First 30 seconds
- 1Controlled O₂ 24–28% (Venturi) target SpO₂ 88–92%
- 2ABG
- 3Salbutamol + ipratropium neb (use air-driven if hypercapnic)
- 4Prednisolone 30 mg PO × 5 d
Acute worsening of respiratory symptoms beyond normal variation.
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
