Advanced Paediatric Life Support : The Practical Approach by Advanced Life Support Group

By Advanced Life Support Group

A CD Rom containing info at the medical administration of neonatal and paediatric emergencies. There are over 900 pages of administration together with greater than 500 medical images, x rays, ECGs. it's also over a hundred and twenty video clips related to youngsters experiencing emergency difficulties and receiving a number of existence saving systems. Covers emergencies suitable in either wealthy and bad nations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medications

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Sample text

One electrode is placed over the apex in the mid axillary line, whilst the other is put immediately below the clavicle just to the right of the sternum. If only adult paddles are available for an infant under 10 kg one may be placed on the infant’s back and one over the left lower part of the chest at the front. The first two shocks are given at 2 J/kg. If these two attempts are unsuccessful the third shock should be at 4 J/kg. If three shocks fail to produce defibrillation attention must turn to supporting coronary and cerebral perfusion as in asystole.

This is achieved by placing one hand firmly on the forehead, while one of the child’s arms is shaken gently. SAFE approach Are you alright? 1. 2. The SAFE approach 22 BASIC LIFE SUPPORT Airway (A) An obstructed airway may be the primary problem, and correction of the obstruction can result in recovery without further intervention. If a child is having difficulty breathing, but is conscious, then transport to hospital should be arranged as quickly as possible. A child will often find the best position to maintain his or her own airway, and should not be forced to adopt a position that may be less comfortable.

If the VF/VT is due to hypothermia then defibrillation may be resistant until core temperature is increased. Active rewarming should be commenced. If the VF has been caused by an overdose of tricyclic antidepressants then the patient should be 50 THE MANAGEMENT OF CARDIAC ARREST alkalised (see Chapter 14) and anti-arrhythmic drugs avoided except under expert guidance. The possibility of hyperkalaemia should be considered and treated if identified with bicarbonate, insulin and glucose (see Appendix B).

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