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Additional info for A Resuscitation Room Guide Banerjee
Delivered with the ulnar border of the tightly clenched fist, which delivers a sharp impact to the lower half of the sternum from a height of 20cm, followed by immediate retraction of the fist. • For witnessed monitored VF, however, immediate defibrillation is the treatment of choice. Cardiac arrest rhythms • Non-VF/VT: asystole; pulseless electrical activity • VF or pulseless VT. Effective CPR • The presence of a palpable central pulse is an unreliable guide to assess the adequacy of chest compressions.
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. Reproduced with permission by the Resuscitation Council (UK). 72 35 36 Fig. 6 Newborn life support.
B) Biphasic (bi-directional) sinusoidal: reversal of the current polarity midway through the discharge gives both positive and negative current. (c) Biphasic truncated: positive truncated exponential waveform followed immediately by a negative truncated exponential waveform. 86 Automated external defibrillatorâ features • Compact and portable • Utilizes disposable adhesive electrode pads with pre-connected leads • Gives visual and voice prompts and instructions to lay operators to turn the machine on, and to attach defibrillation electrode pads to the chest wall • Reads ECG, recognizes VF (or other shockable rhythm) and delivers a counter-shock automatically or semi-automatically according to a pre-programmed algorithm • Provides a programmed print-out of critical ECG data; stores ECG rhythms and shocks with timing • Manual over-ride is not always possible • These devices should not be used on wet patients, who should be dried off prior to use • AED devices nowadays have paediatric attenuation pads, which reduce the energy delivered to children aged from 1 to 8yrs.
A Resuscitation Room Guide Banerjee by Hargreaves