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Basic Life Support + First Aid for Healthcare Providers 2020 Course Introduction
Basic Life Support + First Aid for Healthcare Providers 2020 Course Introduction SECTION 1: Foundational concepts of BCLS SECTION 2: Response to an adult in cardiac arrest SECTION 3: Basic Life Support for infants and children SECTION 4: Automated external defibrillation in infants and children SECTION 5: Preventing cardiac arrest SECTION 6: First aid for adults SECTION 7: First aid for children Activity Summary • Activity Title: Basic Life Support (BLS) & First Aid (Cardiopulmonary Resuscitation (CPR), Automated External Defibrillator (AED), and First Aid) • Release date: 2021-06-01 • Expiration date: 2024-06-01 • Estimated time to complete activity: 8 hours • This course is accessible with any web browser. We recommend recent versions of • Google Chrome, Internet Explorer 9 and later, or Apple iPad. • This course is jointly provided by Pacific Medical Training and Postgraduate Institute for Medicine (PIM). You may reach PIM at [email protected]. Target Audience This activity has been designed to meet the educational needs of physicians, physician assistants, nurse practitioners, registered nurses, pharmacists and dentists involved in the care of patients who require advanced life support. 3103 Philmont Ave, Suite 308 • Huntingdon Valley, PA 19006 • 800-417-1748 page 1 Educational Objectives After completing this activity, the participant should be better able to: • Explain the change in emphasis from airway and ventilation to compressions and perfusion. • Select the correct order of interventions for the victim of cardiopulmonary arrest. • List the steps required to safely operate an AED. • Differentiate between adult and pediatric guidelines for CPR. • Explain how to apply the various first aid interventions. • Describe how to apply the various pediatric first aid interventions. -
Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality 1
Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality 1 Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality Web-based Integrated 2010 & 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Key Words: cardiac arrest cardiopulmonary resuscitation defibrillation emergency 1 Highlights & Introduction 1.1 Highlights: Lay Rescuer CPR Summary of Key Issues and Major Changes Key issues and major changes in the 2015 Guidelines Update recommendations for adult CPR by lay rescuers include the following: The crucial links in the out-of-hospital adult Chain of Survival are unchanged from 2010, with continued emphasis on the simplified universal Adult Basic Life Support (BLS) Algorithm. The Adult BLS Algorithm has been modified to reflect the fact that rescuers can activate an emergency response (ie, through use of a mobile telephone) without leaving the victim’s side. It is recommended that communities with people at risk for cardiac arrest implement PAD programs. Recommendations have been strengthened to encourage immediate recognition of unresponsiveness, activation of the emergency response system, and initiation of CPR if the lay rescuer finds an unresponsive victim is not breathing or not breathing normally (eg, gasping). Emphasis has been increased about the rapid identification of potential cardiac arrest by dispatchers, with immediate provision of CPR instructions to the caller (ie, dispatch-guided CPR). The recommended sequence for a single rescuer has been confirmed: the single rescuer is to initiate chest compressions before giving rescue breaths (C-A-B rather than A-B-C) to reduce delay to first compression. The single rescuer should begin CPR with 30 chest compressions followed by 2 breaths. -
Health Care Facilities Hospitals Report on Training Visit
SLOVAK UNIVERSITY OF TECHNOLOGY IN BRATISLAVA FACULTY OF ARCHITECTURE INSTITUTE OF HOUSING AND CIVIC STRUCTURES HEALTH CARE FACILITIES HOSPITALS REPORT ON TRAINING VISIT In the frame work of the project No. SAMRS 2010/12/10 “Development of human resource capacity of Kabul polytechnic university” Funded by UÜtà|áÄtät ECDC cÜÉA Wtâw f{t{ YtÜâÖ December, 14, 2010 Prof. Daud Shah Faruq Health Care Facilities, Hospitals 2010/12/14 Acknowledgement: I Daud Shah Faruq professor of Kabul Poly Technic University The author of this article would like to express my appreciation for the Scientific Training Program to the Faculty of Architecture of the Slovak University of Technology and Slovak Aid program for financial support of this project. I would like to say my hearth thanks to Professor Arch. Mrs. Veronika Katradyova PhD, and professor Arch. Mr. stanislav majcher for their guidance and assistance during the all time of my training visit. My thank belongs also to Ing. Juma Haydary, PhD. the coordinator of the project SMARS/2010/10/01 in the frame work of which my visit was realized. Besides of this I would like to appreciate all professors and personnel of the faculty of Architecture for their good behaves and hospitality. Best regards cÜÉyA Wtâw ft{t{ YtÜâÖ December, 14, 2010 2 Prof. Daud Shah Faruq Health Care Facilities, Hospitals 2010/12/14 VISITING REPORT FROM FACULTY OF ARCHITECTURE OF SLOVAK UNIVERSITY OF TECHNOLOGY IN BRATISLAVA This visit was organized for exchanging knowledge views and advices between us (professor of Kabul Poly Technic University and professors of this faculty). My visit was especially organized to the departments of Public Buildings and Interior design. -
Goals of Care and End of Life in the ICU
Goals of Care and End of Life in the ICU Ana Berlin, MD, MPH, FACS KEYWORDS Goals of care Shared decision making ICU Functional and cognitive outcomes End-of-life care Palliative care Communication KEY POINTS The trauma and long-term sequelae of critical illness affect not only patients but also their families and caregivers. Unrealistic expectations and erroneous assumptions about the outcomes acceptable to patients are important drivers of misguided and goal-discordant medical treatment. Compassionately delivering accurate and honest prognostic information inclusive of func- tional, cognitive, and psychosocial outcomes is crucial for helping patients and families understand what to expect from an episode of surgical crticial illness. Skilled communication and shared decision-making strategies ensure that treatments provided in the ICU are aligned with realistic and attainable patient goals. Attentive management of physical and nonphysical symptoms, including the psychosocial and spiritual needs of families and caregivers, eases suffering in the ICU and beyond. INTRODUCTION There is little doubt that the past half-century has seen tremendous advances in surgical critical care. The advent of lung-protective ventilation in the management of acute respiratory distress syndrome (ARDS), the evolution of balanced resusci- tation strategies for the reduction of abdominal compartment syndrome, and the aggressive deployment of prevention and treatment strategies against the systemic inflammatory response syndrome and sepsis, along with many other technological innovations, have markedly reduced the morbidity and mortality associated with critical illness and multiorgan system failure. Nevertheless, at times even the Disclosure Statement: Support for Dr A. Berlin’s preparation of this article was provided by the New Jersey Medical School Hispanic Center of Excellence, Health Resources and Services Administration through Grant D34HP26020. -
Part B – Health Facility Briefing & Design 55 Coronary Care Unit
Part B – Health Facility Briefing & Design 55 Coronary Care Unit International Health Facility Guidelines Version 4 May 2014 Table of Contents 55 Coronary Care Unit ................................................................................................................... 3 1 Introduction ............................................................................................................................................... 3 2 Planning ..................................................................................................................................................... 3 3 Design ........................................................................................................................................................ 6 4 Components of the Unit .......................................................................................................................... 10 5 Schedule of Accommodation – Coronary Care Unit ............................................................................ 11 6 Functional Relationship Diagram – Coronary Care Unit ..................................................................... 13 7 References and Further Reading ........................................................................................................... 14 International Health Facility Guidelines © TAHPI Part B: Version 4 2014 Page 2 Coronary Care Unit 55 Coronary Care Unit 1 Introduction Description A Coronary Care Unit (CCU) is a specially staffed and equipped section of a healthcare facility -
Recommendations for End-Of-Life Care in the Intensive Care Unit: a Consensus Statement by the American College of Critical Care Medicine
Special Articles Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College of Critical Care Medicine Robert D. Truog, MD, MA; Margaret L. Campbell, PhD, RN, FAAN; J. Randall Curtis, MD, MPH; Curtis E. Haas, PharmD, FCCP; John M. Luce, MD; Gordon D. Rubenfeld, MD, MSc; Cynda Hylton Rushton, PhD, RN, FAAN; David C. Kaufman, MD Background: These recommendations have been developed to to die, and between consequences that are intended vs. those that improve the care of intensive care unit (ICU) patients during the are merely foreseen (the doctrine of double effect). Improved dying process. The recommendations build on those published in communication with the family has been shown to improve pa- 2003 and highlight recent developments in the field from a U.S. tient care and family outcomes. Other knowledge unique to end- perspective. They do not use an evidence grading system because of-life care includes principles for notifying families of a patient’s most of the recommendations are based on ethical and legal death and compassionate approaches to discussing options for principles that are not derived from empirically based evidence. organ donation. End-of-life care continues even after the death of Principal Findings: Family-centered care, which emphasizes the patient, and ICUs should consider developing comprehensive the importance of the social structure within which patients are bereavement programs to support both families and the needs of embedded, has emerged as a comprehensive ideal for managing the clinical staff. Finally, a comprehensive agenda for improving end-of-life care in the ICU. -
LETTERS to the EDITOR Emergent Percutaneous in the Coronary Care Unit and Then Five Pediatric Chest Injuries: Take Days in a Ward, with Good Evolution
Emergencias 2016;28:136-140 LETTERS TO THE EDITOR Emergent percutaneous in the coronary care unit and then five Pediatric chest injuries: take days in a ward, with good evolution. intervention in submassive On the fifth day, control CT showed care on detecting a heart pulmonary embolism with thrombus resolution and normalization murmur contraindications for of right ventricular function. At 3 systemic thrombolysis months of follow-up the patient was as - Traumatismo torácico en pediatría: ymptomatic and treated with oral anti - atención a la aparición de un soplo coagulation. Tratamiento percutáneo urgente del Percutaneous treatment is an al - To the editor: embolismo pulmonar submasivo ternative to ST in cases of massive con contraindicaciones de A 6 year-old boy was taken to the ED and sub-massive PE with indica - after falling from the fifth floor. Glasgow trombolisis sistémica tions for reperfusion, but with ab - Coma Scale score was 14 points (O3, V5, solute or relative contraindications M6) and vital signs were stable. The pu - To the editor: for ST 1. A purely mechanical, phar - pils were symmetrical and reactive to Pulmonary embolism (PE) has a macological approach (selective re - light. He had bruises and abrasions on broad spectrum of severity from as - the anterior chest wall and extensive bo - lease thrombolytic), or both can be ymptomatic cases to shock or car - ne and soft tissue lesions on the chest. adopted. The procedure is success - diac arrest. Risk stratification is re - Cardiac auscultation indicated a rough ful in 86.5% (massive PE) and commended using the Pulmonary pansystolic, grade 4/6 murmur that soun - 97.3% (sub-massive PE), with rates Embolism Severity Index (PESI). -
Intensive Care Unit Patients
Revised 2020 American College of Radiology ACR Appropriateness Criteria® Intensive Care Unit Patients Variant 1: Admission or transfer to intensive care unit. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 2: Stable intensive care unit patient. No change in clinical status. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable May Be Appropriate (Disagreement) ☢ US chest Usually Not Appropriate O Variant 3: Intensive care unit patient with clinically worsening condition. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 4: Intensive care unit patient following support device placement. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 5: Intensive care unit patient. Post chest tube or mediastinal tube removal. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable May Be Appropriate (Disagreement) ☢ US chest Usually Not Appropriate O ACR Appropriateness Criteria® 1 Intensive Care Unit Patients INTENSIVE CARE UNIT PATIENTS Expert Panel on Thoracic Imaging: Archana T. Laroia, MDa; Edwin F. Donnelly, MD, PhDb; Travis S. Henry, MDc; Mark F. Berry, MDd; Phillip M. Boiselle, MDe; Patrick M. Colletti, MDf; Christopher T. Kuzniewski, MDg; Fabien Maldonado, MDh; Kathryn M. Olsen, MDi; Constantine A. Raptis, MDj; Kyungran Shim, MDk; Carol C. Wu, MDl; Jeffrey P. Kanne, MD.m Summary of Literature Review Introduction/Background This publication discusses the utility of chest radiographs and chest ultrasound (US) in the intensive care unit (ICU) setting. -
Tracheal Intubation Intubação Traqueal
0021-7557/07/83-02-Suppl/S83 Jornal de Pediatria Copyright © 2007 by Sociedade Brasileira de Pediatria ARTIGO DE REVISÃO Tracheal intubation Intubação traqueal Toshio Matsumoto1, Werther Brunow de Carvalho2 Resumo Abstract Objetivo: Revisar os conceitos atuais relacionados ao procedimento Objective: To review current concepts related to the procedure of de intubação traqueal na criança. tracheal intubation in children. Fontes dos dados: Seleção dos principais artigos nas bases de Sources: Relevant articles published from 1968 to 2006 were dados MEDLINE, LILACS e SciELO, utilizando as palavras-chave selected from the MEDLINE, LILACS and SciELO databases, using the intubation, tracheal intubation, child, rapid sequence intubation, keywords intubation, tracheal intubation, child, rapid sequence pediatric airway, durante o período de 1968 a 2006. intubation and pediatric airway. Síntese dos dados: O manuseio da via aérea na criança está Summary of the findings: Airway management in children is relacionado à sua fisiologia e anatomia, além de fatores específicos related to their physiology and anatomy, in addition to specific factors (condições patológicas inerentes, como malformações e condições (inherent pathological conditions, such as malformations or acquired adquiridas) que influenciam decisivamente no seu sucesso. As principais conditions) which have a decisive influence on success. Principal indicações são manter permeável a aérea e controlar a ventilação. A indications are in order to maintain the airway patent and to control laringoscopia e intubação traqueal determinam alterações ventilation. Laryngoscopy and tracheal intubation cause cardiovascular cardiovasculares e reatividade de vias aéreas. O uso de tubos com alterations and affect airway reactivity. The use of tubes with cuffs is not balonete não é proibitivo, desde que respeitado o tamanho adequado prohibited, as long as the correct size for the child is chosen. -
Improving Outcomes for Patients with Sepsis. a Cross-System Action Plan
Improving outcomes for patients with sepsis A cross-system action plan OFFICIAL NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp. Ops. Commissioning Strategy Finance Publications Gateway Reference: 04457 Document Purpose Report Document Name Improving outcomes for patients with sepsis Author NHS England Publication Date December 2015 Target Audience CCG Clinical Leaders, Care Trust CEs, Foundation Trust CEs , Medical Directors, Directors of PH, Directors of Nursing, Directors of Adult SSs, NHS Trust Board Chairs, Allied Health Professionals, GPs, Emergency Care Leads, Directors of Children's Services, NHS Trust CEs Additional Circulation #VALUE! List Description This document contains a summary of the key actions that health and care organisations across the country will take to improve identification and treatment of sepsis. Cross Reference N/A Superseded Docs N/A (if applicable) Action Required To take note of the guidance contained in the document and use as appropriate to review and make improvements to services. Timing / Deadlines N/A (if applicable) Contact Details for Domain 1 further information NHS England Quality Strategy Medical Directorate 6th Floor Skipton House https://www.england.nhs.uk/ourwork/part-rel/sepsis/ Document Status This is a controlled document. Whilst this document may be printed, the electronic version posted on the intranet is the controlled copy. Any printed copies of this document are not controlled. As a controlled document, this document should not be saved onto local or network drives but should always be accessed from the intranet. 2 OFFICIAL Improving outcomes for patients with sepsis A cross-system action plan Version number: 1 First published: 23 December 2015 Prepared by: Elizabeth Stephenson Classification: OFFICIAL The National Health Service Commissioning Board was established on 1 October 2012 as an executive non-departmental public body. -
Confronting Decisions About Death and Life Support
_______________________________________________________ CONFRONTING DECISIONS ABOUT DEATH AND LIFE SUPPORT Today I have life, how long will it last - The days go so quickly, the months pass so fast. My death I don't fear, but how will I die? Will I recognize loved ones as they bid me "good-bye?" Please, let us talk now and make plans that are real, put them in writing so you'll know how I feel. It's my life, you know, and I want to make sure if my last illness is serious, and there is no cure, You'll carry out my wishes, and know in your heart, that I am at peace, and with dignity depart. Ida M. Pyeritz St. Clair Hospital Auxilian ______________________________________________________________________________ This booklet is dedicated to all patients and families who have had to make difficult decisions about death and life support. We gratefully acknowledge the vision, creativity, and hard work of Clara Jean Ersöz, M.D., M.S.H.A, who, while Vice President of Medical Affairs at St. Clair Hospital, authored Editions 1, 2, and 3 of this booklet. Editions 4 and 5 are revised and updated versions of her original work. © 1992 St. Clair Hospital Eight Edition November 2007 The objectives of this publication are to address the issues regarding a patient's rights to choose medical treatments and to make decisions concerning such measures as life-support, cardiac resuscitation, and artificial feeding. Much of the information contained herein is based on the 1983 report of the President's Commission entitled "Deciding to Forego Life-Sustaining Treatment", the 1990 Commonwealth of Pennsylvania's Living Will Law and the 1998 Commonwealth of Pennsylvania, Department of Public Welfare, Medical Assistance Bulletin. -
Drowning – January 2018
CrackCast Show Notes – Drowning – January 2018 www.canadiem.org/crackcast Chapter 145 – Drowning Episode Overview: 1) List risk factors for drowning 2) List 5 variables that portend poor outcome 3) Describe the diving reflex 4) Describe the management of a drowning patient with respiratory distress 5) Discuss the indications for rewarming the drowning patient. To what temperature do we warm to? 6) What are late complications of drowning? Wisecracks 1. What is immersion syndrome? Key Points: ▪ Drowning is a leading cause of death and loss of years of life with over 90% of cases occurring in lower- and middle-income countries. ▪ All significant drownings induce pulmonary injury and hypoxia by the amount of water aspirated and the duration of submersion. ▪ Pulmonary and neurologic support is essential to optimize the victim’s chance of a favorable outcome from this hypoxic event. ▪ Electroencephalography may be indicated in obtunded drowning victims to assess for subclinical seizures. ▪ No prognostic scale or clinical presentation accurately predicts long-term neurologic outcome; normal neurologic recovery is documented in patients with prolonged submersions, persistent coma, cardiovascular instability, and fixed and dilated pupils. ▪ Hyperventilation, steroids, dehydration, barbiturate coma, and neuromuscular blockade do not improve outcome after resuscitation. ▪ Comatose patients who have been resuscitated after reasonable submersion time regardless of rhythm should not be rewarmed above 34°C. Rosen’s in Perspective Traditionally, the terminology