Michael Colquhoun, Anthony J. Handley, T. R. Evans's ABC of resuscitation PDF

By Michael Colquhoun, Anthony J. Handley, T. R. Evans

ISBN-10: 0727916696

ISBN-13: 9780727916693

This consultant has concise and useful details on all features of resuscitation. New guidance are only one of many adjustments to the fifth version of this publication as a number of the chapters were thoroughly rewritten.

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Adapted from ALS Course Provider Manual. 4th ed. London: Resuscitation council (UK), 2000 Regular narrow complex tachycardia: adverse signs ● ● ● ● A systolic blood pressure less than 90 mmHg The presence of chest pain Heart failure A heart rate greater than 200 beats/min 23 ABC of Resuscitation Atrial fibrillation In atrial fibrillation all coordination of atrial systole is lost and ventricular filling during diastole becomes a passive process. The orderly control of ventricular rate and rhythm that exists during normal sinus rhythm is lost and the ventricular rate is determined by the refractory period of the AV node.

Follow the voice prompts and visual directions. ECG analysis is usually performed automatically, but some machines require activation by pressing an “analyse” button. ” Press the shock button once it is illuminated and the machine indicates it is ready to deliver the shock. 14 All removable metal objects, such as chains and medallions, should be removed from the shock pathway—that is, from the front of the chest. Body jewellery that cannot be removed will need to be left in place. Although this may cause some minor skin burns in the immediate area, this risk has to be balanced against the delay involved in its removal Clothing should be open or cut to allow access to the patient’s bare frontal chest area The patient’s chest should be checked for the presence of self-medication patches on the front of the chest (these may deflect energy away from the heart) Oxygen that is being used—for example, with a pocket mask—should be directed away from the patient or turned off during defibrillation The environment should be checked for pools of water or metal surfaces that connect the patient to the operator.

14 All removable metal objects, such as chains and medallions, should be removed from the shock pathway—that is, from the front of the chest. Body jewellery that cannot be removed will need to be left in place. Although this may cause some minor skin burns in the immediate area, this risk has to be balanced against the delay involved in its removal Clothing should be open or cut to allow access to the patient’s bare frontal chest area The patient’s chest should be checked for the presence of self-medication patches on the front of the chest (these may deflect energy away from the heart) Oxygen that is being used—for example, with a pocket mask—should be directed away from the patient or turned off during defibrillation The environment should be checked for pools of water or metal surfaces that connect the patient to the operator.

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ABC of resuscitation by Michael Colquhoun, Anthony J. Handley, T. R. Evans


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