By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and sensible details on all facets of resuscitation. New guidance are only one of many alterations to the fifth variation of this ebook as a number of the chapters were thoroughly rewritten.
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Extra info for ABC of resuscitation
Resuscitation 1992;24:211-25. Cummins RO. From concept to standard of care? Review of the clinical experience with automated external defibrillators. Ann Emerg Med 1989;18:1269-76. Davies CS, Colquhoun MC, Graham S, Evans, T, Chamberlain D. Defibrillators in public places: the introduction of a national scheme for public access defibrillation in England. Resuscitation 2002;52:13-21. European Resuscitation Council Guidelines 2000 for automated defibrillation. Resuscitation 2001;48:207-9. International guidelines 2000 for cardiopulmonary resuscitation and cardiovascular emergency cardiac care—an international consensus on science.
This may be corrected by the techniques of head tilt with jaw lift or jaw thrust. The use of head tilt will relieve obstruction in 80% of patients but should not be used if a cervical spine injury is suspected. Chin lift or jaw thrust will further improve airway patency but will tend to oppose the lips. With practice, chin lift Normal ventilation of a 70 kg adult comprises: ● ● ● ● A respiratory minute volume of 6 l/min air containing 21% oxygen, with a tidal volume of 500 ml at 12 breaths/min An expired oxygen level of 16-17%, hence its use in expired air resuscitation Cardiac output is typically 5 l/min at 60-80 beats/min.
Recovery posture Patients with adequate spontaneous ventilation and circulation who cannot safeguard their own airway will be at risk of developing airway obstruction in the supine position. Turning the patient into the recovery position allows the tongue to fall forward, with less risk of pharyngeal obstruction, and fluid in the mouth can then drain outwards instead of soiling the trachea and lungs. This is described in Chapter 1. Airway patency maintained by the head tilt/chin lift Spinal injury The casualty with suspected spinal injuries requires careful handling and should be managed supine, with the head and cervical spine maintained in the neutral anatomical position; constant attention is needed to ensure that the airway remains patent.
ABC of resuscitation by Michael Colquhoun, Anthony J. Handley, T. R. Evans