By Peter Cameron; et al
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Extra info for Textbook of adult emergency medicine
4% sodium bicarbonate) over 2–3 minutes, then as guided by the arterial blood gases. 2 ADVANCED LIFE SUPPORT Vasopressin1,2,19 Vasopressin is an alternative vasopressor to epinephrine. There is currently insufficient evidence to support or refute its use either alone or in combination with adrenaline in any cardiac arrest rhythm. Consider administration for l Vasopressor effects as an alternative to epinephrine. Adverse effects l l l Cerebral oedema or haemorrhage after ROSC. Persistent vasoconstriction following ROSC, which may exacerbate myocardial ischaemia and interfere with left ventricular function.
For example, the performance of gastric lavage on a nonconsenting patient after a trivial overdose several hours earlier is ethically unjustifiable, as there is insufficient benefit to override the principles of respect for autonomy and non-maleficence. In order to consider the benefits and harms, information is required regarding the outcomes of our interventions, and to this end research becomes an ethical necessity to provide the evidence upon which to judge competing principles. Justice The principle of justice is an essential balance to the first three principles, which apply primarily to the individual.
Guidelines 2000 for cardiopulmonary resuscitation and 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. emergency cardiovascular care – an international consensus on science. Resuscitation 2000; 46: 1–447. New Zealand Resuscitation Council. Level 1–7 Guidelines 2006. org. nz/. Accessed 26 Oct 2007. Maguire JE. Advances in cardiac life support: sorting the science from the dogma. Emergency Medicine (Fremantle) 1997; 9: 1–21. Truong JH, Rosen P. Current concepts in electrical defibrillation. Journal of Emergency Medicine 1997; 15: 331–338.
Textbook of adult emergency medicine by Peter Cameron; et al