By Philip Jevon
Resuscitation provider : an outline -- Resuscitation gear -- popularity and remedy of the severely unwell sufferer -- rules of cardiac tracking and ECG popularity -- Bystander simple existence aid -- Airway administration and air flow -- Defibrillation and electric cardioversion -- complex existence help -- Resuscitation in designated occasions -- Anaphylaxis -- Acute coronary syndromes -- administration of peri-arrest arrhythmias -- Post-resuscitation care -- Bereavement -- moral matters in resuscitation -- Resuscitation documents -- Resuscitation education
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G. self-inflating bag, cleaned following local infection control procedures and manufacturer ’s recommendations. Any difficulties with equipment encountered during resuscitation should be documented and reported to relevant personnel. Chapter summary This chapter has detailed what resuscitation equipment should be immediately available in the event of a cardiac arrest. Suggestions have been made regarding the storage, checking and maintenance of this equipment. Resuscitation Equipment 19 References Resuscitation Council (UK) (2004) Recommended Minimum Equipment for In-Hospital Adult Resuscitation.
However, these clinical signs of deterioration are often subtle and can go unnoticed. It is therefore essential that tools, which reflect best evidence, are developed and available to aid the practitioner to identify signs of deterioration. Ultimately this may prevent adverse events and improve patient outcomes. , 2004). Their sensitivity, specificity and reliability to predict clinical outcomes have yet to be convincingly proven (Cutherbertson, 2003; Parr, 2004). , 2005). , 2005). Early warning scores Comprehensive Critical Care (Department of Health, 2000) recommended the widespread implementation of EWS systems and outreach services.
Reproduced with permission from Resuscitation Council (UK). Recognition and Treatment of the Critically Ill Patient 43 Treatment of altered conscious level 1. Ensure the patient has a clear airway, adequate breathing and circulation 2. Administer high-concentration oxygen 3. Ideally nurse the patient in the lateral position 4. g. nalaxone for opiate overdose (Resuscitation Council (UK), 2006a) 5. g. administer 50 ml of 10% glucose IV (Resuscitation Council (UK), 2006a) 6. Call for help early Exposure Expose the patient and undertake a thorough examination to ensure important details are not over-looked (Smith, 2003).
Advanced cardiac life support: a guide for nurses by Philip Jevon