Oxford Handbook of Pre-Hospital Care (Oxford Medical Handbooks)
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The Oxford Handbook of Pre-hospital Medicine provides the reader with evidence-based advice on the assessment and management of pre-hospital care emergencies. Each section defines the important clinical features of the named condition, and includes boxes containing essential advice. The treatment section incorporated national and international guidelines and protocols where available, and reflects contemporary best practice. This handbook includes all medical and trauma conditions that are regularly encountered in an immediate care setting.
reflecting the Faculty’s commitment to improving pre-hospital care across the whole spectrum of practice and encouraging a multidisciplinary app-roach. The authors are prominent members of the Faculty and serve on its Board of Management. This comprehensive book deals with all aspects of prehospital care in a pragmatic down to earth style, which encompasses best practice and is also underpinned by the currently available research evidence. The discerning reader will find numerous pearls which
the upper sternum below the clavicle. - The second paddle is placed over the cardiac apex. - Paddles should be kept at a maximum possible distance from implanted pacemakers. - Nitrate patches should be removed. - A single shock is given at 360J (150–200J for a biphasic defibrillator∗). - After 2 minutes of CPR (30:2) and a pulse check, a second shock is given at 360J monophasic (150–360J biphasic). - All subsequent shocks are at 360J monophasic (150–360J biphasic). If there is doubt about whether
with the convex side downwards and then rotated through 180 degrees with the flange anterior to the teeth. In children, the airway is inserted under direct vision with the concave side downwards and with the use of a tongue depressor. An oropharyngeal airway is always supported by a manual manoeuvre. Nasopharyngeal airway A nasopharyngeal airway can be inserted in the unconscious or semiconscious patient with a gag reflex. It is of particular value in patients who have sustained head injuries and
to the following: - Training - Reading - Equipment - Personal - Medical - Transport - Insurance - Joining a scheme - Validation (and revalidation). Each of these subjects is discussed in this chapter. This page intentionally left blank 6 CHAPTER 1 An approach to pre-hospital care Training and education As in any other branch of medicine, appropriate training is essential. Experience is important, but knowing how to ‘do it right’ is crucial. The Faculty of Pre-hospital Care of the Royal
practice of pre-hospital care. Essential items are shown in Table 1.2. Helmets Industrial ‘bump hats’ are not acceptable. An appropriate helmet will meet British Standard BS prEN 443. The shell should be made from a strengthened material such as Kevlar and a visor should be fitted. A mounting for a head torch and clear labelling with ‘doctor’ or ‘paramedic’ are essential. Eye protection Conventional glasses do not provide adequate eye protection in high-risk situations. Appropriate eye