By Michael Colquhoun, Anthony J. Handley, T. R. Evans
This advisor has concise and useful details on all features of resuscitation. New instructions are only one of many adjustments to the fifth version of this booklet as a number of the chapters were thoroughly rewritten.
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Loops of the right-hand side of the algorithm are repeated, with further doses of adrenaline (epinephrine) given every three minutes while the search for an underlying cause is made and treatment instigated. If, during the treatment of asystole or PEA, the rhythm changes to VF (which will be evident on a monitor screen or by an automated external defibrillator advising that a shock is indicated) then the left-hand side of the universal algorithm should be followed with attempts at defibrillation.
The most common treatable causes are listed as the 4Hs and 4Ts at the foot of the universal algorithm. Loops of the right-hand side of the algorithm are repeated, with further doses of adrenaline (epinephrine) given every three minutes while the search for an underlying cause is made and treatment instigated. If, during the treatment of asystole or PEA, the rhythm changes to VF (which will be evident on a monitor screen or by an automated external defibrillator advising that a shock is indicated) then the left-hand side of the universal algorithm should be followed with attempts at defibrillation.
If a circulation returns after a shock, check for breathing and continue to support the patient by rescue breathing if required. Check the patient every minute to ensure that signs of a circulation are still present. If the patient shows signs of recovery, place in the recovery position. Liaise with the emergency services when they arrive and provide full details of the actions undertaken. Report the incident to the medical supervisor in charge of the AED scheme so that data may be extracted from the machine.