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ABC OF RESUSCITATION - PART 3

chăm sóc là cần thiết để đảm bảo rằng gel điện dư thừa không cho phép một hồ quang điện để hình thành trên bề mặt của bức tường ngực và chăm sóc là cần thiết để đảm bảo rằng gel điện cực không lây lan từ ngực đến bàn tay của nhà điều hành. | Ventricular fibrillation by assistants the operator must be certain not to touch any part of the electrode surface care is needed to ensure that excess electrode gel does not allow an electrical arc to form across the surface of the chest wall and care is needed to ensure that the electrode gel does not spread from the chest wall to the operator s hands. The use of gel defibrillator pads reduces the last two risks considerably. If the patient has a glyceryl trinitrate patch fitted then this should be removed before attempting defibrillation because an apparent explosion may occur if current is conducted through the foil backing used in some preparations. Further reading Cummins RO Hazinski MF Kerber RE Kudenchuk P Becker L Nichol G et al. Low-energy biphasic waveform defibrillation evidence based review. Circulation 1998 97 1654-67. Cummins RO Ornato JP Thies WH Pepe PE. Improving survival from sudden cardiac arrest the chain of survival concept a statement for health professionals from the Advanced Life Support Subcommittee and the Emergency Cardiac Care Committee of the American Heart Association. Circulation 1991 83 1832-47. De Latorre F Nolan J Robertson C Chamberlain D Baskett P. European Resuscitation Council Guidelines 2000 for adult advanced life support. Resuscitation 2001 48 211-21. Eisenberg MS Copass MK Hallstrom AP Blake B Bergner L Short FA et al. Treatment of out-of-hospital cardiac arrest by rapid defibrillation by emergency medical technicians. N Engl J Med 1980 302 i379-83. International guidelines 2000 for cardiopulmonary resuscitation and emergency cardiac care an international consensus on science. Resuscitation 2000 46 109-13 Defibrillation 167-8 The algorithm approach to ACLS emergencies 169-84 A guide to the international ACLS algorithms . Pantridge JF Geddes JS. A mobile intensive care unit in the management of myocardial infarction. Lancet 1967 II 271. Robertson C Pre-cordial thump and cough techniques in advanced life support. .