By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This consultant has concise and sensible details on all features of resuscitation. New directions are only one of many alterations to the fifth version of this ebook as the various chapters were thoroughly rewritten.
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Should the patient’s condition deteriorate and adverse signs develop, immediate electrical cardioversion should be undertaken. Narrow complex tachycardia A narrow complex tachycardia is virtually always supraventricular in origin—that is, the activating impulse of the tachycardia passes through the AV node. ) access No Pulse Use VF protocol Yes Adverse signs? 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.
N Engl J Med 1999;341:871-8. 6 Airway control, ventilation, and oxygenation Robert Simons Introduction Oxidative cellular metabolism requires a constant consumption of oxygen by all organs, amounting to 250 ml/min in a typical adult. This necessitates both an unobstructed bellows action by the lungs to replace oxygen and eliminate carbon dioxide in the gas phase, and a continuous pulsatile action by the heart for effective delivery of the blood to the tissues. The “oxygen cascade” described by J B West 35 years ago explains how oxygen is conducted down a series of tension gradients from the atmosphere to cellular mitochondria.
Dorian P, Cass D, Schwartz B Cooper R, Gelaznikas R, Bara A. Amiodarone as compared with lidocaine for shock resistant ventricular fibrillation (ALIVE). N Engl J Med 2002;34:884-90. European Resuscitation Council. European resuscitation council guidelines for adult advanced life support. Resuscitation 2001;48:211-21. International guidelines 2000 for cardiopulmonary resuscitation and emergency cardiac care—an international consensus on science. Section 5: agents for arrhythmias. Resuscitation 2000;46:135-53; Section 7C A guide to the international ACLS algorithms.
ABC of resuscitation by Michael Colquhoun, Anthony J. Handley, T. R. Evans