By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and functional info on all facets of resuscitation. New directions are only one of many alterations to the fifth version of this booklet as a few of the chapters were thoroughly rewritten.
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Extra resources for ABC of resuscitation
Renal and gut hypoxaemia do not usually present immediate problems but may contribute to “multiple organ dysfunction” at a later stage. Airway patency Failure to maintain a patent airway is a recognised cause of avoidable death in unconscious patients. The principles of airway management during cardiac arrest or after major trauma are the same as those during anaesthesia. Airway patency may be impaired by the loss of normal muscle tone or by obstruction. In the unconscious patient relaxation of the tongue, neck, and pharyngeal muscles causes soft tissue obstruction of the supraglottic airway.
V. v. over 10 minutes, then 300 mg over 1 hour and repeat shock Doses throughout are based on an adult of average body weight A starting dose of 6 mg adenosine is currently outside the UK licence for this agent. * Note 1: DC shock always given under sedation/general anaesthesia. ** Note 2: Not to be used in patients receiving ␤ blockers. *** Note 3: Theophylline and related compounds block the effect of adenosine. Patients on dipyridamile, carbamazepine, or with denervated hearts have a markedly exaggerated effect, which may be hazardous.
19 5 Management of peri-arrest arrhythmias Michael Colquhoun, Richard Vincent A coordinated strategy to reduce death from cardiac arrest should include not only cardiopulmonary resuscitation but also measures to treat potentially malignant arrhythmias that may lead to cardiac arrest or complicate the period after resuscitation. The term “peri-arrest arrhythmia” is used to describe such a cardiac rhythm disturbance in this situation. Cardiac arrest should be prevented wherever possible by the effective treatment of warning arrhythmias.