Key recommendations for clinical practice

Cardiopulmonary resuscitation, automated defibrillators ...

be as clear-cut if the rescuer isn’t medically qualified, the defence of necessity may be available, provided the rescuer acts reasonably in the circumstances. For instance, it would be reasonable to carry out CPR and use an AED if no healthcare professionals were available. Section 5 of the Mental Capacity Act (England

  Rescuer

Emergency treatment of anaphylaxis Guidelines for ...

Bristol Royal Hospital for Children Bristol, UK E: nicholas.sargant@uhbw.nhs.uk No relevant conflict of interest Andrew F. Whyte Consultant in Allergy and Immunology Derriford Hospital University Hospitals Plymouth NHS Trust Plymouth UK E: andrew.whyte@nhs.net

  University, Hospital, Bristol, University hospitals

Anaphylaxis - resus.org.uk

• Follow REFRACTORY ANAPHYLAXIS ALGORITHM • Remove trigger if possible (e.g. stop any infusion) • Lie patient flat (with or without legs elevated) – A sitting position may make breathing easier – If pregnant, lie on left side Give intramuscular (IM) adrenaline2 Call for HELP Call resuscitation team or ambulance Inject at

  Algorithm, Anaphylaxis, Anaphylaxis algorithm

Refractory anaphylaxis A

Refractory anaphylaxis No improvement in respiratory or cardiovascular symptoms despite 2 appropriate doses of intramuscular adrenaline Cardiac arrest – follow ALS ALGORITHM • Start chest compressions early • Use IV or IO adrenaline bolus (cardiac arrest protocol) • Aggressive fluid resuscitation

  Algorithm, Anaphylaxis

Resuscitation Council (UK)

Resuscitation Council (UK) EMERGENCY TREATMENT OF ANAPHYLACTIC REACTIONS6 1. Introduction 1.1 Purpose of this guideline The UK incidence of anaphylactic reactions is rising.2 Despite previous guidelines, there is confusion about …

  Treatment

Adult tachycardia - Resus

Probable atrial fibrillation: • Control rate with beta-blocker • Consider digoxin or amiodarone if evidence of heart failure •– Anticoagulate if duration > 48 h Vagal manoeuvres If ineffective: • Give Adenosine (if no pre-excitation) 6 mg rapid IV bolus – If unsuccessful, give 12 mg – If unsuccessful, give 18 mg • Monitor ECG

  Atrial, Atrial fibrillation, Fibrillation, Digoxin

Decisions relating to cardiopulmonary resuscitation

may include family, other carers, close friends or others able to support or speak for the patient). This must not prevent discussion, to involve patients in shared decision-making whenever appropriate, or in some circumstances . Decisions relating to cardiopulmonary resuscitation 3 to inform patients of a decision and explain the reasons for ...

  Other, Relating

Adult Tachycardia (with pulse) Algorithm

AF with bundle branch block treat as for narrow complex Pre-excited AF consider amiodarone If VT (or uncertain rhythm): Amiodarone 300 mg IV over 20-60 min then 900 mg over 24 h If known to be SVT with bundle branch block: Treat as for regular narrow-complex tachycardia Synchronised DC Shock* Up to 3 attempts

  With, Pulse, Adults, Block, Bundle, Branch, Algorithm, Tachycardia, Bundle branch block, Adult tachycardia, With pulse

Adult advanced life support - Home | Resuscitation Council UK

• Thrombosis – coronary or pulmonary • Tension pneumothorax • Tamponade – cardiac • Toxins Consider ultrasound imaging to identify reversible causes Consider • Coronary angiography/ percutaneous coronary intervention • Mechanical chest compressions to facilitate transfer/treatment • Extracorporeal CPR After ROSC

  Home, After, Coronary, Percutaneous, Percutaneous coronary

Paediatric out-of-hospital basic life support

basic life support Unresponsive Shout for help Open airway 5 rescue breaths Infant: mouth to nose/mouth Child: mouth to mouth If unable/unsafe to ventilate, perform continuous chest compressions Add rescue breaths as soon as possible 30 chest compressions 2 rescue breaths NO or any doubt NO YES YES Breathing normally? If no signs of life observed

  Life, Support, Life support

Pharmacologic Restraint Management Worksheet Form

Motor restlessness (akathisia), muscle stiffness, spasm of neck, back or face (dystonic reaction), movement of mouth, tongue, jaw, face (tardive dyskinesia), tremors, slow movements, shuffling, stooped posture (pseudopar-

URTICARIA AND/OR ANGIOEDEMA MANAGEMENT …

Avoid sedating antihistamines. Oral corticosteroids are effective but should be used for short courses only as tachyphylaxis (diminishing efficacy for the same dose) may occur and morbidity due to the side effects can be significant. There is no role for topical corticosteroids.

  Antihistamine, Sedating, Sedating antihistamines

Prescribing information for high-dose fexofenadine in the ...

Fexofenadine is a second generation non-sedating H 1-antihistamine used in the treatment of allergic disorders. Fexofenadine is a pharmacologically active metabolite of terfenadine. Licensed indication: In adults and children 12 years and older, the licensed dose is 180mg daily for the relief of symptoms associated with

  Sedating

Medicines in breastfeeding - Royal Women's Hospital

Antihistamines Less sedating antihistamines such as loratadine can be used while breastfeeding for the relief of allergies and hayfever.5 Sedating antihistamines are not recommended because the medicine may pass into your breast milk and make your baby drowsy. Eye drops Topical eye drops for allergies and hayfever may be

  Antihistamine, Sedating, Sedating antihistamines

Medicines in pregnancy - Royal Women's Hospital

Antihistamines There is more known about the use of sedating antihistamines in pregnancy than less-sedating antihistamines. Sedating antihistamines such as chlorpheniramine, cyproheptadine, dexchlorpheniramine, doxylamine, pheniramine and promethazine may be used at the recommended doses, at any stage of pregnancy.

  Antihistamine, Sedating, Of sedating antihistamines, Sedating antihistamines