Ebook Advanced cardiovascular life support (16/E): Part 2

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Catdiac Arrest VFlPulseless vT Case
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Managing vFlPulseles3 VTI The Adult cardiac Ariest Algorithm
rhe Ad! r cad ac Ared

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Application of the Adull Cardiac ArrE3t Atgorithm: VFlpW pathway

aracr"nq rhe manua derrbnlatoi and dervemq the 16r shock lsteps I rhrclqh 4)

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Besume CPF While Manual Delibrillalor ls Charging
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lo lr'. h6an and b@o bd .annd di'w{y csre d
lkofih@d
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msr decllE

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bysbnder cPq is p,.vid€d.r whn br.land@ p€tu cPR, t'e dedim i:: moc oEdual
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by 7%

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ol paliqb witr add6n eJde mer
tly cdsr

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si.n. Gtve 2 hhutes .f CPR

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eader 6 rcspon. bre fo'

ne bam

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ant symp3rhei c

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L

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Routes ol Access Ior Drug!

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rhe studenl webele

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.

Epnephrie r ms v/ o i€pa! elery

3 10 5 m

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Renenbea lollaw each dase given by penpheral injectian wnh a 2A-nL
flush ol lv flud and elevate the extredt, abave the level al the heai lat

Antiarrhythmic AEents

l aiso has tr 3dr.n6,q. and p adrei.

lihmcoio.q$andnqandwdespGadfamady
d b,,s bm erircat n cdd ac are{. Prc! dqs

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anrason6i nihe

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Adhirislor n.l6rcm.

MqBpdaig4nn!6

Sltmullt .nd

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a3 300n as ir isavail.bte.

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CPR (for

YFlPukele.. VU^.yrtole/PEll

Efelpffir cPF (Ecm) dds ro v
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byoas IhN r4hn qu6,equitE a3
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€di* ad (eg, ede .@,y aiory @.rusin, PE, Efr-*rory vi prcid'n hyp.homra,
caldit iiluly, fly@dditb. 6d ohylpanr]4 Cmgdive h@r iai6e dtr]g idoxb3t onl (
Wr b
.,€nce

lo

e dMrry

b.E

m ddr 16

Biesd rd rhe 2015 arra Guicer,"6 updare

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uneund

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lly*'d|oh6lp]dollypoteduy'sl

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pal.rns dpd 4.ins card,e

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Cardiac

An€st Pulsele5s Electdcal Activity

Case

Description of PEA
qDrp or h}1hms rhar are oEanzad or semro'n:tr zad

AnyoQanzed,lr'ihmwi[oa.!sssdefLnedasPEAEveisnusfryihmwlhoula
eessh,rhfrslhlld.3icldedbydelntonncLude

sed

he lem ./..rrcre.hanG, dsso.Eron IEMDI

*t..actvt!onlhe.ad]acnonlorbutacke


flp

C,*s

ACIs

Ca.dia. Aru',. Puts.t

s

Etecni@l Adtulty

Managing PEA: The Adult Cardiac Arrest AlEorithm
3sl rhe .fl sd-a or rhe 3qo,
rhe rnhr sde or he aqo hr

LFsure

pln

perods

12 m

iuresior

ehe.r ve cPF 3.d

lhe

Ei

!i nrerqr.d

1

h

lrh

q$

rr cFB

r. ded! rd:o

P.thwey o,
iotqalzedlnJiifrorlhemJrdorb,.lo.]serha

..ndi.i

6 PE4 rsiep 3t chen

iFqre39l

The pause

beq nn

ror

.rry ri s1.. I0

in CPR ta cohduct a thtlhn check should nat erceed

Adninistet dtugs dunng CPR- Do nat stap CPR ta a.ln)nislet dtDgs

,

,o ere.ti.il ..1 ,l],

5

pr.5.d

13sy


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adull cardEc Ar€sl abonthm-2015 upd.te

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t

l

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't*"


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ded saqueice

povde6shoulddGmplbdsllya

Common Underlying Causes of PEA

oicFF hrlhmchecks md


o
Cardiac Arrest Asystole Case

nietupls cPR ror 10 seconds or ress ror a drthm

therhJrhn.,ihano,[o,]s?sys'o/echoslcom
c Aresl A sor rhm lF sure 3l
@rAlsorrhml belr nn'nq { th step i 0
E ,nette.nre ot he

Rhyrhh.

lq

aast

ts

Gtse q hwan at

Asyraole
lsowPalem'naiiqibradyasystolclh,thm

Approach to Asystole
Asy3loesamid]a.arcSlfi}lhma

.

Noi another,hylhm l8s fne

vn m

hish

pedat@c. tdn

n

nhe6 nrsl


,he ,CLS C8sa Cad,ic

Foon rali@rl

Faclt

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Asystole and Technical Problens

i,lhmCarda.lUdoihasdm-nsndAAil..
.hnhr.r

3

pa:e1 rr

a

! i vF or p!

iranaging Asystole

Adult Caruliac Aftaa

r

rhe I qir

:i

da or

i[e arqorlhm

.n]al],1hmhn{.arPul

1slaps s

thEuq[


o
nod i rtuaqorrhm
b dmitmdcorstmmdsyhs €6e r r,€s

mteniohe nredenronsou

rcsus.1al€elionslobepdeilay

Application of the Adult Cadiac Arrest Algorilhm: Asystole Pathway

wheyo!periormarhlthmche.kYo!nlerp.eilhedyihmonihemonlorasasysloe

Con

ime.,

Asyraole
son

as rv/

o ac.ess

s

a€itrbrs. srve ep nephr ne

Adninistet drugs dunhq CPR. Oo not stop CPR ta addhister dtugs.

chtklherh'ihmafle.2mnul€solcPF
lnteauption af .hest conpressions to conduct a rhyihm chqk shoutd not

.

r

no

e/shcara.rydr 6 prese"r lasrsro et so

r,ack ro slep

j0orrl

beh/hm,ftparetode ler 3 sho.(
rapprcp,are) Rerer ro the reri

Trre draqra^r

i

F€ure 391rhe

cad..

sequen.eolcPRfilihm.he.k.a

1.6um ns

s de or ih6 a soBrhm

&rcsr Arqorrhm) slmmalzes rhe €.onmended