First 30 seconds
- 1Sit up, high-flow O₂
- 2IV access, ECG, ABG
- 3Furosemide 40–80 mg IV
- 4GTN infusion if SBP >100
- 5Morphine 2.5 mg IV cautiously
Acute or worsening symptoms of HF — usually pulmonary congestion.
A
Airway
- • Patent? Talking? Stridor?
- • Suction, jaw-thrust, adjuncts, definitive airway if needed
B
Breathing
- • RR, SpO₂, auscultate, percuss
- • O₂ to target sats, NIV / intubate as required
C
Circulation
- • HR, BP, cap refill, JVP
- • 2× large-bore IV, bloods, monitor, ECG
D
Disability
- • AVPU/GCS, pupils, glucose, temp
E
Exposure
- • Full exposure, skin, rash, bleeding, lines, infection source
