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Kitty Chan School of Nursing,The Hong Kong Polytechnic University Email: [email protected] Date: 2005

Kitty Chan School of Nursing,The Hong Kong Polytechnic University Email: [email protected] Date: 2005

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Kitty ChanSchool of Nursing,The Hong Kong Polytechnic UniversityEmail: [email protected]

Date: 2005

Upon completion of the module, the students

should be:

Familiar with the principles of airway management

Able to understand the fundamental approach used for

the algorithms in Cardiac-pulmonary Resuscitation

(CPR)

develop a basic understanding of the clinical

application of drugs for the heart relating to

advanced cardiac life support (ACLS)

Objectives

Wiegand, L-M. D. J. & Carlson, K. K. (Eds.).

(2005). AACN Procedure Manual for Critical

Care. (5th ed.). Philadelphia: Lippincott

Section 1

Indicative Readings

Core Concepts

In response to cardiovascular

emergency, American Heart

Association (AHA) established the

chain of survival which is a consistent

process supported by evidence based

principles & skills to save life.

In response to cardiovascular

emergency, American Heart

Association (AHA) established the

chain of survival which is a consistent

process supported by evidence based

principles & skills to save life.

Core Concepts

BLS ACLS

Airway Open the airway Perform an ET intubation

Breathing Ventilate the patient Assess bilateral chest movements & ventilation

Circulation Perform chest compressions Gain IV access, determine the heart rhythm & give medications appropriate to that rhythm

Defibrillation Defibrillate the ventricular fibrillation (VF) & ventricular tachycardia (VT)

Differential diagnosis

Search for, find & treat reversible causes of arrest

Basic Life Support (BLS) differs from Advanced Cardiac Life Support (ACLS). More sophisticated interventions are used in ABCD

Basic Life Support (BLS) differs from Advanced Cardiac Life Support (ACLS). More sophisticated interventions are used in ABCD

International Guidelines 2000 for CPR & ECC

(Cardiopulmonary Resuscitation & Emergency Cardiovascular Care)1. Basic Life Support (BLS)

2. Advanced Cardiovascular Life Support (ACLS)

3. Stroke

4. The Acute Coronary Syndromes

5. Rapid Sequence Intubation, Tracheal

Intubation and Preintubation

6. Pediatric Advanced Life Support

7. Resuscitation of Newborns

1. Basic Life Support (BLS)

2. Advanced Cardiovascular Life Support (ACLS)

3. Stroke

4. The Acute Coronary Syndromes

5. Rapid Sequence Intubation, Tracheal

Intubation and Preintubation

6. Pediatric Advanced Life Support

7. Resuscitation of Newborns

ResuscitationThis module focuses on the basic elements

in adult advance cardiac life support. It

sub-divides into 3 main topics :

1. Airway Management & Infection Control

2. Resuscitation Algorithms

3. Electric Therapy:

Defibrillation

Cardioversion

Cardiac Pacing

This module focuses on the basic elements

in adult advance cardiac life support. It

sub-divides into 3 main topics :

1. Airway Management & Infection Control

2. Resuscitation Algorithms

3. Electric Therapy:

Defibrillation

Cardioversion

Cardiac Pacing

Hazinski M F, Cummins R O & Field J M (ed) 2000 2000 Handbook of Emergency Cardiovascular Care for Healthcare Providers. American Heart Association

Hudak C M, Gallo B M & Morton P G (ed) 2002 Critical Care Nursing: A Holistic Approach. 7th ed Philadelphia: Lippincott

Jackson K (ed) 2002 Mastering ACLS. Springhouse: Springhouse

Opie L H & Gersh B J 2005 Drugs for the Heart. 5th ed Philadelphia: W B Saunders.

Swearingen P L & Keen J H 2002 Manual of Critical Care Nursing: Nursing interventions and Collaborative Management. 4th ed St Louis: Mosby

Urden L D, Stacy K M & Lough M E 2002 Thelan’s Critical Care Nursing: Diagnosis and Management. 4th ed St Louis: Mosby.

Wiegand L-M D J & Carlson K K (eds) 2005 AACN Procedure Manual for Critical Care. 5th ed Philadelphia: Saunders.

References

Lo C B & WONG T W 2003 A&E Clinical Guidelines No.14 Guidelines on Rapid Sequence Intubation (RSI). Hospital Authority in Hong Kong, Electronic Knowledge Gateway.

Lau C C, Tong H K, Liu H W, Hung C T, Tsang D, Yam L & Yung R 2003 A&E Clinical Guidelines No.16 Guideline for in-hospital resuscitation of patients at risk of SARS . Hospital Authority in Hong Kong, Electronic Knowledge Gateway.

References

American Heart Association. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science 2000 Part 3: Adult Basic Life Support: Section 1 - 8. Circulation, Vol 102 (8) Supplement August ppI-22-59

American Heart Association. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science 2000 Part 6: Advanced Cardiovascular Life Support: Section 1 - 8. Circulation, Vol 102 (8) Supplement August ppI-86-171

Burns S M 2001 Safely caring for patients with a laryngeal mask airway. Critical Care Nurse, Vol 21 (4) pp72-76

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