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Paediatric Handbook
eBook Publisher: John Wiley & Sons
Imprint: Wiley-Blackwell
Format: ePub Encrypted (DRM)
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* Provides information in an accessible style including clear illustrations
* Includes modern, community-based approaches
* Strong emphasis on the practical management by the doctor at first contact
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| Title of eBook: Paediatric Handbook | |
| Release Date: 08-31-2011 | |
| Publisher: Wiley-Blackwell |
This eBook download is available in the following formats:
| Parent title | Paediatric Handbook |
|---|---|
| Encrypted (DRM) | Yes |
| SKU | 9781444308068 |
| File size | 6949 |
| Security | n/a |
| Printing | Not allowed |
| Copying | Not allowed |
| Read aloud | No Sys requirements Download reader |
| Devices | Samsung Tablet, Apple Ipad & Iphone, Barnes & Noble Nook, Kobo eReader, Aluratek Libre, Iliad, Nokia, Blackberry, Hanlin |
| Note | Excellent navigation features are available via Adobe such as bookmarks and a quick access table of contents. Text search is easily accessible. An Adobe DRM-protected file is different than a pdf file in that it uses Adobe DRM (Digital Rights Management) technology, which authors and publishers use to protect their content from illegal online distribution and to set certain privileges such as restrictions on copying and printing. |
Paediatric Handbook
Chapter One
Medical emergenciesJames Tibballs Ed Oakley
Cardiorespiratory arrest
Cardiorespiratory arrest may occur in a wide variety of conditions that cause hypoxaemia or hypotension, or both. Examples include trauma, drowning, septicaemia, sudden infant death syndrome, asthma and congenital anomalies of the heart and lung.
The initial cardiac rhythm discovered during early resuscitation is usually severe bradycardia or asystole. Although the spontaneous onset of ventricular fibrillation in children is approximately 10%, it may occur more frequently with congenital heart conditions or secondary to poisoning with cardioactive drugs. In hospital, respiratory arrest alone is more common than cardiorespiratory arrest.
Diagnosis and initial management
Cardiorespiratory arrest may be suspected when the patient becomes unresponsive or unconscious, is not moving or breathing normally or appears pale or cyanosed. Call for help.
Assess airway and respiration by observing movement of the chest, as well as listening and feeling for expired breath while positioning the head and neck to open and maintain an airway. Movement of the chest without expiration indicates a blocked airway.
Assess circulation by palpation of the carotid, brachial or femoral pulse and by other signs of circulation (adequate breathing, movement, consciousness).
Whenever possible, manage in a treatment room. Carry the patient there if necessary. If this is not possible, fetch the resuscitation trolley from a treatment room.
Cardiopulmonary resuscitation (CPR) must commence with basic techniques and be cont
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