By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and sensible details on all facets of resuscitation. New instructions are only one of many adjustments to the fifth version of this ebook as some of the chapters were thoroughly rewritten.
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Extra resources for ABC of resuscitation
Despite an apparently near normal cardiac rhythm there was no blood pressure (BP) PEA can be a primary cardiac event or secondary to a potentially reversible disorder Causes The causes of PEA can be divided into two broad categories. In “primary” PEA, excitation-contraction coupling fails, which results in a profound loss of cardiac output. Causes include massive myocardial infarction (particularly of the inferior wall), poisoning with drugs (for example, ␤ blockers, calcium antagonists), or toxins, and electrolyte disturbance (hypocalcaemia, hyperkalaemia).
If the casualty’s lips are opposed, only limited air flow may be possible through the nose, and obstructed expiration may be unrecognised in some patients. The insertion of oral or nasal airways is, therefore, advisable when using mask ventilation. Rescuers risk injury when performing mouth-to-mask ventilation in moving vehicles. Some rescue masks incorporate an inlet port for supplementary oxygen, although in an emergency an oxygen delivery tube can be introduced under the mask cuff or clenched in the rescuer’s mouth.
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. As well as being used to treat patients who have collapsed, it is equally valid to apply an AED as a precautionary measure in people thought to be at risk of cardiac arrest—for example, in patients with chest pain. If cardiac arrest should subsequently occur, the rhythm will be analysed at the earliest opportunity, enabling defibrillation with the minimum delay.