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Extra resources for A Resuscitation Room Guide Banerjee
A hooking manoeuvre may be used to remove the impacted foreign body 64 65 • Direct vision removal using a laryngoscope and Magill forceps should be considered. 115 Fig. 7 Adult choking treatment. Fig. 8 Paediatric foreign body airway obstruction treatment. 8 are reproduced with permission by the Resuscitation Council (UK).
Two concentrations exist in ampoule form: ♦ 20mL of 20% (= 16mmol = 4g) ♦ 2mL of 50% (= 4mmol = 2g) • 4, 5 and 10mL pre-filled syringes of 50% solution are also available. g. potassium-losing diuretic therapy) • Torsade de pointes on the ECG • Digoxin toxicity. 5mg/kg) 38 39 • Additional bolus of 50mg if necessary • Not more than 3mg/kg during the first hour • This is used if amiodarone is not available and not if amiodarone has already been used. 1; base deficit >10) • Cardiac arrest associated with hyperkalaemia or with tricyclic antidepressant overdose; prolonged cardiac arrest(based on arterial blood gases).
Procainamide 20-30mg/min to a maximum of 1g. 79 If appropriate, give oxygen, cannulate a vein, and record a 12-Lead ECG 40 41 Fig. 8 Bradycardia algorithm (includes rates inappropriately slow for the haemodynamic state). Reproduced with permission by the Resuscitation Council (UK). 80 41 42 Fig. 9 Tachycardia algorithm (with pulse). Reproduced with permission by the Resuscitation Council (UK). 81 Potentially reversible causes of cardiac arrest Four Hs • Hypoxia • Hypovolaemia 42 43 • Hyperkalaemia; hypocalcaemia; acidaemia • Hypothermia.