A Resuscitation Room Guide Banerjee by Hargreaves

By Hargreaves

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1 In-hospital resuscitation. Reproduced with permission by the Resuscitation Council (UK). 68 31 32 Fig. 2 Adult basic life support. Reproduced with permission by the Resuscitation Council (UK). 69 32 33 Fig. 3 Adult advanced life support algorithm. Reproduced with permission by the Resuscitation Council (UK). 70 33 34 Fig. 4 Paediatric basic life support (health care professionals with a duty to respond). Reproduced with permission by the Resuscitation Council (UK). 71 34 35 Fig. 5 Paediatric advanced life support.

The scoring system does carry the disadvantage of noticeable interobserver variability. • Class 1: soft palate, uvula, fauces and anterior and posterior tonsillar pillars seen • Class 2: as above, but view of the tonsillar pillars is prevented by tongue • Class 3: only soft palate and base of uvula seen • Class 4: soft palate not seen at all; only hard palate visible. Cormack and Lehane classification 57 58 • Laryngoscopic view • Grade I: all or most of the glottis visible • Grade II: only the posterior part of the glottis visible • Grade III: whole of the glottis not visible • Grade IV: epiglottis not visible.

Amiodarone 300mg diluted in 5% dextrose to a volume of 20ml (or from a pre-filled syringe); if VF/VT persists after more than three shocks, this precedes the fourth shock. In children, the dose is 5mg/kg in 5% dextrose. A further 150mg bolus is given for recurrent/refractory VT/VF, followed by an infusion of 900mg over 24h if return of spontaneous circulation occurs. Magnesium sulphate • 8mmol or 2g(4mL of 50% magnesium sulphate) over 1-2min; can be repeated after 10-15min • 1mL 50% magnesium sulphate = 2mmol = 500mg.

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