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Chapter 36 - The Fundamentals of Emergency Resuscitation

Published online by Cambridge University Press:  18 August 2022

By
Robert Ayee  and
Jamie Macpherson
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explains the fundamental elements of resuscitation. Patients in cardiorespiratory arrest require prompt and effective resuscitation to improve chances of a good outcome. Identification of the underlying cardiac rhythm and treatment of any reversible causes is critical to achieve patient survival. A structured ABCDE approach and the ALS algorithm are commonly adopted to optimise patient assessment and management. An awareness of both technical and non-technical skills are important when dealing with the acutely deteriorating patient.

Keywords

ResuscitaionDeterioratingAirwayBreathingCirculationCardiac ArrestNon-technical skills,Defibrillation
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 407 - 421
Publisher: Cambridge University Press
Print publication year: 2022

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References

Resuscitation Council UK. Advanced Life Support Instructor Manual, 8th ed. London: Resuscitation Council UK, 2021.Google Scholar
Royal College of Physicians. National Early Warning Score (NEWS) 2. Available from: www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 (accessed August 2021).Google Scholar
Resuscitation Council UK. Adult advanced life support guidelines. Available from: www.resus.org.uk/library/2021-resuscitation-guidelines/adult-advanced-life-support-guidelines.Google Scholar
Meaney, P. A., Nadkarni, V. M., Kern, K. B., et al. Rhythms and outcomes of adult in-hospital cardiac arrest. Critical Care Medicine 2010; 38: 101–108.Google Scholar
Nolan, J. P., Soar, J., Smith, G. B., et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation 2014; 85: 987–992.Google Scholar
Flin, R., Patey, R., Glavin, R., and Maran, N.. Anaesthetists’ non-technical skills. British Journal of Anaesthesia 2010; 105: 38–44.Google Scholar

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