was so much fun to watch. I typically feel like I sometimes oblige myself to watch medical videos just to balance out the fun and studying. But, I enjoyed this one a lot more than I initially would have expected. Thanks. I do hope that you also show more realistic versions in case for example the patient wasn't compliant, or in case there is no chief doctor available and the case is declining. What would a starting doctor have to do in such cases?

  • @sories.fornah1941
    @sories.fornah1941 3 месяца назад +1

    This is absolutely amazing, few months back I got schooled about the SBAR (Situation, Background, Assessments, Reactions/Recommendations) means of communication in a healthcare setting and that absolutely what happened here. I’m overwhelmed to be an RN ❤🎉

  • @muhammadbilalahmad7037
    @muhammadbilalahmad7037 7 месяцев назад +3

    Very well constructed and done. Bravo

  • @ionm.2412
    @ionm.2412 6 месяцев назад +2

    What a masterpiece, thank you and SUPERB job !

  • @salaheldinkeshta7599
    @salaheldinkeshta7599 8 месяцев назад +1

    Thank you so much for doing this video, hoping if you could do other abcde for other acutely unwell patient scenarios

  • @_bigman8593
    @_bigman8593 8 месяцев назад +1

    That was incredible! More please, im still hungry!!

  • @peggyoneal325
    @peggyoneal325 8 месяцев назад +1

    This video means everything to me…
    Loss my Brother to Sepsis…
    Thank you so much!

  • @vassysoma2275
    @vassysoma2275 7 месяцев назад

    This video is exactly what we needed!

  • @drahmedmohamed7779
    @drahmedmohamed7779 9 месяцев назад +12

    Masha allah i understand this case please can you make us more videos like this ❤

  • @yussufhassan5265
    @yussufhassan5265 5 месяцев назад +3

    i have been the dream to learn medical since i was young in 1997 and was always after reading medical books while in refugee camp not able to go to school where i can make true to my dreams.
    after strugle, i came to Europe hoping at least i will have the apportunity but didn't work.
    now almost get stressed and age has gone but still never stop to learn medical.
    this channel is good for me

    • @mamaluba3909
      @mamaluba3909 2 месяца назад

      you can study medicine in Bulgaria :) i am 2 years older as you and now i am in 4 year of my medical school, its never late to start

  • @user-mi5ir5lq5v
    @user-mi5ir5lq5v 9 месяцев назад +3

    Excellent case ! Thank you geeky medics .

  • @blessingobi7164
    @blessingobi7164 7 месяцев назад +1

    This video is very good, thanks geeky medics team for all of your hardwork

    • @geekymedics
      @geekymedics  7 месяцев назад +2

      That’s lovely of you to say! 🙂

  • @user-ib5sg6rl4m
    @user-ib5sg6rl4m 5 месяцев назад

    Thank you for the excellent video! The practice is conducted sistemmatically and understandable.

  • @indefinitelight
    @indefinitelight 9 месяцев назад +1

    Most awaited one

  • @najiabushibba8963
    @najiabushibba8963 6 месяцев назад +1

    The good old days being a junior doc🎉...its really helpful for practice

  • @sig_nessuno
    @sig_nessuno 9 месяцев назад

    Thank you for this video!

  • @goldmedicine
    @goldmedicine 9 месяцев назад

    WOW! Awesome presentation

  • @lenaalsaleem3769
    @lenaalsaleem3769 6 месяцев назад

    This video is amazing! Thank you so much

  • @sidswamyy
    @sidswamyy 9 месяцев назад

    Great one! Thank you so much.

  • @gcgfchjkjlklkcxfxdzs
    @gcgfchjkjlklkcxfxdzs 4 месяца назад

    Well done! Very informative for overseas doctor like me.

  • @samuelkhau228
    @samuelkhau228 9 месяцев назад +1

    So comphrenshive and advanced management 😊😊

  • @indefat
    @indefat 9 месяцев назад

    Well done. Thank you.

  • @MyBlargh
    @MyBlargh 8 месяцев назад +9

    Great stuff team, fantastic simulation based learning. This video will be used by doctors, nurses, paramedics, PAs etc so big thanks for contributing to FOAMed.

    • @geekymedics
      @geekymedics  8 месяцев назад

      Our pleasure!

    • @Propofol1234
      @Propofol1234 7 месяцев назад +2

      PAs should be doing the discharge summaries; leave the doctoring to the doctors;

  • @elizabethj3171
    @elizabethj3171 4 месяца назад

    This was wonderful!

  • @Drzen23
    @Drzen23 8 месяцев назад

    Thankyou so much for the video

  • @oluwatosinige2106
    @oluwatosinige2106 9 месяцев назад

    Great one. Well done!

  • @sunnyrastin
    @sunnyrastin 8 месяцев назад +3

    Very good information ,best you tube channel for nursing students👍

  • @rkgomes3875
    @rkgomes3875 7 месяцев назад

    This was very well done!!!!!

  • @leotorreggiani3998
    @leotorreggiani3998 8 месяцев назад

    Superbe video ! Merci :)

  • @sivajinidarmendra2250
    @sivajinidarmendra2250 9 месяцев назад

    Amazing...Thank you very much dear Geeky Medics

  • @asifsuneer6723
    @asifsuneer6723 8 месяцев назад

    Loved it. Thank you guys.

    • @geekymedics
      @geekymedics  8 месяцев назад

      So glad you found it helpful!

  • @drsugar
    @drsugar 6 месяцев назад

    Geeky videos are super awesome. We love you

    • @geekymedics
      @geekymedics  6 месяцев назад

      You’ve made our day!

  • @user-ss1tu2hk5z
    @user-ss1tu2hk5z 8 месяцев назад +1

    Loved it

  • @ridazafar8421
    @ridazafar8421 4 месяца назад

    Superb Video ❤ All steps have been done in excellent way
    Thankyou so much for making this video

  • @josevillegas9118
    @josevillegas9118 8 месяцев назад

    Really good video, very helpful

  • @obettachristianchigozirim3287
    @obettachristianchigozirim3287 Месяц назад

    This is beautifully detailed

  • @AlesAmazigh
    @AlesAmazigh 7 месяцев назад

    Amazing work, love it. Thanks a bunch for the efforts. ❤

  • @user-gf9cl3dt4u
    @user-gf9cl3dt4u 5 месяцев назад +2

    Blessings Geeky Medics, for the video I am a nursing student this video will help me, thank you.

    • @geekymedics
      @geekymedics  5 месяцев назад

      So glad to hear it’s helpful 🙂

  • @jennifertorres4757
    @jennifertorres4757 3 месяца назад

    Thank you this was great!

  • @ChristinaAaliyah
    @ChristinaAaliyah 8 месяцев назад

    So helpful!

  • @annelazari4512
    @annelazari4512 3 месяца назад

    Thanks for this ❤

  • @moradzayed
    @moradzayed 8 месяцев назад

    great work thank you so much

  • @mariancotilard4909
    @mariancotilard4909 7 месяцев назад

    U did amazing job ..thank u

  • @christa718
    @christa718 8 месяцев назад

    Thank you🙏

  • @sim_aware
    @sim_aware 9 месяцев назад

    Excellent case!

  • @amnabibi9087
    @amnabibi9087 7 месяцев назад

    Assalam o alaikum
    Finally I found something that is very helpful for me
    Thank you soooo much for ur great work

  • @sathishsandy9323
    @sathishsandy9323 9 месяцев назад

    Excellent

  • @kevinsserunjoji
    @kevinsserunjoji 8 месяцев назад

    Good video. Thanks

  • @Diego-ji6ep
    @Diego-ji6ep 9 месяцев назад

    Perfect!

  • @abukeita2553
    @abukeita2553 7 месяцев назад

    It was so helpful!

  • @malak3229
    @malak3229 9 месяцев назад +1

    Absolutely amazing..I am a joiner to This so helpful ❤

  • @lauramazzocchitti8509
    @lauramazzocchitti8509 3 месяца назад +1

    So helpful thank you! I am 2 weeks away from my final OSLERS so I need my A-E and SBAR to be smooth.

    • @ThatsWhy-
      @ThatsWhy- 2 месяца назад

      Is there any difference between us or uk licensing in medical examinations? In US, there are USMLE 1&2? How about in UK?

  • @ndipmouwembassey2094
    @ndipmouwembassey2094 Месяц назад

    Awesome. Thanks

  • @saroshahmad9736
    @saroshahmad9736 8 месяцев назад

    nicest senior ever

  • @jessetanko1973
    @jessetanko1973 9 месяцев назад +1

    Learnt something new today SBAR

    • @geekymedics
      @geekymedics  9 месяцев назад +1

      We’ve recently produced a video on SBAR too 🙂 m.ruclips.net/video/X_3wY-4f8HY/видео.html

  • @AhmedAdel-hx9ce
    @AhmedAdel-hx9ce 8 месяцев назад

    Thank you very much ❤❤❤❤❤❤❤❤❤❤❤❤❤❤❤

  • @shenekamal6722
    @shenekamal6722 8 месяцев назад

    Great video,,
    What about antipyretics? We should also add paracetamol bottle to lower the temperature and stop further hyperthermia

  • @franciscomorarestrepo7732
    @franciscomorarestrepo7732 5 месяцев назад

    amazing intervention, but i have some question about how you treating the pation, on ECG there is a supra unevenness on the underside , i saw the sinus taquicardia as well but, whjat happend with the endocardial infarction seriouslly amazing, im latin nursing student and it is amazing watching this kind of videos, thank you so much

  • @sammanesh1
    @sammanesh1 11 дней назад

    thanks

  • @annlynda7311
    @annlynda7311 2 месяца назад

    Beautiful

  • @theolive4691
    @theolive4691 2 месяца назад

    fantastic

  • @gunayaslan2895
    @gunayaslan2895 7 месяцев назад

    Great❤

  • @sunnymichelle
    @sunnymichelle 6 месяцев назад

    Great video. I was taught to listen before auscultation 9f the abd. Any reason why you dont do this?

  • @arafat9069
    @arafat9069 8 месяцев назад +5

    Very informative video but I have to say where I practice from in Africa it would be extremely expensive to get all those investigations and tests at once and on time. A physical exam with minimal important tests would suffice here.

    • @pidokapeu8107
      @pidokapeu8107 7 месяцев назад

      Malheureusement lorsque certains examens ne sont pas approfondis, on passe à côté du diagnostic et le traitement et la prise en charge ne sont pas adaptés

  • @drSJV
    @drSJV 3 месяца назад

    A great drinking game - every time someone is polite to someone take a sip 👊☺️

  • @johnk3700
    @johnk3700 9 месяцев назад +1

    Lovely stuff here folks. Very much hoping there’s more in the pipeline!

  • @sungwonmedi
    @sungwonmedi 14 дней назад +1

    Thanks for great video ^^

  • @shikhan2022
    @shikhan2022 8 месяцев назад

    Super nice video , thank you

  • @SireCs133
    @SireCs133 8 месяцев назад

    Omg I love your British accents!

  • @teas2019
    @teas2019 7 месяцев назад

    It is very helpful simulation. Just wonder if she could ascualtate the abdomen before palpating it so that perstalisis will not be affected.

  • @samirdas7657
    @samirdas7657 5 месяцев назад

    Dr is so sweet 🥹

  • @esthermartin8923
    @esthermartin8923 6 месяцев назад

    I really liked this!!!! On your site, yo join, is there a fee?

  • @obviouslydead9027
    @obviouslydead9027 3 месяца назад +1

    She put him directly on 15L with NRB just because his sat was 86%. He could have COPD. You know what my consultant likes to do when sat is 88 he will nebulise them, a round of chest physio and maybe 3L of O2. Usually sat improves after these measures. Another thing missing is BNP because ecg will be normal sometimes in failure.

    • @fatima67890
      @fatima67890 14 дней назад

      The ABGs show metabolic acidosis clearly with elevated lactate. (No CO2 retention) Exam shows crackles, no ronchi. 15L NRB with sepsis in mind is fairly okay.

    • @obviouslydead9027
      @obviouslydead9027 13 дней назад

      @@fatima67890 i am really bad at ABGs. Can you give me a resource where I can read about the management plans for various ABG abnormalities.

  • @user-hv4qx7kl9q
    @user-hv4qx7kl9q 2 месяца назад

    This is such a helpful video thank you! I recognise both Katie and Leah so it was a shock to see them here🤭 is there any advice for how to practice A-E for OSCES besides watching these videos? A lot of my sessions in placement have been cancelled because of strikes. Thank you!

  • @thesnowcavex7062
    @thesnowcavex7062 Месяц назад +1

    I was invested until the consultant said he’d be there in 5-10 minutes 😅

    • @geekymedics
      @geekymedics  Месяц назад +1

      My mantra was “be the consultant you want to see” - Dr Potter

  • @jciiivillaflor5002
    @jciiivillaflor5002 Месяц назад

    Hi, good day. It was very informative. I was just confused about the abdominal assessment as the doctor palpated first before auscultation. Can you clarify?

  • @danyalrazzaq8773
    @danyalrazzaq8773 9 месяцев назад +2

    Good presentation..please also share about asthma and anaphylaxis

  • @user-wp5qe2ei4u
    @user-wp5qe2ei4u 3 месяца назад

    thanks for the video. the problem may be on his back [posteriously]

  • @nigelgregory5996
    @nigelgregory5996 7 месяцев назад

    could someone please explain what is meant by....Large bore?....i'm presuming the size of the cannula...thankyou....Excellent video by the way.

  • @ahmad_esha_81
    @ahmad_esha_81 9 месяцев назад +3

    ABG was uncompensated metabolic acidosis.

    • @shaani7978
      @shaani7978 7 месяцев назад

      I can’t believe I’m just now finding this channel! Thank you 🙏🏾

  • @Yo-yo-dt5ze
    @Yo-yo-dt5ze 2 дня назад

    Sepsis is a new fear for me I had it in 2022 and didn’t know it most of my symptoms started at home by the time I got to the er I was dying had I not made it in time I would have died I was in icu for a week and had multiple rounds of intravenously antibiotics iam a sepsis survivor I had never heard of sepsis before and now iam at high risk of infections repeatedly after being exposed to mold for 5 years and my body has became resistant to antibiotics 😢

  • @khaledsaeed23
    @khaledsaeed23 3 месяца назад +1

    Quick question…
    Aren’t we supposed to auscultate the abdomen before we palpate?

  • @user-sn8kw5lq4z
    @user-sn8kw5lq4z 5 месяцев назад

    Amen

  • @ThatsWhy-
    @ThatsWhy- 2 месяца назад

    Do you have licensing from US or UK ? Is it any difference ? I need to know from you docs if you may please..

  • @AAdams-vc3zk
    @AAdams-vc3zk 8 месяцев назад +1

    Can you do an ABCD for an unconcious patient

  • @MISSMARLENE7
    @MISSMARLENE7 23 дня назад

    Can you please tell me the manufacturer of this manikin. I teach CPR and this is the best regular looking person.

  • @ventilator98
    @ventilator98 Месяц назад

    How much would it cost to get access to the website where I can work with AI virtual patients, and get some work done simulation wise? I NEED IT!

  • @geekymedics
    @geekymedics  8 месяцев назад +13

    Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles

  • @Sam-qt5ff
    @Sam-qt5ff 3 месяца назад

    Great work. Just one thing to remember-always auscultate BEFORE palpating the abdomen. If you palpate before listening you could hear more bowel sounds that would not have been there had it not been palpated first

  • @captcooper5159
    @captcooper5159 3 месяца назад

    The Nurse had it figured out 10 mins into the video 🙂

  • @velocirshtr3756
    @velocirshtr3756 8 месяцев назад +1

    The chest percussion is a waste of time. Just auscultation and get a pulse ox. Didn’t clarify whether the ABG was on room air or non rebre mask. Otherwise good video