A Resuscitation Room Guide Banerjee by Hargreaves

By Hargreaves

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Amiodarone • 150mg diluted in 5% dextrose to a volume of 20mL over 10min; a further 150mg may be given • or 300mg (5mg/kg) in 250ml 5% dextrose over 1hour, followed by 900mg (15mg/kg) over 24h. Digoxin • 500mcg in 50mL 5% dextrose over 30min IV; depending on response, up to a further 500mcg can be given in two divided doses of 250mcg. Lidocaine • 50mg IV; repeat every 5min to a maximum of 200mg. Verapamil 5-10mg over 2min IV; repeat 5mg 5min later if necessary Flecainide 100-150mg (2mg/kg) over 30min IV.

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. Reproduced with permission by the Resuscitation Council (UK). 73 36 37 Fig. 7 Pre-loaded adrenaline (epinephrine).

A paediatrician may also be required if emergency hysterotomy or Caesarean section is performed. 48 49 • Below 24wks, resuscitation is directed at survival of the mother • Above a gestational age of 24wks, attempts are made to save the life of both mother and infant • The infant must be delivered within 5min of arrest for the best chance of survival • Delivery also relieves aorto-caval compression. Important physiological differences in the pregnant woman Airway and breathing: • More rapid desaturation and susceptibility to hypoxaemia • Lower oesophageal sphincter incompetence • Increased risk of aspiration.

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