Resucitacion

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Date: 2005.04.19 13:15:48 +08'00'

ABC
OF

RESUSCITATION
Fifth edition

Edited by M C Colquhoun, A J Handley and T R Evans

ABC OF
RESUSCITATION
Fifth Edition

ABC OF
RESUSCITATION
FifthEdition

Edited 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 Cataloguingin Publication Data
A catalogue 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) forcomparison with permission from
Mehan Kulyk/Science Photo Library

Contents
Contributors
Introduction

vi
vii

Introduction to the Fifth Edition

ix

Notes on the algorithm approach to resuscitation

xi

Acknowledgements

xiii

1 Basic life support
Anthony J Handley

1

2 Ventricular fibrillation
Michael Colquhoun, Charles D Deakin, Douglas Chamberlain

5

3 The automatedexternal defibrillator
Roy Liddle, C Sian Davies, Michael Colquhoun, Anthony J Handley

12

4 Asystole and pulseless electrical activity
Michael Colquhoun, A John Camm

16

5 Management of peri-arrest arrhythmias
Michael Colquhoun, Richard Vincent

20

6 Airway control, ventilation, and oxygenation
Robert Simons

25

7 Post-resuscitation care
Peter A Oakley, Anthony D Redmond32

8 Resuscitation in pregnancy
Stephen Morris, Mark Stacey

36

9 Resuscitation at birth
Anthony D Milner

39

10 Resuscitation of infants and children
David A Zideman, Kenneth Spearpoint

43

11 Resuscitation in the ambulance service
Andrew K Marsden

50

12 Resuscitation in hospital
T R Evans

54

13 Cardiopulmonary resuscitation in primary care
MichaelColquhoun, Brian Steggles

58

14 Resuscitation of the patient with major trauma
Charles D Deakin

63

15 Near drowning
Mark Harries

72

16 Drugs and their delivery
Michael Colquhoun, David Pitcher, Jerry Nolan

75

17 Cardiac pacing and implantable cardioverter defibrillators
Michael Colquhoun, A John Camm

81

18 Infection risks and resuscitation
A J Harry Walmsley, David AZideman

87

19 Teaching resuscitation
Ian Bullock, Geralyn Wynn, Carl Gwinnutt, Jerry Nolan, Sam Richmond, Jonathan Wylie,
Bob Bingham, Michael Colquhoun, Anthony J Handley

90

20 Training manikins
Gavin D Perkins, Michael Colquhoun, Robert Simons

97

21 The ethics of resuscitation
Peter J F Baskett
Index

102
107
v

Contributors
Peter J F Baskett
Consultant AnaesthetistEmeritus, 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,...