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OCC-HEALTH  November 2007

OCC-HEALTH November 2007

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Subject:

Resuscitation

From:

Paul Darcy <[log in to unmask]>

Reply-To:

Occupational Health mailing list <[log in to unmask]>

Date:

Tue, 27 Nov 2007 10:40:01 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (142 lines)

 
We only keep adrenaline, airways, O2 and manual suction.  We do not
stock drug packs or a defib.  On one of our sites we can access the
crash team and the other we would have to call for an ambulance.

The British Resuscitation Council guidance on management of anaphylaxis
in the community available at www.resus.org.uk is very helpful. 

I think it all boils down to what services you have readily accessible
and an adequate assessment of risk versus benefit of having a full kit.
I don't believe advanced life support is a generic OH skill although if
your activities can forseeably precipitate a cardiac arrest then a full
crash kit may be appropriate.

Paul  

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Hawkes, Lynda
Sent: 27 November 2007 10:31
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Resuscitation

Is it just me, or does anyone else find it rather strange that an OH
unit requires a full crash trolley?  I have never come across this in
industry, but is it the norm for NHS units?  I do keep adrenaline etc in
case of anaphylaxis when we give vaccines, but why would we need a full
crash trolley?

Lynda

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]On
Behalf Of Rita Ogden
Sent: 27 November 2007 10:11
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Resuscitation


Hi Tracy,
As a firm believer in the concept of Murphy's Law (which in Yorkshire is
more commonly referred to as Sods Law) I keep a fully stocked crash
trolley in the OH unit, complete with all the items you listed plus a
defibrillator and suction apparatus. The contents are checked weekly as
a concession to the infrequency of its use. I have been here 7 years and
I have had to use it once. On that basis, I think it's important to have
any emergency resus equipment readily available. We could potentially
have lost a life if the crash trolley hadn't been accessible and
completely up to date.
Kind regards,
Rita

Rita E Ogden
Specialist Practitioner/Clinical Team Leader, Occupational Health
Service, St. James's University Hospital
Tel: 0113 2065228
Leeds General Infirmary
Tel: 0113 3923267

>>> Tracy Bluestone <[log in to unmask]> 26/11/2007 15:42 >>>
Dear All,
I am in the process of risk assessing our resus trolley, following the

discovery of a number of out of date items. Our department is on the
main hospital site, but not directly attached to the hospital. We
currently have a large resus trolley, full emergency drugs kit, defib,
cannulation, CVP, trachesotomy set, fliuds, blood giving set, O2
cylinde, intubation kit, No suction. In the year I have been here, we
have had a few 'fainters', and in the four years my boss has been here,
nothing more serious.
I am aware of the 'Murphy's Law'theory, the day we decide to downsize
the trolley, the full blown CA will occur.
We can call the crash team, but I'm not sure how quickly they would find
us!
Any info on what you have in place, or not would be  most helpful, Many
thanks Tracy Bluestone

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