Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Resusciation and Anaesthesia
Resuscitation and Preparation for Anaesthesia and Surgery
Management of emergencies and cardiopulmonary resuscitation
Other conditions requiring urgent attention
Intravenous access
Fluids and drugs
Drugs and resuscitation
Preoperative assessment and investigations
Anaesthetic issues in the emergency situation
Important medical conditions for the anaesthetist
Practical Anaesthesia
General anaesthesia
Anaesthesia during pregnancy and for operative  delivery
Pediatric anaesthesia
Conduction anaesthesia
Specimen anaesthetic techniques
Monitoring the anaesthetized patient
Postoperative management
Anaesthetic infrastructure and supplies
Equipment and supplies for different level hospitals
Anaesthesia and oxygen
Fires, explosions and other risks
Care and maintenance of equipment
Management of Emergencies and Cardiopulmonary Resuscitation
 


Management of emergencies and cardiopulmonary resuscitation


Airway and Breathing
Cardiac Arrest and Inadequate Circulation


The emergency measures that are familiar to most of us are:

A Airway
B Breathing
C Circulation

The necessary ABC steps in cardiopulmonary resuscitation (CPR) learned by health personnel are often not effectively carried out in practice. Panic is the main reason for this.

There is no need to panic, for two reasons:

1 The events that have lead to a sudden collapse have probably been going on for several minutes, if not hours, so you have a few moments more to assess the situation.
2 While thinking about diagnosis and management, you can start simple effective treatments following the ABC routine or, better still, instruct others to do so.


Stay calm when treating a collapsed patient.


The anaesthetist should concentrate on four areas that require immediate action:

:: Airway and breathing
:: Circulation
:: Unconsciousness
:: Other immediate problems.

Airway and Breathing
Cardiac Arrest and Inadequate Circulation



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  Kep Points  
 
To manage a collapsed patient:
Keep calm

 
Use ABC principles for immediate treatment

 
Think about and treat the underlying cause.