![]() ![]() Give clear concise instructions to the telephone operator ensuring that the location, nature of emergency and response required are clearly stated. In the UK, hospitals use a centralised emergency call number which is 2222. Imprecise instructions such as, Put the call out or ∼all the crash team can lead to confusion. Be explicit in your briefing to the person you send to make the emergency call ensuring the person knows the location, nature of emergency and response required. Send a member of staff to call the resuscitation team unless they are already in attendance. This can be done by activating the emergency alarm or calling for help. Once cardiac arrest is confirmed, alert other staff in the area. The diagnosis of cardiac arrest is based on the patient being unresponsive and either not breathing or only having occasional gasps. Use any monitoring attached to the patient to assist in the decision making process.ĥ. coughing or movement - this should include checking for the carotid pulse. Simultaneously with breathing assessment, check for other signs of life, e.g. It should not be confused with signs of life. This is slow, sighing respirations and is common in the early stages after cardiac arrest. Take care not to confuse normal breathing with agonal breathing. If they are unresponsive, open their airway and check for normal breathing. The first step in the assessment process is to test for the patients response. Over the course of the next few slides I am going to break this down into stages.Ĥ. It takes the ALS provider through the initial assessment of the unresponsive patient, commencement of CPR and management according to the initial rhythm, before outlining the key stages after achieving return of spontaneous circulation. This slide show the ALS treatment algorithm in its entirety. It provides focus on the task in hand and allows all members of the team to work from the same standard, allowing them to anticipate and plan for interventions. The strengths of this protocolised approach are its foundations from the 2010 International Liaison Committee for Resuscitation scientific evidence evaluation process and the fact that it provides a common standard from which resuscitation providers can make rapid treatment decisions in an emergency situation. It is a central element in the ALS course. The ALS treatment algorithm provides a standardised approach to the resuscitation of the adult patient in cardiac arrest. Consider the role of the resuscitation team.ģ.Outline the potentially reversible causes of cardiac arrest.Describe the role of drugs during cardiac arrest.Outline the treatment algorithms for shockable and non-shockable rhythms. ![]() Emphasise the importance of high quality chest compressions. ![]()
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