By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This consultant has concise and functional details on all features of resuscitation. New directions are only one of many alterations to the fifth variation of this e-book as a number of the chapters were thoroughly rewritten.
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Extra resources for ABC of resuscitation
Other strategies used to decrease response times include equipping the police and fire services with AEDs. The provision of AEDs in large shopping complexes, airports, railway stations, and leisure facilities was introduced as government policy in England in 1999 as the “Defibrillators in Public Places” initiative. The British Heart Foundation has supported the concept of public access defibrillation enthusiastically and provided many defibrillators for use by trained lay responders working in organised schemes under the supervision of the ambulance service.
May be Synchronised DC shock*, DC shock*, if indicated repeated once if if indicated necessary Doses throughout are based on an adult of average body weight * Note 1: DC shock always given under sedation/general anaesthesia. ** Note 2: Not to be used in patients receiving ␤ blockers. Algorithm for atrial fibrillation (presumed supraventricular tachycardia). Adapted from ALS Course Provider Manual. 4th ed. London: Resuscitation Council (UK), 2000 If cardioversion proves impossible or atrial fibrillation recurs, amiodarone will provide ventricular rate control.
The presence of heart failure. A ventricular rate of more than 150 beats/min. If any of these signs are present the situation should be regarded as an emergency and cardioversion, under appropriate sedation, should be attempted. 6 mmol/l, especially in the presence of recent myocardial infarction, an infusion of potassium and magnesium is recommended (according to the algorithm) before cardioversion is undertaken. If cardioversion is unsuccessful it is appropriate to administer an anti-arrhythmic agent before further attempts are made; amiodarone is considered the agent of first choice.