RESUMO
The authors present their own experience on the installation of an in-hospital resuscitation programme, in a new tertiary hospital with 400 beds, an ICU with 8 beds and an emergency room 24 hours per day. The most important features presented are: the support by the Board of the Hospital, the engagement of all the health professionals, the distribution standardization and maintenance of the resuscitation equipment, the training in basic life-support techniques the doctors and nurses in the hospital, the performance of the cardiac arrest teams, all of which are fundamental to the maintenance of the chain of survival of cardiopulmonary resuscitation.
Assuntos
Serviço Hospitalar de Cardiologia/organização & administração , Reanimação Cardiopulmonar , Desenvolvimento de Programas , Serviço Hospitalar de Cardiologia/normas , Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/normas , Humanos , Capacitação em Serviço , Portugal , Garantia da Qualidade dos Cuidados de SaúdeRESUMO
An internal jugular catheter, which was inserted into a patient with a traumatic haemopneumothorax, accidentally entered the pleural cavity. This was initially undetected because the two signs most frequently used to confirm correct placement, those of blood reflux and fluctuation of central venous pressure with respiration, were positive. A number of precautions are suggested which should be taken when central venous catheters are inserted in patients with thoracic trauma.