Emergency Medicine

xx Contents Section XVIII PRACTICAL PROCEDURES Endotracheal Intubation 466 Rapid Sequence Induction (RSI) Intubation 466 Cricoth ...

xxi Many changes have been made to this new edition, which incorporates the latest ideas and evidence base underpinning the best ...

This page intentionally left blank ...

xxiii Many thanks to Dr Peter Logan for his expert contribution on the Major Incident and to Dr Tor Ercleve for his fine illustr ...

This page intentionally left blank ...

Critical Care Emergencies 1 CRITICAL CARE EMERGENCIES Section I ...

2 Critical Care Emergencies Initial approach DIAGNOSIS 1 Cardiopulmonary resuscitation (CPR) is required if a collapsed person i ...

Critical Care Emergencies 3 CARDIOPULMONARY RESUSCITATION (v) Start CPR immediately if there are no signs of life: (a) commence ...

4 Critical Care Emergencies CARDIOPULMONARY RESUSCITATION 5 Basic life support: external cardiac massage with assisted ventilati ...

Critical Care Emergencies 5 CARDIOPULMONARY RESUSCITATION 7 Observe one of four possible traces (see Fig. 1.1 for a rapid overvi ...

6 Critical Care Emergencies CARDIOPULMONARY RESUSCITATION (ii) Non-shockable rhythms such as asystole (see p. 8) and pulseless e ...

Critical Care Emergencies 7 CARDIOPULMONARY RESUSCITATION MANAGEMENT 1 Ventricular fibrillation or pulseless ventricular tachyca ...

8 Critical Care Emergencies CARDIOPULMONARY RESUSCITATION 5 During this period of CPR: (i) If not already done: (a) check the de ...

Critical Care Emergencies 9 CARDIOPULMONARY RESUSCITATION (ii) Pulseless electrical activity (PEA) was formerly known as electro ...

10 Critical Care Emergencies CARDIOPULMONARY RESUSCITATION (b) give 10% calcium chloride 10 mL i.v. for hyperkalaemia, hypocalca ...

Critical Care Emergencies 11 CARDIOPULMONARY RESUSCITATION (d) sometimes aspirating as little as 50 mL restores the cardiac outp ...

12 Critical Care Emergencies CARDIOPULMONARY RESUSCITATION (b) do not rely on any particular early ECG abnormality, or expect to ...

Critical Care Emergencies 13 Acute Upper Airway Obstruction 10 When to stop The decision to cease further attempts at resuscitat ...

14 Critical Care Emergencies ACUTE UPPER AIRWAY OBSTRUCTION (ii) Perform up to five abdominal thrusts if back blows fail (Heimli ...

Critical Care Emergencies 15 Shocked Patient 5 Facial burns and or steam inhalation (see p. 250) (i) Send blood for ABGs and a c ...