Adult_Medical_Emergencies_Handbook

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1、AdultMedicalEmergenciesHandbookEDITORDrGrahamR.NimmoMDFRCP(Edin)FFARCSIConsultantPhysicianIntensiveCareandClinicalEducationWGHandTheUniversityofEdinburghTHEUNIVERSITYofEDINBURGHNHSLOTHIAN-UNIVERSITYHOSPITALSDIVISION

2、2009/2011ADULTADVANCEDLIFESUPPORTALGORITHMUnresponsive? Open Airway Look for signs o

3、f life Call 2222: Cardiac ArrestteamCPR 30:2 Until defibrillator/monitor attached AssessrhythmDuring CPRShockableNon ShockableCorrect reversible causesVF/VTPEA/AsystoleIf not already:•Check: electrode/paddle positions & contact•Attempt/verify: airway &Defibrillate x 1 O, IV access2150j biphasic•Give

4、 uninterrupted   compressions when   airway secured•Give adrenaline 1mg every   3-5 minutesImmediately •Consider: Amiodarone,  Immediately resume resume  (Magnesium) CPR for  2 minutesCPR for 2 minutes  Atropine/pacing/buffers• Hypoxia• Hypovolaemia• Hyper/hypokalaemia & metabolic disorders• Hypothe

5、rmia• Tension pneumothorax• Tamponade, Cardiac• Toxic/therapeutic disturbances• Thrombosis (coronary or pulmonary)The ALS Algorithm for the management of cardiac arrests in adults.iAnyprotocols,guidelines,algorithmsaresubjecttoreviewandNOTE that each successive step is based on the assumption that t

6、he one before has not resulted in restoration of circulation.updating.Ensureyouareusingthecurrentversion.Ask:doesthisprotocol/guidelineapplytotheindividualpatientIamseeingnow?adultmedicalemergencieshandbook

7、NHSLOTHIAN:UNIVERSITYHOSPITALSDIVISION

8、2009/111WGHINCARDIACARREST&LIFETHREATENINGEMERGENCYCAL

9、L2222HOSPITALATNIGHTOFFICE/COORDINATOR33322USEFULTELEPHONENUMBERSBIOCHEMISTRYGENERALENQUIRIES............31909/31910EMERGENCIES(<6PM)...........31899>6PM......................................Bleep:8452HAEMATOLOGYGENERALENQUIRIES............31910/31911COAGULATION........................31171BLOODBANK

10、..........................31912Bleep:8477>5pmMICROBIOLOGYSPECIMENRECEPTION.............................26806/26807>5pmBleep2900CARDIOLOGY/ECGECG/ECHO..............................31852BLEEP...........