By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and useful details on all features of resuscitation. New guidance are only one of many adjustments to the fifth variation of this ebook as a few of the chapters were thoroughly rewritten.
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Additional info for ABC of resuscitation
Systolic BP <90 mmHg - Heart rate <40 beats/minute - Ventricular arrhythmias requiring suppression - Heart failure Satisfactory response? Yes No Risk of asystole? v. v. 2-10 µg/min Observe Seek expert help Arrange transvenous pacing Algorithm for bradycardia—includes rates inappropriately slow for haemodynamic state. Adapted from ALS Course Provider Manual. 4th ed. London: Resuscitation Council (UK), 2000 Certain adverse signs in bradycardia dictate the need for intervention: ● ● ● ● Systolic blood pressure less than 90 mmHg Ventricular rate less than 40 beats/min Presence of ventricular arrhythmias requiring treatment Presence of heart failure 21 ABC of Resuscitation AV junction may have a complex width within the normal range.
V. v. v. v. v. v. over 10 minutes, then 300 mg over 1 hour and repeat shock Further cardioversion as necessary For refractory cases consider additional pharmacological agents: amiodarone, lidocaine, procainamide or sotalol; or overdrive pacing Caution: drug induced myocardial depression Doses throughout are based on an adult of average body weight * Note 1: DC shock always given under sedation/general anaesthesia. ** Note 2: For paroxysms of torsades de pointes, use magnesium as above or overdrive pacing (expert help strongly recommended).
The correct position is usually indicated on the electrode packet or shown in a diagram on the AED itself. It may be necessary to dry the chest if the patient has been sweating noticeably or shave hair from the chest in the area where the pads are applied. 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.