Part 12: Pediatric Advanced Life Support contrast to adults, sudden cardiac arrest in children is with other signs and symptoms consistent with inadequate ncommon, and cardiac arrest does not usually result from tissue oxygen delivery a primary cardiac cause. More often it is the terminal event The most common cause of shock is hypovolemia, one of progressive respiratory failure or shock

一、多发性创伤 多发性创伤是指在同一伤因的打击下,人体同时或相继有2个以上部位或脏器受到严 重损伤。这类创伤较严重,其特点:(1)伤势重死亡率高,若多个内脏器官损伤或出血 可迅速导致死亡;(2)不同的器官创伤可以互相影响,创伤反应较单一者,创伤更为复 杂、持久、显著;(3)伤情变化快,并发症多,致残率高(4)容易漏诊和误诊,表面 可见的组织损毁常常掩盖了内脏损伤的及时诊断

一、铺备用床、暂空床 二、铺麻醉床 三、卧床患者更换床单 四、运送患者法 五、更换卧位 六、特殊口腔护理 七、床上洗发 八、床上擦浴 九、无菌技术操作方法 十、隔离技术 十一、生命体征测量 十二、氧气吸入法 十三、吸痰法 十四、乙醇擦浴 十五、鼻饲法 十六、男、女患者导尿术 十七、大量不保留灌肠法 十八、药液抽吸 十九、皮内、皮下、肌内注射 二十、动静脉注射法 二十一、雾化吸入法 二十二、皮肤试验液的配制 二十三、静脉输液法 二十四、徒手心肺复苏术 二十五、洗胃法

绪论、无菌术和手术基本技术 消毒与灭菌 洗手穿衣戴手套 皮肤消毒与铺巾 常用手术器械 外科打结 外科缝合与拆线 切开分离与止血 标题:麻醉前准备及常用局麻方法 全麻与椎管内麻醉 心肺脑复苏 围手术期处理 外科病人的体液平衡 外科病人的营养支持 输血和移植 外科感染概述与软组织化脓性感染 手部感染、败血症与破伤风 创伤概述与开放性损伤 清创术 烧伤 咬伤和螫伤 外科休克 多器官功能障碍综合征 肿瘤

[概述] 多脏器功能衰竭(MOF)或多脏器功能失常综 合征(MODS)指在严重感染、脓毒症、休克、 严重创伤、大手术、大面积烧伤、长时间心肺 复苏术及病理产科等疾病发病24小时后出现的 2个或者2个以上系统、器官衰竭或功能失常的 综合征。 但不包括上述疾病发病24小时内死亡者,这 类患者属于复苏失败

Part 13: Neonatal resuscitation guidelines The following guidelines are intended for practitioners is allotted to complete each step, reevaluate, and decide responsible for resuscitating neonates. They apply pri- whether to progress to the next step(see the Figure) marily to neonates undergoing transition from intrauterine to extrauterine life. The recommendations are also applicable to Anticipation of Resuscitation Need

For best survival and quality of life, pediatric basic life support(BLS) should be part of a community effort that includes prevention, basic CPR, prompt access to the emer- gency medical services(EMS) system, and prompt pediatric advanced life support (PALS). These 4 links form the American Heart Association(AHA)

wning is a leading preventable cause of unintentional been found to be clinically significant. The most important morbidity and mortality. Although this chapter focuses factors that determine outcome of drowning are the duration on treatment, prevention is possible, and pool fencing has and severity of the hypoxia

asic and advanced life support for the trauma patient are effective and whether they adversely delay transport to, and fundamentally the same as that for the patient with a definitive management at, a hospital or emergency depart primary cardiac arrest, with focus on support of airway, ment(ED)

This section highlights recommendations for the support maximize arterial oxygen saturation and, in turn, arterial of ventilation and oxygenation during resuscitation and oxygen content. This will help support oxygen delivery the periarrest period. The purpose of ventilation during CPR (cardiac output x arterial oxygen content) when cardiac