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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J. trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). 2013;118(1):192-201. doi:10.1097/ALN.0b013e318278c8b6

CPR 52
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Foreign Bodies in the Head and Neck

Pediatric Emergency Playbook

Be ready to perform CPR. Children 1 year and up, unconscious – CPR: start CPR with chest compressions (do not perform a pulse check). Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. Pediatrics.

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Oxygen Powered Resuscitators

Advanced Emergency Nursing from AENJ

It wrongly frightened some medical personnel as it was operated by a 50 psi wall source or from a step-down regulator from a tank (some thought the patient received wall 50 psi or 1500 psig from the tank directly to the lung. In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR.

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The Nose: the other route to the lungs

Advanced Emergency Nursing from AENJ

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.