First 30 seconds
- 1Sit up, O₂ to SpO₂ 94–98%
- 2Salbutamol 5 mg neb back-to-back
- 3Ipratropium 0.5 mg neb
- 4Hydrocortisone 100 mg IV or prednisolone 40 mg PO
PEF 33–50%, RR ≥25, HR ≥110, unable to complete sentences. Life-threatening: PEF <33%, SpO₂ <92%, silent chest.
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
