IT CREATES AWARENESS AMONG GENERAL PUBLIC REGARDING CPR A LIFE SAVING PROCEDURE. . IT ALSO HELPS PARA MEDICS & NURSING PERSONNEL TO ENHANCE THEIR KNOWLEDGE ABOUT & HELPS TO EDUCATOR TO TEACH THEIR STUDENTS ABOUT CPR.
Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
CPR – or Cardiopulmonary Resuscitation – is an emergency lifesaving procedure performed when the heart stops beating. Immediate CPR can double or triple chances of survival after cardiac arrest.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
CPR – or Cardiopulmonary Resuscitation – is an emergency lifesaving procedure performed when the heart stops beating. Immediate CPR can double or triple chances of survival after cardiac arrest.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRICSANJAY SIR
THIS PRESENTATION IS UPLOADED TO CREATE AWARENESS ABOUT COMMON CONGENITAL PROBLEMS AMONG CHILDRENS. IT IS ALSO HELPFULL TO THE EDUCATORS OF MEDICAL, DENTAL, NURSING AND HEALTH CARE PROFESSIONS TO TEACH THEIR STUDENTS.
THIS PRESENTATION IS UPLOADED TO HELP MEDICAL, NURSING & ALLIED HEALTH SCIENCES EDUCATOR FOR THEIR STUDENTS. IT WILL ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT OUR BODY STRUCTURE.
THIS PRESENTATION IS UPLOADED TO HELP THE EDUCATOR OF MEDICAL, NURSING & ALLIE HEALTH SCIENCES TO TEACH THEIR STUDENTS ABOUT THE NERVOUS SYSTEM. IT WILL ALSO CREATE AWARENESS AMONG THE COMMON PEOPLE REGARDING NERVOUS SYSTEM.
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTSSANJAY SIR
This presentation is for health care workers & patients to limit the transmission of corona virus infections. it also helps educator of medical, nursing & paramedics to teach their students about control & prevention strategies. it also create awareness among HCWs & common people.
this presentation is uploaded specially for the Nursing Faculties and paramedics regarding the Body Mechanics specially in the subject Nursing Foundation , Unit- X. it is also useful to common people about poor body posture in relation to their occupation and adverse effect of poor body mechanics, it is also useful to all nursing officers and para medics.
it is uploaded to create awareness among the common public regarding dimension of health. Specially prepared for students. health care providers and paramedics to learn about it. educators can also use for their students.
This presentation will help the U.G, P,G, students ,scholars and researcher and others to make a research proposal to conduct a research study in any area of their interest.
it will help the general public regarding the basic aspect of the antenatal care. it will also help to nursing and para medical educator to teach their students. it also create awareness about it.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
IT IS UPLOADED TO HELP NURSING AND PARAMEDICS EDUCATOR TO TEACH THEIR STUDENTS REGARDING NEW BORN CARE. IT ALSO HELPS TO CREATE AWARENESS AMONG GENERAL PUBLIC ABOUT THE NEW BORN CARE.
This presentation is uploaded to create awareness regarding thalassamia among common people and it also help the tutors of paramedics and nursing to teach their students about it.
it is uploaded to create awareness about congenital abnormality of urinary system. it also help nursing & paramedics educators to teach their students about it.
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staffSANJAY SIR
It is uploaded to help nursing educators to teach their students about job description & role & responsibilities of professional nursing officer. it also create awareness among general public about duties & functions of nursing officers/nursing staff.
PREVENTION OF ACCIDENTS AMONG CHILDRENS. SANJAY SIR
It is uploaded to create awareness regarding prevention of accidents in children in various age groups among general public. it also helps nursing & paramedics educator to teach their students.
it is uploaded to nurse educator to teach students about unit -2 healthy child in pediatric nursing. it also help the para medics & general public about normal growth & development of child. it also help to identify deviation from normal growth.
it is uploaded for paramedics & nursing faculties to teach their students & also helps & create awareness about breast feeding practices to decrease the infant mortality rate.
Elderly care-in-india-changing-perspectivesSANJAY SIR
it is uploaded to create awareness regarding importance of elderly care & changing perspectives about it . It helps paramedics & nursing educator to teach their students about it.
IT IS UPLOADED TO CREATE AWARENESS REGARDING STRESS & ITS MANAGEMENT AMONG GENERAL PUBLIC. IT ALSO HELPS PARAMEDICS & NURSING PERSONNEL TO COMBAT WITH STRESS & ALSO HELPS EDUCATOR TO TEACH THEIR STUDENTS ABOUT IT.
Counselling of people living with HIV/AIDSSANJAY SIR
IT HELPS THE PARAMEDICS & NURSING PERSONNEL REGARDING COUNSELING SESSION OF PEOPLE LIVING WITH HIV/AIDS & ALSO HELPS THE EDUCATOR TO TEACH THEIR STUDENTS REGARDING COUNSELING . IT ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT IT.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. • Cardiopulmonary resuscitation (CPR)
is a lifesaving technique useful in
many emergencies, including heart
attack or near drowning, in which
someone's breathing or heartbeat has
stopped.
3.
4.
5. • Cardio Pulmonary Resuscitation is a
technique of basic life support for
oxygenating the brain and heart until
appropriate, definitive medical
treatment can restore normal heart
and ventilatory action.
6. • To maintain an open and clear airway
(A).
• To maintain breathing by external
ventilation (B).
• To maintain Blood circulation by external
cardiac massages (C).
• To save life of the Patient.
• To provide basic life support till medical
and advanced life support arrives.
8. Respiratory Arresst
• This may be result of following:
• Drowning
• Stroke
• Foreign body in throat
• Smoke inhalation
• Drug overdose
• Suffocation
• Accident, injury
• Coma
• Epiglottis paralysis.
9. • To restore effective circulation and
ventilation.
• To prevent irreversible cerebral
damage due to anoxia. When the
heart fails to maintain the cerebral
circulation for approximately four
minutes the brain may suffer
irreversible damage.
10. SEQUENCES OF PROCEDURES
PERFORMED TO RESTORE THE
CIRCULATION OF OXYGENATED BLOOD
AFTER A SUDDEN PULMONARY AND/OR
CARDIAC ARREST
CHEST COMPRESSIONS AND PULMONARY
VENTILATION PERFORMED BY ANYONE
WHO KNOWS HOW TO DO IT, ANYWHERE,
IMMEDIATELY, WITHOUT ANY OTHER
EQUIPMENT
14. Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
CHECK RESPONSE
15. SHOUT FOR HELP
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
16. OPEN AIRWAY
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
17. OPEN AIRWAY
Head tilt and chin lift
- lay rescuers
- non-healthcare rescuers
No need for finger sweep
unless solid material can be seen
in the airway
20. CHECK BREATHING
• Look, listen and feel
for NORMAL
breathing
• Do not confuse
agonal breathing with
NORMAL breathing
21. • Occurs shortly after the heart stops
in up to 40% of cardiac arrests
• Described as barely, heavy, noisy or
gasping breathing
• Recognise as a sign of cardiac arrest
23. 30 CHEST COMPRESSIONS
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
24. • Place the heel of one hand in
the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 4-5 cm (1.5 to 2 inch)
– Equal compression :
relaxation
• When possible change CPR
operator every 2 min
CHEST COMPRESSIONS
26. • Pinch the nose
• Take a normal breath
• Place lips over
mouth
• Blow until the chest
rises
• Take about 1 second
• Allow chest to fall
• Repeat
27. RECOMMENDATIONS:
- Tidal volume
500 – 600 ml
- Respiratory rate
give each breaths over about 1s with enough
volume to make the victim’s chest rise
- Chest-compression-only
continuously at a rate of 100 min
31. Adrenaline
• Adrenaline (epinephrine) is the main drug used
during resuscitation from cardiac arrest.
Atropine
• Atropine as a single dose of 3mg is sufficient to
block vagal tone completely and should be used
once in cases of asystole. It is also indicated for
symptomatic bradycardia in a dose of 0.5mg -
1mg.
Amiodarone
• It is an antiarrhythmic drug.
32. • Maintains airway patency with use of airway
adjuncts as required (suction, high flow
oxygen with O2 or bag valve mask
ventilation).
• Assist with intubation and securing of ETT
• Inserts gastric tube and/or facilitates gastric
decompression post intubation as required.
• Assists with ongoing management of airway
patency and adequate ventilation
33. • Supports less experienced staff by
coaching/guidance e.g. drug
preparation
• If a shockable rhythm is present
(VF/VT) ensure manual defibrillator
pads are applied and connected.
• If CPR is in progress, prepare and
independently double check and label 3
doses of adrenaline
• Prepare and administer IV fluids
• Document medications administered
(including time)