pRRAPID

 

pRRAPID Approach

Investigations during ABCDE

As the patient is evaluated there maybe a series of investigations that are required to monitor the patient’s condition or aid identifying the underlying diagnosis. These are shown here in tabular form.

A

Primary Investigations

  • Continuous oxygen saturation
  • (SaO2) monitoring
  • Peak flow rate

Secondary investigations (selected cases)

  • Blood gas (capillary, venous or arterial)
  • Chest X-ray
  • Sputum for culture
  • Throat swab
B

Primary Investigations

  • Blood culture
  • Coagulation studies:
  • C-reactive protein
  • 3 lead ECG monitoring
  • Full blood count
  • Urea and electrolytes

Secondary investigations (selected cases)

  • Blood gas
  • Chest X-ray
  • Electrolytes: Magnesium, phosphate, calcium
  • Lumbar puncture
  • Urinalysis (dipstick, microscopy & culture)
  • Wound swab
  • 12 lead ECG
C

Primary Investigations

  • Blood culture
  • Blood sugar
  • Coagulation studies
  • Liver function tests
  • Urea and electrolyte

Secondary investigations (selected cases)

  • Ammonia
  • Blood gas
  • Blood and urine toxicology
  • CT brain scan
  • EEG
  • Lactate (plasma)
  • Metabolic screen
  • MRI brain scan
  • Urine toxicology
  • Urine amino and organic acids