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

By Advanced Life Support Group

A CD Rom containing info 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 is usually over a hundred and twenty video clips concerning young ones experiencing emergency difficulties and receiving quite a few lifestyles saving approaches. Covers emergencies correct in either wealthy and negative nations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medicines

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6. Consider alkalising agents Protocol for ventricular fibrillation and pulseless ventricular tachycardia Further doses of epinephrine (usually at low dose unless specifically indicated by the clinical situation) should be given every 3–5 minutes. Lignocaine may still be considered but bretylium is no longer thought to be an appropriate agent in children. After each drug CPR should continue for a minute to allow the drug to reach the heart before a further defibrillation attempt. The purpose of the anti-arrhythmic drug is to stabilise the converted rhythm and the purpose of epinephrine is to improve myocardial oxygenation by increasing coronary perfusion pressure.

As a problem is identified, care shifts to the relevant intervention, before returning to the next part of the primary assessment. The simplified airway and breathing management protocol illustrates how this integration can be achieved. Airway and breathing management protocol Begin primary assessment. . Assess the airway. . If evidence of blunt trauma then protect the cervical spine from the outset If any evidence of obstruction and altered consciousness then optimise the head and neck positioning and administer oxygen and consider chin lift, jaw thrust, suction, foreign body removal If obstruction persists then consider oro- or nasopharyngeal airway If obstruction still persists then consider intubation and check the position of the tracheal tube If intubation impossible or unsuccessful then consider cricothyroidotomy 43 ADVANCED SUPPORT OF THE AIRWAY AND VENTILATION If stridor but relatively alert then allow self-ventilation whenever possible and encourage oxygen but do not force to wear mask and do not force to lie down and do not inspect the airway (except as a definitive procedure under controlled conditions) and assemble expert team and equipment Assess the breathing .

A child who is unresponsive or who only responds to pain has a significant degree of coma equivalent to 8 or less on the Glasgow Coma Scale. Posture Many children who are suffering from a serious illness in any system are hypotonic. Stiff posturing such as that shown by decorticate (flexed arms, extended legs) or decerebrate (extended arms, extended legs) children is a sign of serious brain dysfunction. A painful stimulus may be necessary to elicit the posturing sign. Pupils Many drugs and cerebral lesions have effects on pupil size and reactions.

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