medical notes

Apr 17th, 2015
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ANAESTHESIAEMERGENCY CARDIAC CAREComponents Basic life support Advanced cardiac life supportBLS Aim is to support respiration and circulationwhen arrest has not occurred. Does not require any equipment.ACLS Is the support of respiration and circulationwith the use of equipment. Steps Support the airway/ ventilation. Establish intravenous access. Give drugs. Monitor. Control arrhythmias.Chain of survival There are 4 critical interventions. If any is not done or is delayed may lead todeath. ACCESS RESCUCITATION. DEFIBRILLATION. ADVANCED CARE.Early access Recognition of collapse, unresponsiveness orarrested state. Rapid arrival of help.Early CPR The nearer to time of collapse resuscitationbegins, the more effective.Early defibrillation A.E.DEarly advance careAdult BLS 0-4 minutes; the pt can be resuscitatedwithout brain damage. 4-6 minutes; there is a possibility ofpermanent hypoxic brain damage. 6-10 minutes; certain brain damage.Adverse signsUnstable ptPallor, sweating, cold clammy extremities,impaired consciousness, hypotension (systoleless than 90),chest painBrady arrhythmias HR<60 Absolute bradycardia<40 Unstable pt; Systolic BP<90 HR<40 Ventricular arrhythmias- CCFTachy arrhythmias Read for types of arrhythmias. Supraventricular tachycardia- SA node Ventricular tachycardia/ fibrillati

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