First 30 seconds
- 1ABCDE, fluid status assessment
- 2Catheterise + urine dip
- 3Stop nephrotoxins (NSAID, ACEi, gentamicin)
- 4Treat sepsis
Rise in creatinine ≥26 μmol/L in 48 h, ≥1.5× baseline in 7 d, or urine output <0.5 mL/kg/h × 6 h.
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
