New PDF release: Advanced Paediatric Life Support, 3rd Edition

By Kevin Mackway-Jones

A CD Rom containing details at the scientific administration of neonatal and paediatric emergencies. There are over 900 pages of administration together with greater than 500 scientific photos, x rays, ECGs. it's also over one hundred twenty video clips related to teenagers experiencing emergency difficulties and receiving a variety of lifestyles saving methods. Covers emergencies appropriate in either wealthy and terrible nations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medicines.

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Extra info for Advanced Paediatric Life Support, 3rd Edition

Example text

40 ADVANCED SUPPORT OF THE AIRWAY AND VENTILATION PRACTICAL SKILLS The following practical skills are described in detail in Chapter 22: Oropharyngeal airway insertion: small child older child. Nasopharyngeal airway insertion. Orotracheal intubation: infant/small child older child. Surgical airway: needle cricothyroidotomy surgical cricothyroidotomy. Ventilation without intubation: mouth-to-mask ventilation bag-and-mask ventilation. The basic skills of head and neck positioning, chin lift and jaw thrust are discussed in Chapter 4.

If the rhythm has not altered, a pulse check should be carried out at the end of each set of three shocks. Anti-arrhythmic drugs Amiodarone is now the treatment of choice in shock resistant ventricular fibrillation and pulseless ventricular tachycardia. This is based on evidence from adult cardiac arrest and experience with the use of amiodarone in children in the catheterisation laboratory setting. The dose of amiodarone for VF/pulseless VT is 5 mg/kg via rapid IV/IO bolus followed by continued basic life support and a further defibrillation attempt within 60 seconds.

As children vary in size only general guidance can be given regarding the volume and pressure of inflation (see the box). General guidance for exhaled air resuscitation The chest should be seen to rise Inflation pressure may be higher because the airway is small Slow breaths at the lowest pressure reduce gastric distension Firm, gentle pressure on the cricoid cartilage may reduce gastric insufflation If the chest does not rise then the airway is not clear. The usual cause is failure to apply correctly the airway opening techniques discussed above.

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