FRCA - Scoring Systems Visual Analogue Pain Scoringfrcaheadstart.org/scoring_systems.pdf · Bromage...
Transcript of FRCA - Scoring Systems Visual Analogue Pain Scoringfrcaheadstart.org/scoring_systems.pdf · Bromage...
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FRCA - Scoring Systems
Visual Analogue Pain Scoring
Paediatric Pain Scales
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Complex Regional Pain Syndrome (CRPS)
ASA Physical Status Classification System
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Glasgow Coma Scale
New York Heart Association Functional Classification
Lee’s Revised (Goldman) Cardiac Risk Index
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Goldman Cardiac Risk Index - Non-Cardiac Surgery
World Federation of Neurosurgeons - Subarachnoid haemorrhage
Liver Failure (Child Pugh Score)
Encephalopathy Grade I:Euphoric/Depressed, II:Drowsy/Inappropriate, III:Sleeps/Incoherent,
IV:Unresponsive MELD (Model For End-Stage Liver Disease) Score: Dialysis x2/Week, Bilirubin, INR, Sodium
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APACHE II
Sequential (Sepsis-related) organ failure assessment (SOFA)
The Ramsay Sedation Scale
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ASA Sedation Continuum (2014)
RASS (Richmond agitation and sedation score)
CAM-ICU (Confusion assessment method in ICU) - For RASS >-3
Feature 1: Acute Onset or Fluctuating Course Patient different than baseline, pre-hospital mental status or Patient with fluctuating mental status in past 24 hours by fluctuation of level of consciousness/sedation
Continue if YES
Feature 2: Inattention Letters attention test with >2 errors Say C-A-S-A-B-L-A-N-C-A
Continue if >2 Errors
Feature 3: Altered Level of Consciousness RASS is not 0 (alert and calm)
Continue if No If YES = Delirium
Feature 4: Disorganized Thinking Will stone float on water? Are there fish in the sea?
If >2 = Delirium
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Bromage scale (Motor Block)
Apgar score (At 1 & 5 Minutes)
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Metabolic Equivalent Tasks (1 MET = 3.5ml/kg/min)
P-POSSUM
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Rib Fracture Score
Step 1 (Score 3-6) Multi-modal (Paracetamol, Codeine +/- Oromorph/NSAID) ↓ Step 2 (Score 7-10) IV Morphine → MR Morphine Antiemetic Pain Team ↓ Step 3 (Score 11-15) PCAS Gabapentin Antiemetic ↓ Step 4 (>80 Years Old) Pain Team ?Regional (Epidural/Paravertebral/Serratus +/- Catheter) ?Rib Fixation
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Clinical Frailty Scale (Canadian Study in Health and Ageing)
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STOP BANG OSA Screening
Apnoea Hypopnea Index (>10s Pause and Desaturation)