LIMA PULSE

Programme / Day 2

LIMA PULSE · Day 2B

The ABCDE approach

Treat the first problem that kills first. Inside every letter: look, measure, act — then reassess before moving on.

~70 minutes · four steps inside every letter · when to call · transfer

At our centre
  • Sepsis pathway for a primary-care centre (Surviving Sepsis Campaign 2026 + NEWS2): recognise, start within the first hour, call for transfer early.
  • Medicines: nurses give medicines on the doctor’s order, day or night; without an order, simple over-the-counter medicines only.
  • No intraosseous device here or at the nearest hospital — if IV access fails, the most experienced person tries and the doctor is called.
  • Transfer by road or by sea — ask about transfer in the first call.

Final edition · v2.0 · 18 October 2026. Oman MOH policy and approved local protocols take precedence; device details follow the manufacturer’s instructions; resuscitation follows AHA 2025 (never mixed with ERC).

Ran a session on this topic?

Log it while you are still in the room. Attach a photo of the signed attendance sheet — that photo is the evidence.