New PDF release: Atlas of Ear Nose and Throat Disorders in Children

Pediatrics

By Steven D. Handler, Charles M., III Myer

ISBN-10: 1550090429

ISBN-13: 9781550090420

C. Decker). Univ. of Pennsylvania, Philadelphia. Atlas divided into sections comparable to anatomic areas evaluated through the pediatric otolaryngologist. For fundamental care physicians. broad colour photos. contains whole textual content and illustrations on CD-ROM.

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Administration of epinephrine can help coarsen fibrillation. Defibrillation is most effective with use of the largest paddle that makes complete contact with the chest wall. Using the larger (8-cm diameter) paddle lowers the intrathoracic impedance and increases the effectiveness of the defibrillation current. Take care to use an appropriate interface between the paddles and the chest wall. Electrode cream, paste, gel pads, or self-adhesive monitoring–defibrillation pads are preferred. Do not use saline-soaked gauze pads, ultrasound gel, alcohol pads, or bare paddles.

Take care not to simultaneously provide a breath while compressing the chest. Compress the chest to one-third of the anterior–posterior diameter of the chest. Compressions must be adequate to generate a pulse. Reassess the heart rate every 30 seconds during this time and continue compressions until there is a spontaneous heart rate over 60 beats per minute. American Heart Association: Part 13: Neonatal Resuscitation Guidelines. Circulation 112:IV-188–195, 2005. David R: Closed chest cardiac massage in the newborn infant.

Intraosseous access can be used if the umbilical vein is not readily available. 17. Are there circumstances when resuscitation of the newly born infant may not be the appropriate action? Since all ED deliveries are considered ‘‘unexpected’’ and the ED physician rarely has a previous relationship with the delivering mother, conversations about withholding resuscitation are difficult at best. Antenatal information can be incomplete or inaccurate. In the ED, it may not be possible to gather this information quickly with precision and reliability.

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Atlas of Ear Nose and Throat Disorders in Children by Steven D. Handler, Charles M., III Myer


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