Kitty Chan

1
Resuscitation
Kitty Chan School of Nursing,The Hong Kong
Polytechnic University Email hskittyc_at_inet.polyu.
edu.hk Date 2005
2
Objectives

• Upon completion of the module, the students
  should be
• Familiar with the principles of airway management
• Able to understand the fundamental approach used
  for the algorithms in Cardiac-pulmonary
  Resuscitation (CPR)
• develop a basic understanding of the clinical
  application of drugs for the heart relating to
  advanced cardiac life support (ACLS)

3
Indicative Readings
Wiegand, L-M. D. J. Carlson, K. K. (Eds.).
(2005). AACN Procedure Manual for Critical Care.
(5th ed.). Philadelphia Lippincott Section 1
4
Core Concepts
In response to cardiovascular emergency,
American Heart Association (AHA) established the
chain of survival which is a consistent process
supported by evidence based principles skills
to save life.
5
Core Concepts
Basic Life Support (BLS) differs from Advanced
Cardiac Life Support (ACLS). More sophisticated
interventions are used in ABCD
6
International Guidelines 2000 for CPR
ECC(Cardiopulmonary Resuscitation Emergency
Cardiovascular Care)

• 1. Basic Life Support (BLS)
• 2. Advanced Cardiovascular Life Support (ACLS)
• 3. Stroke
• 4. The Acute Coronary Syndromes
• 5. Rapid Sequence Intubation, Tracheal Intubation
  and Preintubation
• 6. Pediatric Advanced Life Support
• 7. Resuscitation of Newborns

7
Resuscitation

• This module focuses on the basic elements in
  adult advance cardiac life support. It
  sub-divides into 3 main topics
• Airway Management Infection Control
• Resuscitation Algorithms
• Electric Therapy
• Defibrillation
• Cardioversion
• Cardiac Pacing

8
References

• Hazinski M F, Cummins R O Field J M (ed) 2000
  2000 Handbook of Emergency Cardiovascular Care
  for Healthcare Providers. American Heart
  Association
• Hudak C M, Gallo B M Morton P G (ed) 2002
  Critical Care Nursing A Holistic Approach. 7th
  ed Philadelphia Lippincott
• Jackson K (ed) 2002 Mastering ACLS. Springhouse
  Springhouse
• Opie L H Gersh B J 2005 Drugs for the Heart.
  5th ed Philadelphia W B Saunders.
• Swearingen P L Keen J H 2002 Manual of Critical
  Care Nursing Nursing interventions and
  Collaborative Management. 4th ed St Louis Mosby
• Urden L D, Stacy K M Lough M E 2002 Thelans
  Critical Care Nursing Diagnosis and Management.
  4th ed St Louis Mosby.
• Wiegand L-M D J Carlson K K (eds) 2005 AACN
  Procedure Manual for Critical Care. 5th ed
  Philadelphia Saunders.

9
References

• Lo C B WONG T W 2003 AE Clinical Guidelines
  No.14 Guidelines on Rapid Sequence Intubation
  (RSI). Hospital Authority in Hong Kong,
  Electronic Knowledge Gateway.
• Lau C C, Tong H K, Liu H W, Hung C T, Tsang D,
  Yam L Yung R 2003 AE Clinical Guidelines
  No.16 Guideline for in-hospital resuscitation of
  patients at risk of SARS . Hospital Authority in
  Hong Kong, Electronic Knowledge Gateway.

10
Journals

• American Heart Association. Guidelines 2000 for
  Cardiopulmonary Resuscitation and Emergency
  Cardiovascular Care International Consensus on
  Science 2000 Part 3 Adult Basic Life Support
  Section 1 - 8. Circulation, Vol 102 (8)
  Supplement August ppI-22-59
• American Heart Association. Guidelines 2000 for
  Cardiopulmonary Resuscitation and Emergency
  Cardiovascular Care International Consensus on
  Science 2000 Part 6 Advanced Cardiovascular Life
  Support Section 1 - 8. Circulation, Vol 102 (8)
  Supplement August ppI-86-171
• Burns S M 2001 Safely caring for patients with a
  laryngeal mask airway. Critical Care Nurse, Vol
  21 (4) pp72-76