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

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

This advisor has concise and functional details on all facets of resuscitation. New guidance are only one of many adjustments to the fifth variation of this booklet as some of the chapters were thoroughly rewritten.

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Example text

Oxygen supplementation through a simple side port on the bag or mask will provide only 35-50% inspired concentration. The addition of oxygen via an oxygen reservoir bag at a flow rate of 8-12 l/min will ensure inspired oxygen levels of 80-95%. Airway isolation Tracheal intubation with a cuffed tube, “the definitive airway,” is the gold standard for airway protection, allowing positive pressure ventilation of the lungs without gaseous inflation of the stomach, gastric regurgitation, and pulmonary soiling.

Jet ventilation is preferred to cricothyrotomy when the patient is less than 12 years of age. Hand operated pump Airway support and ventilation devices Foot pump Hygiene considerations Because of concerns about transmissible viral or bacterial infections, demand has increased for airway adjuncts that prevent direct patient and rescuer contact. This subject is considered further in Chapter 18. Resuscitation airways may be used to ensure airway patency or isolation, to provide a port for positive pressure ventilation, and to facilitate oxygen enrichment Barrier or shield devices These consist of a plastic sheet with a central airway that incorporate a one-way patient valve or filter.

Myocardial disease, electrolyte disturbance, anoxia, or drugs may suppress this idioventricular rhythm and cause asystole. Excessive vagal activity may suddenly depress sinus or atrioventicular node function and cause asystole, especially when sympathetic tone is reduced—for example, by ␤ blockers. Asystole will also occur as a terminal rhythm when VF is not successfully treated; the amplitude of the fibrillatory waveform declines progressively as myocardial energy and oxygen supplies are exhausted and asystole supervenes.

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