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Edited by M C Colquhoun, A J Handley and T R Evans
ABC OF RESUSCITATION
ABC OF RESUSCITATION
Fifth EditionEdited by M C Colquhoun
Chairman of the Resuscitation Council (UK)
A J Handley
Past chairman of the Resuscitation Council (UK) and Chairman of ILCOR working party on basic life support and
T R Evans
Past chairman of the Resuscitation Council (UK)
© BMJ Publishing Group 2004
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, ortransmitted, in any form or by any means, electronic, mechanical, photocopying, recording and/or otherwise, without the prior written permission of the publishers. First edition 1986 Second edition 1990 Third edition 1995 Fourth edition 1999 This edition published in 2004 by BMJ Publishing Group, BMA House, Tavistock Square, London WC1H 9JR www.bmjbooks.com British Library Cataloguing in Publication Data Acatalogue record for this book is available from the British Library ISBN 0 72791669 6 Typeset by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Malaysia by Times Offset Cover image shows a computer-enhanced image of an electrocardiogram trace showing showing an abnormal heart beat (red). A healthy heartbeat is seen at the top (yellow) for comparison with permission fromMehan Kulyk/Science Photo Library
Contributors Introduction Introduction to the Fifth Edition Notes on the algorithm approach to resuscitation Acknowledgements 1 Basic life support Anthony J Handley 2 Ventricular fibrillation Michael Colquhoun, Charles D Deakin, Douglas Chamberlain 3 The automated external defibrillator Roy Liddle, C Sian Davies, Michael Colquhoun, Anthony J Handley 4Asystole and pulseless electrical activity Michael Colquhoun, A John Camm 5 Management of peri-arrest arrhythmias Michael Colquhoun, Richard Vincent 6 Airway control, ventilation, and oxygenation Robert Simons 7 Post-resuscitation care Peter A Oakley, Anthony D Redmond 8 Resuscitation in pregnancy Stephen Morris, Mark Stacey 9 Resuscitation at birth Anthony D Milner 10 Resuscitation of infants andchildren David A Zideman, Kenneth Spearpoint 11 Resuscitation in the ambulance service Andrew K Marsden 12 Resuscitation in hospital T R Evans 13 Cardiopulmonary resuscitation in primary care Michael Colquhoun, Brian Steggles 14 Resuscitation of the patient with major trauma Charles D Deakin 15 Near drowning Mark Harries 16 Drugs and their delivery Michael Colquhoun, David Pitcher, Jerry Nolan 17Cardiac pacing and implantable cardioverter defibrillators Michael Colquhoun, A John Camm 18 Infection risks and resuscitation A J Harry Walmsley, David A Zideman 19 Teaching resuscitation Ian Bullock, Geralyn Wynn, Carl Gwinnutt, Jerry Nolan, Sam Richmond, Jonathan Wylie, Bob Bingham, Michael Colquhoun, Anthony J Handley 20 Training manikins Gavin D Perkins, Michael Colquhoun, Robert Simons 21The ethics of resuscitation Peter J F Baskett Index vi vii ix xi xiii 1 5 12 16 20 25 32 36 39 43 50 54 58 63 72 75 81 87 90
97 102 107 v
Peter J F Baskett Consultant Anaesthetist Emeritus, Frenchay Hospital and the Royal Infirmary, Bristol Bob Bingham Consultant Anaesthetist, Great Ormond Street Hospital for Children NHS Trust, London Ian Bullock Head of Education and Training,Royal Brompton and Harefield NHS Trust; and Honorary Clinical Teaching Fellow, Imperial College, London A John Camm Professor of Clinical Cardiology, St George’s Hospital Medical School, London Douglas Chamberlain Professor of Resuscitation Medicine, University of Wales College of Medicine, Cardiff Michael Colquhoun Senior Lecturer in Prehospital Care, Wales Heart Research Institute, Cardiff C...