Download PDF by Hargreaves: A Resuscitation Room Guide Banerjee

By Hargreaves

ISBN-10: 0199298076

ISBN-13: 9780199298075

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Extra info for A Resuscitation Room Guide Banerjee

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A paediatrician may also be required if emergency hysterotomy or Caesarean section is performed. 48 49 • Below 24wks, resuscitation is directed at survival of the mother • Above a gestational age of 24wks, attempts are made to save the life of both mother and infant • The infant must be delivered within 5min of arrest for the best chance of survival • Delivery also relieves aorto-caval compression. Important physiological differences in the pregnant woman Airway and breathing: • More rapid desaturation and susceptibility to hypoxaemia • Lower oesophageal sphincter incompetence • Increased risk of aspiration.

Repeated counter-shocks with a short interval in between: stacked shocks have, however, been abandoned in the Resuscitation 2005 Guidelines as they interrupt chest compression. 84 Avoid placement of paddles on • ECG electrodes 44 45 • Breast tissue • Medicated (nitrate) patches • Implanted pacemaker module or pulse generator of implantable cardioverter-defibrillator: paddles should be 12-15cm away. Waveforms employed for defibrillation All new defibrillators and AEDs use biphasic defibrillation.

0mg IV, repeated after 3-5min as required to a maximum of 3mg. Amiodarone • 150mg diluted in 5% dextrose to a volume of 20mL over 10min; a further 150mg may be given • or 300mg (5mg/kg) in 250ml 5% dextrose over 1hour, followed by 900mg (15mg/kg) over 24h. Digoxin • 500mcg in 50mL 5% dextrose over 30min IV; depending on response, up to a further 500mcg can be given in two divided doses of 250mcg. Lidocaine • 50mg IV; repeat every 5min to a maximum of 200mg. Verapamil 5-10mg over 2min IV; repeat 5mg 5min later if necessary Flecainide 100-150mg (2mg/kg) over 30min IV.

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A Resuscitation Room Guide Banerjee by Hargreaves


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