Emergency oxygen delivery in adults 1 updating nursing practice

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emergency oxygen delivery in adults 1 updating nursing practice-55

Emergency oxygen delivery in adults 1 updating nursing practice

Despite conflicting evidence, guidelines in the past have recommended supplementary oxygen as part of treatment.

Therefore it was necessary to understand and identify best practice.

A systematic review of studies did not confirm that the use of routine oxygen in the acute stages of a myocardial infarction reduces myocardial ischemia.

In reality, some evidence suggests that oxygen may even increase myocardial ischemia.

Therefore it is crucial that emergency care nurses/practitioners across the world use observation skills and monitoring such as pulse oximetry to recognise the clinical need for supplementary oxygen to be given to a patient.

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The full Guideline for oxygen use in adults in healthcare and emergency settings, published in Thorax1 provides an update to the 2008 BTS Emergency oxygen guideline.2 The following is a summary of the recommendations and good practice points.

The sections noted to within this summary refer to the full guideline sections.

Flow chart for oxygen administration on general wards in hospitals. EPR, electronic patient record; EWS, early warning score; NEWS, National Early Warning Score; Sp O2, arterial oxygen saturation measured by pulse oximetry.

The evidence review methodology has changed from NICE methodology to the BTS NICE accredited guideline production process which is based on the Scottish Intercollegiate Guideline Network (SIGN) methodology and adheres to AGREE methodology (see section 1).

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