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Chapter 24 - Emergency resuscitation algorithms: adults

Published online by Cambridge University Press:  05 March 2012

Richard D. Urman
Affiliation:
Brigham and Women's Hospital/Harvard Medical School
Alan D. Kaye
Affiliation:
LSU School of Medicine, New Orleans
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Summary

Moderate and deep sedation occurs in numerous settings, and healthcare providers may unexpectedly find themselves in situations where emergency resuscitation of patients is required. Basic life support (BLS) skills for the healthcare provider include immediate recognition of sudden cardiac arrest (SCA), early cardiopulmonary resuscitation (CPR), and rapid defibrillation with an automated external defibrillator (AED). As with any other situation, if the patient is unresponsive, then the BLS sequence, as well as the following advanced cardiac life support (ACLS) components, are critical and should not be delayed, regardless of whether or not the root cause is an acute coronary syndrome (ACS) or acute ischemic stroke. ACLS builds on the BLS sequence and includes airway management and ventilation support, management of cardiac arrest, and treatment of bradyarrhythmias and tachyarrhythmias. Medications given during cardiac arrest have the primary goal of facilitating return of spontaneous circulation (ROSC).
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Publisher: Cambridge University Press
Print publication year: 2012

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