Some principles about resuscitation in the ED March 2018 | by EMauthor
The purpose of a handbook like this is to address specific pitfalls that arise in this hospital (rather than outline the latest guidance from the Resus council and similar organizations). For historical reasons, medical emergencies are declared using the 2222 bleep in Basildon Hospital ED. This will either be pre-alerted via 'red phone' calls or alerted due to a current concern. The availability of the medical emergency team is not a 'get-out-of-jail-free' card (and in future we will aim to move to an in house medical emergency team). Therefore, you should strive to take responsibility. That responsibility will vary according to your role and grade. If you are a Foundation Trainee or GP trainee with an interest in resuscitation, please let us know and ask to be more involved. The following points apply to all grades: •Never walk away from a medical emergency unless you are explicitly told to do so, and do not walk away from a sick patient until you are convinced that you have added value to his / her care. •Never fail to apply an ABCDE approach while waiting for a medical emergency team to attend. •Never move a collapsed patient until stability has been achieved and / or CPR has commenced if applicable. The following points apply to senior doctors: •As a senior EM doctor you will be expected to be team leader unless allocated another role (such as airway or access) by an EM colleague •The MET 2222 bleep can produce a huge number of individuals. Many of these can be politely directed away particularly during working hours as it may distract from good team resource management. oIt is never acceptable, and always detrimental, to have more than one team leader: it is your job to assure this does not happen oMake sure you nominate an experienced scribe: this is crucial when the case-notes are reviewed later. •The Medical Emergency team are not trained in traumatic cardiac arrests or resuscitative thoracotomies--these must me managed in-house or as part of a trauma call. Resuscitation to recovery: a National Framework to improve care of people with out-of-hospital cardiac arrest (OHCA) in England. This document aims to integrate current management recommendations and to describe the whole clinical pathway for patients with OHCA. |
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