Advanced Paediatric Life Support, 3rd Edition by Kevin Mackway-Jones

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By Kevin Mackway-Jones

A CD Rom containing details at the scientific administration of neonatal and paediatric emergencies. There are over 900 pages of administration together with greater than 500 scientific pictures, x rays, ECGs. it is also over a hundred and twenty video clips concerning young children experiencing emergency difficulties and receiving numerous lifestyles saving techniques. Covers emergencies appropriate in either wealthy and negative nations. There are algorithms for the administration of emergencies all through, in addition to a formulary of emergency medicines.

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Extra resources for Advanced Paediatric Life Support, 3rd Edition

Sample text

Apart from this interruption to summon help, basic life support must not be interrupted unless the child moves or takes a breath. Any time spent readjusting the airway or re-establishing the correct position for 28 BASIC LIFE SUPPORT compressions will seriously decrease the number of cycles given per minute. This can be a very real problem for the solo rescuer and there is no easy solution. In the infant and small child, the free hand can maintain the head position. The correct position for compressions should not be re-measured after each ventilation.

Skin colour Hypoxia (via catecholamine release) produces vasoconstriction and skin pallor. Cyanosis is a late and pre-terminal sign of hypoxia. By the time central cyanosis is visible in acute respiratory disease, the patient is close to respiratory arrest. In the anaemic child cyanosis may never be visible despite profound hypoxia. A few children will be cyanosed because of cyanotic heart disease. Their cyanosis will be largely unchanged by oxygen therapy. Mental status The hypoxic or hypercapnic child will be agitated and/or drowsy.

3. Systolic blood pressure by age Age (years) <1 1–2 2–5 5–12 >12 Systolic blood pressure (mmHg) 70–90 80–95 80–100 90–110 100–120 Use of the correct cuff size is crucial if an accurate blood pressure measurement is to be obtained. This caveat applies both to auscultatory and to oscillometric devices. The width of the cuff should be more than 80% of the length of the upper arm and the bladder more than 40% of the arm’s circumference. Effects of circulatory inadequacy on other organs Respiratory system A rapid respiration rate with an increased tidal volume, but without recession, is caused by the metabolic acidosis resulting from circulatory failure.

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