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Title Pre-hospital anesthesia handbook / Andrew Griffiths, Tim Lowes, Jeremy Henning
Edition Second edition
Published Cham : Springer, [2015]
©2016

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Description 1 online resource
Contents Foreword; Preface to the Second Edition; Preface to the First Edition; Aims and Objectives; Contents; List of Authors; Abbreviations; Chapter 1: Introduction; 1.1 Pre-hospital Anaesthesia (PHA); 1.2 Rapid Sequence Intubation (RSI); 1.2.1 Who Should Perform RSI?; 1.3 Pre-hospital RSI; 1.3.1 The Pre-hospital Environment; 1.3.2 The Evidence for Pre-hospital RSI; 1.3.3 Is There a Need for PHA?; 1.3.4 Who Should Perform PHA?; 1.4 Summary; References; Chapter 2: Indications and Decision Making; 2.1 Significance of Aspiration; 2.1.1 Incidence, Morbidity and Mortality of Aspiration
2.2 Laryngeal Mask Airway (LMA) vs. Endotracheal Tube (ETT)2.2.1 Pharmacologically Assisted LMA Insertion (PALM); 2.3 Summary; 2.4 Assessment of Need: Risk vs. Benefit; 2.4.1 Factors to Consider (The A B C D Approach); 2.4.1.1 Airway; 2.4.1.2 Breathing; 2.4.1.3 Circulation; 2.4.1.4 Disability; 2.5 Summary; References; Chapter 3: Pre-hospital Rapid Sequence Intubation (PRSI); 3.1 The Six P's (Fig. 3.1); 3.2 Preoxygenation; 3.2.1 Preoxygenation Strategies; 3.2.2 Apnoeic Oxygenation; 3.3 Preparation; 3.3.1 Preassessment; 3.3.1.1 Catastrophic Haemorrhage; 3.3.1.2 Airway; Difficult Airway
Difficult IntubationClinical Signs of Potential Difficult Intubation or Ventilation; Obese Patients; Edentulous Patients; "Chinless" Patients; "No-Neck" Patients; Bearded Patients; "Goofy" Patients; "Stiff-Neck" Patients; Bleeding (Oral) Patients; 3.3.1.3 Breathing; 3.3.1.4 Circulation; 3.3.1.5 Disability; 3.3.1.6 Exposure; 3.3.1.7 History; 3.3.2 Prepare Equipment and Drugs; 3.3.2.1 PRSI Checklist (Appendix "PRSI Checklist"); 3.3.3 Positioning; 3.3.4 Protection; 3.3.4.1 Cervical Spine Injury; Manual In-Line Stabilisation (MILS); 3.3.4.2 Cricoid Pressure; 3.4 Premedication
3.5 Paralyse and Sedate3.6 Passage of Tube; 3.6.1 Laryngoscope; 3.6.2 Bougie; 3.6.3 Plan A and Plan B; 3.6.4 Failed Intubation Drill (Appendix "Failed Intubation Protocol"); 3.7 Post Intubation; 3.7.1 Confirmation of Placement; References; Chapter 4: Crew Resource Management (CRM); 4.1 Situational Awareness; 4.2 Bandwidth and Stressors; 4.3 Teamwork and Leadership; 4.4 Communication; 4.5 Decision-Making; 4.6 Task Management; 4.7 Training; References; Chapter 5: Post-intubation Management; 5.1 A (and C-Spine) BCDEF Approach; 5.1.1 Airway (Box 5.1); 5.1.2 Cervical Spine (Box 5.2)
5.1.3 Breathing (Box 5.3)5.1.4 Over Ventilation or Fall in Cardiac Output; 5.1.5 Circulation (Box 5.4); 5.1.6 Disability (Box 5.5); 5.1.7 Exposure and Packaging (Box 5.6); 5.1.8 (F)Phone Ahead; 5.1.9 Handover and Documentation; 5.2 Conclusion; References; Chapter 6: Equipment and Minimum Monitoring Standards; 6.1 Monitoring; 6.1.1 Capnography; 6.1.2 Capnometer; 6.2 Other Equipment; 6.3 Ventilators; 6.3.1 How to Set a Ventilator (Fig. 6.9); References; Chapter 7: Drugs and Sedation; 7.1 Pre-treatment; 7.1.1 Fentanyl; 7.1.2 Alfentanil; 7.2 Induction Agents; 7.2.1 Ketamine
Summary This second edition handbook details new and improved procedures, current drugs and updated algorithms used by the crews of the Great North Air Ambulance who have been providing this life saving intervention since 2004. It will be of interest to pre-hospital care doctors and trainees, especially those studying for the GNAAS course. Pre-Hospital Anaesthesia is one of the most demanding interventions that can be made in the field. The exact incidence of failed intubation is difficult to quantify, but it is clear that it is higher than in hospital. Equally it is certain that anyone undertaking it should have clear instruction in the technique and a thorough understanding of all it entails
Bibliography Includes bibliographical references and index
Notes English
Online resource; title from PDF title page (SpringerLink, viewed December 15, 2015)
Subject Emergency medicine -- Handbooks, manuals, etc
Anesthesia -- Handbooks, manuals, etc
Anesthesiology -- Handbooks, manuals, etc
Anesthesia.
Emergency medicine.
Anesthesiology.
Anesthesia
Emergency Medicine
Anesthesiology
Accident & emergency medicine.
Intensive care medicine.
Anaesthetics.
Medical -- Emergency Medicine.
Medical -- Critical Care.
Medical -- Anesthesiology.
Anesthesia
Anesthesiology
Emergency medicine
Genre/Form Electronic books
handbooks.
Handbooks and manuals
Handbooks and manuals.
Guides et manuels.
Form Electronic book
Author Griffiths, Andrew, Lt Col, author.
Gospel, Amy, author
Henning, Jeremy, author.
Lowes, Tim, author.
ISBN 9783319230900
3319230905
3319230891
9783319230894