Advanced Paediatric Life Support, 3rd Edition by Kevin Mackway-Jones

By Kevin Mackway-Jones

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 photos, x rays, ECGs. it is usually over one hundred twenty movies concerning young children experiencing emergency difficulties and receiving quite a few existence saving methods. Covers emergencies suitable in either wealthy and negative international locations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medicinal drugs.

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Extra resources for Advanced Paediatric Life Support, 3rd Edition

Sample text

41 ADVANCED SUPPORT OF THE AIRWAY AND VENTILATION Laryngeal mask airway The laryngeal mask airway (LMA) is an airway device that has become widely advocated in adult anaesthesia and resuscitation. Although it is available in smaller sizes for infants and children, it is difficult to position and can become dislodged easily. The device sits over the glottic opening and the user must be aware that the LMA does not guarantee the airway to the same extent as tracheal intubation. Neither does it protect against aspiration.

The usual cause is failure to apply correctly the airway opening techniques discussed above. Thus the first thing to do is to readjust the head tilt/chin lift position, and try again. If this does not work jaw thrust should be tried. It is quite possible for a single rescuer to open the airway using this technique and perform exhaled air resuscitation; however, if two rescuers are present one should maintain the airway whilst the other breathes for the child. Up to five rescue breaths may be attempted so that for the inexperienced rescuer two are effective.

Proceed to assess the circulation and nervous system If deteriorating from whatever cause then reassess the airway and breathing and be prepared to intubate and ventilate 44 CHAPTER 6 The management of cardiac arrest INTRODUCTION Cardiac arrest has occurred when there are no palpable central pulses. Before any specific therapy is started effective basic life support must be established as described in Chapter 4. 1. Assess rhythm Non VF/VT Asystole or PEA algorithm Initial approach to cardiac arrest 45 THE MANAGEMENT OF CARDIAC ARREST Three cardiac arrest rhythms will be discussed in this chapter: 1.

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