By Philip Jevon
Resuscitation provider : an summary -- Resuscitation gear -- popularity and therapy of the severely ailing sufferer -- ideas of cardiac tracking and ECG popularity -- Bystander simple lifestyles help -- Airway administration and air flow -- Defibrillation and electric cardioversion -- complex existence help -- Resuscitation in specified occasions -- Anaphylaxis -- Acute coronary syndromes -- administration of peri-arrest arrhythmias -- Post-resuscitation care -- Bereavement -- moral concerns in resuscitation -- Resuscitation documents -- Resuscitation education
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Extra info for Advanced cardiac life support: a guide for nurses
G. abdominal swelling; concealed blood loss can be significant, even if drains are empty (Smith, 2003). Measure blood pressure (BP): systolic BP < 90 mmHg suggests shock. A normal BP does not exclude shock because compensatory mechanisms increase peripheral resistance in response to reduced cardiac output (Smith, 2003). g. anaphylaxis or sepsis. e. g. cardiogenic shock or hypovolaemia (Resuscitation Council (UK), 2006b). Assess the state of the veins: if hypovolaemia is present the veins could be under-filled or collapsed (Smith, 2003) Interpret the ECG: determine whether a cardiac arrhythmia is present.
Htm. Accessed 14 July 2008. htm. Accessed 23 April 2009. Royal College of Anaesthetists, Royal College of Physicians of London, Intensive Care Society & Resuscitation Council (UK) (2008) Cardiopulmonary Resuscitation: standards for clinical practice and training A Joint Statement from The Royal College of Anaesthetists, The Royal College of Physicians of London, The Intensive Care Society, The Resuscitation Council (UK). The Royal College of Anaesthetists, London. , 2005). Critically ill patients have a high risk of cardiopulmonary arrest.
Adapted from the ALERT course (Smith, 2003), these guidelines follow the logical and systematic ABCDE approach to patient assessment: • • • • • Airway Breathing Circulation Disability Exposure Recognition and Treatment of the Critically Ill Patient 33 Fig. 3 Non-rebreathe mask to administer high-concentration oxygen. When assessing the patient, undertake a complete initial assessment, identifying and treating life-threatening problems first, before moving onto the next part of assessment. The effectiveness of treatment/intervention should be evaluated, and regular reassessment undertaken.