wesentliches beim advanced life support im kindesalter

... basic -life- support phase to the advanced- life- support phase (adjusted odds ratio, 1.3; 95% CI, 1.1 to 1.5) CONCLUSIONS The addition of a specific regimen of out-of-hospital advanced- life- support ... trained in advanced- life- support measures Advanced life support includes endotracheal intubation and intravenous drug therapy.4 In contrast, paramedics who are trained in basic -life- support measures ... among Clinically Important Subgroups Variable Patients Who Died before Discharge All Patients BasicLife -Support Phase (N = 3920) AdvancedLife -Support Phase (N = 4218) BasicLife -Support Phase (N = 560)...

Ngày tải lên: 27/06/2014, 00:20

... đánh giá ngừng tim Một ngừng tim sau chấn thương xuyên ngực, giảm thể tích máu (hypovolémie), phải gợi ý khả chèn ép tim Trong trường hợp nên dự kiến cần thiết chọc màng tim kim (péricardiocentèse ... xảy ngừng tim rung thất (fibrillation ventriculaire) ; nhịp rung thất trước thời kỳ tim nhịp nhanh thất (tachycardie ventriculaire), loạn nhịp chậm (bradyarythmie), hay thường xảy hơn, tim nhịp ... động điện tim Những bệnh nhân thường có vài co bóp tim chúng yếu cho mạch bắt hay huyết áp Một hoạt động điện vô mạch gây nên nguyên nhân đảo ngược điều trị Sự sống sót sau ngừng tim vô tâm thu...

Ngày tải lên: 26/07/2014, 19:20

... Các nhịp tim nhận diện lúc xảy ngừng tim chia thành hai nhóm : - nhịp cần sốc điện (rung thất/tim nhịp nhanh thất không mạch) (FV/TV) - nhịp điều trị ... trường hợp ngừng tim, can thiệp bổ sung định ngừng tim gây nên trường hợp đặc biệt Những can thiệp có tính chất cải thiện cách khẳng định tỷ lệ sống khử rung sớm Rung thất/Tim nhịp nhanh thất ... thời kỳ tim nhịp nhanh thất (tachycardie ventriculaire), loạn nhịp chậm (bradyarythmie), hay thường xảy hơn, tim nhịp nhanh thất (tachycardie supraventriculaire) Sau xác nhận ngừng tim, phải...

Ngày tải lên: 30/07/2014, 10:20

... đánh giá ngừng tim Một ngừng tim sau chấn thương xuyên ngực, giảm thể tích máu (hypovolémie), phải gợi ý khả chèn ép tim Trong trường hợp nên dự kiến cần thiết chọc màng tim kim (péricardiocentèse ... loạn nhịp đưa đến ngừng tim cần Nếu không bắt mạch, tiếp tục RCP V/ KÍP HỒI SINH (EQUIPE DE REANIMATION) Kíp hồi sinh dạng kíp truyền thống team "ARCA”, gọi có ngừng tim Trong trường hợp khác, ... nhận biết bệnh nhân có nguy ngừng tim gọi kíp, thí dụ MET (medical emergency team) hay “Samu intern ” trước ngừng tim xảy Thuật ngữ “kíp hồi sinh” (team de la réanimation) phản ảnh đa dạng đáp ứng...

Ngày tải lên: 30/07/2014, 10:20

... hồi sức tim-phổi Vài biến đổi cần thiết người ta điều trị ngừng tim trường hợp đặc biệt V/ ĐÀO TẠO ALS Lớp Hồi sức tim cao cấp (cours ALS) mang lại phương pháp tiêu chuẩn hóa hồi sức tim-phổi ... Reference : Advanced Life Support European Resuscitation 2009 BS NGUYỄN VĂN THỊNH, Chuyên khoa Nội Thương Cấp Cứu (28/12/2010) TAGS : Rung thất (FV : fibrillation ventriculaire), Tim nhịp nhanh ... trường hợp ngừng tim phản ứng cổ điển, bao gồm việc gọi kíp thuộc loại “team arrêt cardiaque” (đội ngừng tim), điều hàm ý đội gọi ngừng tim xảy Trong vài bệnh viện, đội ngừng tim thay đội khác...

Ngày tải lên: 02/08/2014, 00:20

... ngừng tim đột ngột xảy với diện bệnh van tim, suy tim, chèn ép tim, vỡ tim, viêm tim bệnh tim phì đại b/ Những vấn đề tim thứ phát Tim bị ảnh hưởng biến đổi xảy nơi khác Thí dụ, ngừng tim xảy ... hoàn gây nên bệnh tim nguyên phát bất thường tim thứ phát vấn đề khác Tim ngừng đột ngột gây nên lưu lượng tim không thích đáng khoảng thời gian trước ngừng tim a/ Những vấn đề tim nguyên phát Nguyên ... phát Nguyên nhân thông hường ngừng tim đột ngột loạn nhịp gây nên thiếu máu cục nhồi máu tim Một ngừng tim mặt khác gây nên loạn nhịp bệnh tim khác, thí dụ bloc tim, điện giật hay vài loại thuốc...

Ngày tải lên: 02/08/2014, 00:20

... 18 PALS (Pediatric Advanced Life Support) Review compounded by medications that cause respiratory depression It is important to continuously monitor a child (especially ... and impending herniation CHAPTER Pediatric Basic Life Support “If you want to see what children can do, you must stop giving them things.” —Norman Douglas ❍ T/F: Injury prevention is an important ... for terms of use 20 PALS (Pediatric Advanced Life Support) Review ❍ Ventricular fibrillation is more likely in which patients? Children >10, submersion victims, and those with congenital heart...

Ngày tải lên: 12/08/2014, 05:21

... (acidity/alkalinity) imbalances of plasma called? A buffer ❍ What is the most important (fastest) buffer system? The bicarbonate buffer system 54 PALS (Pediatric Advanced Life Support) Review ❍ ... along 56 PALS (Pediatric Advanced Life Support) Review ❍ The intraosseous route for drug administration is limited to children of what age group? There is no age limit Intraosseous administration ... properties False That is why it is important to always give an analgesic in addition when performing painful procedures 57 58 PALS (Pediatric Advanced Life Support) Review ❍ What is the therapeutic...

Ngày tải lên: 12/08/2014, 05:21

... 86 PALS (Pediatric Advanced Life Support) Review ❍ What can the operator to minimize transthoracic impedance? Apply firm pressure to the paddles Use an appropriate ... pediatric trauma management? The Advanced Trauma Life Support Course (ATLS) of the American College of Surgeons and the Advanced Pediatric Life Support Course (APLS) of the American Academy of ... terms of use 96 PALS (Pediatric Advanced Life Support) Review ❍ Why must a rapid thoracoabdominal examination be performed during the primary survey? To detect life- threatening chest or abdominal...

Ngày tải lên: 12/08/2014, 05:21

... uncommon ❍ What types of intrathoracic injuries constitute an immediate threat to life? Tension pneumothorax 106 PALS (Pediatric Advanced Life Support) Review Open pneumothorax Massive hemothorax Cardiac ... 116 ❍ PALS (Pediatric Advanced Life Support) Review What should you if you still cannot achieve effective chest expansion and improvement in color and heart rate? Intubate immediately ❍ When should ... system at this point? Time is required to set up the system and electrodes may not stick well while vernix still covers the newborn’s body 114 ❍ PALS (Pediatric Advanced Life Support) Review What...

Ngày tải lên: 12/08/2014, 05:21

... wishes? If parents fail to provide their children with at least a minimum standard of medical care 140 ❍ PALS (Pediatric Advanced Life Support) Review If a parent makes a decision on behalf of his ... in virtually all instances 144 ❍ PALS (Pediatric Advanced Life Support) Review Why is this? Because of the absence of accepted criteria for immediate determination of death, with few exceptions ... victim or about wishes previously expressed by the victim against CPR ❍ How long must a nonphysician continue CPR? To the limits of their physical endurance or until the care of the victim is...

Ngày tải lên: 12/08/2014, 05:21

... following search terms were used: advanced life support, basic life support, ALS (not amyotroph*), BLS, emergency medical services, emergency treatment, advanced cardiac life support, emergency, trauma, ... Group: Advanced life support for out-of-hospital respiratory distress N Engl J Med 2007, 356:2156-64 54 Woodall J, McCarthy M, Johnston T, Tippett V, Bonham R: Impact of advanced cardiac life support- skilled ... JS: Advanced or basic life support for trauma: meta-analysis and critical review of the literature J Trauma 2000, 49:584-599 Sethi D, Kwan I, Kelly AM, Roberts I, Bunn F: Advanced trauma life support...

Ngày tải lên: 13/08/2014, 23:20

... the scientific evidence is limited Since unnecessary changes in chest compressions may affect the overall quality of advanced life support (ALS) [12], we think this important topic deserves new ... twelve minutes of advanced life support on a manikin (n = 19) Centre line indicates median value, boxes indicate interquartile range and straight lines indicate maximum and minimum values The circle ... rare during prolonged advanced life support in a manikin model Conrad A Bjørshol1*, Kjetil Sunde2, Helge Myklebust3, Jörg Assmus4 and Eldar Søreide1 Abstract Background: The aim of this study was...

Ngày tải lên: 13/08/2014, 23:20

... ADVANCED PAEDIATRIC LIFE SUPPORT The Practical Approach Third edition Advanced Life Support Group Edited by Kevin Mackway-Jones Elizabeth ... Introduction Why treat children differently? Recognition of the seriously ill child 13 LIFE SUPPORT Basic life support Advanced support of the airway and ventilation The management of cardiac arrest Resuscitation ... this book was first published in 1993, the Advanced Paediatric Life Support (APLS) concept and courses have gone a great way towards their aim of bringing simple guidelines for the management of...

Ngày tải lên: 12/08/2014, 00:22

... circulation at any time with up to 30 of cumulative life support and in the absence of recurring or refractory VF/VT Exceptions are patients with a history of poisoning or a primary hypothermic ... which is the major stimulant to start respiration Physical stimuli such as cold air or physical discomfort may also provoke respiratory efforts The first breaths are especially important, as the ... of fetal asphyxia is based on pioneering animal work in the early 1960s The results of these experiments which followed the physiology of newborn animals during prolonged asphyxia and subsequent...

Ngày tải lên: 12/08/2014, 00:22

... manoeuvre and giving rescue breaths (see Basic life support, Chapter 4) Breathing Assess the adequacy of breathing Monitor oxygen saturation with a pulse oximeter • Effort of breathing Recession Respiratory ... trauma requiring definitive surgical management, maximal fluid resuscitation may be best delayed until operation as improving perfusion without improving oxygen-carrying capacity as well results ... the choice of fluid becomes more important As the circulating volume of a child is approximately 80 ml/kg, if more than 40 ml/kg of fluid is used over a short time, one half of the child’s circulating...

Ngày tải lên: 12/08/2014, 00:22

... of children survive near drowning when basic life support is provided at the waterside Only 40% survive without early basic life support even if full advanced cardiopulmonary resuscitation is given ... attention to the airway and breathing is of prime importance PRIMARY SURVEY AND RESUSCITATION When faced with a seriously burnt child it is easy to focus on the immediate problems of the burn, and forget ... usually estimated using burns charts It is particularly important to use a paediatric chart when assessing burn size in children, because the relative surface areas of the head and limbs change...

Ngày tải lên: 12/08/2014, 00:22

... general discriminator, but cardiac pain and pleuritic pain are specific discriminators General discriminators would include life threat, pain, haemorrhage, conscious level and temperature Life threat ... birth 60–1 aspirin 156 assessment in advanced support primary 42 secondary 43 of airway and breathing (in general) 13–15 arrhythmia 117–20 in basic life support 21–9 breathing difficulties 80–1 ... 302 imaging see radiology; specific methods immobilisation limbs 195–6, 308–10 spine 164, 197, 198 cervical 238–40, 244 infants airways anatomy obstruction management 23, 31–2 basic life support...

Ngày tải lên: 12/08/2014, 00:22

... intubation be part of out-of-hospital advanced trauma life support? There is broad consent that providing adequate oxygenation at all times is of paramount importance to the critically injured ... interesting set of questions on the overall role of endotracheal intubation in out-of-hospital advanced trauma life support Is intubation actually beneficial, and what are the risks and benefits associated ... systems that supply physician staffed ambulances, and is considered a vital part of their advanced trauma life support [7–12] Some experts, however, argue that out-of-hospital intubation may be deleterious...

Ngày tải lên: 12/08/2014, 20:20

... standard deviation ACLS, advanced cardiac life support; CPC, cerebral performance category; ELST, emergency life- saving technician; EMS, emergency medical service brain damage Life support by physicians ... best way to improve outcomes • Life support by physicians without preceding BCPR increased the occurrence of vegetative status or worse Abbreviations ACLS: advanced cardiac life support; BCPR: ... Luinstra-Toohey L, Campeau T, Dagnone E, Lyver M, Ontario Prehospital Advanced Life Support Study Group: Advanced cardiac life support in out-of-hospital cardiac arrest N Engl J Med 2004, 351:647-656...

Ngày tải lên: 13/08/2014, 21:21