Shock

Hypoperfusion / circulatory failure

Sepsis

Sepsis Six within 1 hour

Diabetic Ketoacidosis (DKA)

Insulin + fluids + K⁺

Hyperosmolar Hyperglycaemic State

Slow fluid resuscitation

Hypoglycaemia

BSL < 4 mmol/L

Myxoedema Coma

Severe hypothyroidism with decompensation

Addisonian Crisis

Hydrocortisone + fluids + glucose

STEMI

PPCI < 120 min

Acute Heart Failure / Pulmonary Oedema

LMNOP

Cardiogenic Shock

Pump failure

Cardiac Arrest

ALS algorithm

Ventricular Tachycardia

Pulseless = ALS, pulse = stable/unstable

Hypertensive Emergency

BP >180/120 + end-organ damage

Acute Pulmonary Oedema

LMNOP

Stroke

Time is brain — FAST

Status Epilepticus

Seizure >5 min or recurrent

Status Epilepticus

Seizure >5 min or recurrent without recovery

Anaphylaxis

Adrenaline first, every time

Anaphylaxis

IM adrenaline, fluids, airway

Acute Severe Asthma

OSHITME approach

Pulmonary Embolism

PESI / Wells

Tension Pneumothorax

Clinical diagnosis — decompress immediately

Tension Pneumothorax

Clinical diagnosis — decompress NOW

Upper GI Bleed

Blatchford / Rockall

Hyperkalaemia

K⁺ > 5.5 mmol/L

Organophosphorus Poisoning

Cholinergic crisis — SLUDGE/DUMBELS

Snake Bite

ASV indication

Tricyclic Antidepressant Overdose

QRS widening = give bicarbonate

Opioid Overdose

Reverse, ventilate, monitor

Heat Stroke

Core temp >40°C + CNS

Polytrauma

ATLS — Primary + secondary survey

Massive Pulmonary Embolism

Haemodynamic instability + suspected PE

Severe Hyperkalaemia

K⁺ ≥6.5 or ECG changes