Cardiac Arrests Of Children, And Opening The Reality Of The Pediatric Call Essay

One day a couple years ago I was at daycare playing with my friends and it was a normal day. My mom soon called and said that my grandparents had been in a tragic car crash. Their car was totaled and my grandparents were not in good condition. They were soon rushed to the hospital and taken care of. They are doing fine today and still have their up-beat, friendly attitude. If not for those EMTs that were on the scene, sad to say, they probably wouldn’t be here today. I chose this topic because I want to help other become healthy again and to be around for there family. This paper will talk about why I wanted to do this job, other names for an EMT, summary of what an EMT does, the kinds of EMTs and what their specific job is, the qualifications, education path, salary, job findings, jobs related to an EMT, benefits, and if I still consider being an EMT.

What is cardiac arrest? “According to the Centers for Disease Control (CDC), sudden cardiac arrest is when the heart suddenly stops beating, resulting in no blood flow to the brain and other vital organs.” .This occurs instantly leading to unexpected death. People tend to confuse a heart attack and cardiac arrest with one another (pause)... a heart attack can lead to cardiac arrest, but they are completely different. What is a heart attack? A heart attack is caused from a blockage of blood flow to the heart muscles. (pause)

Have you ever thought about what you would do if a family member suddenly stopped breathing? Imagine that you grow up in a small town, the population is 700 people, and one morning you wake up and everyone in the town is dead. On any given day 670 people die of sudden cardiac arrest. Could it be a loved one, someone you care deeply for, or just a complete stranger? The chances are that someone in your family is going to die of sudden cardiac arrest in your lifetime. On average it takes an ambulance no less than seven minutes to reach someone in need, therefore, every adult should know how to administer CPR.

Encounters with these patients are often begun with law enforcement calling for rescue, as they got a disturbance call first. There have been many reported cases of these patients dying in police custody and it becoming a topic of controversy over police brutality, etc., when in reality these patients were adequately restrained to protect themselves and others. Since the patients can not break free of these restraints, they essentially have an over stimulation of their nervous system, leading to arrhythmias, which leads to cardiac arrest. Other times when these patients end up in cardiac arrest is due to

Football has been in the spotlight after many suicides and even murders. The National Football League (NFL) has been the cause of 87 cases of CTE. (“New”, 2015). Many of these cases were hidden from the public by the NFL. It was only until a doctor, by the name of Bennet Omalu, took on the NFL. The recent movie “Concussion” starring Will Smith showed how Dr. Omalu found the disease. Dr. Omalu is the reason why the NFL has started taking preventive measures for this disease. Dr. Omalu recently stated that 90% of all NFL players have CTE. Many players have retired from their football careers because of the fear they have for this disease. Jovan Belcher’s case was one of the worst. Belcher was a standout linebacker for the Kansas City Chiefs. On December 1, 2012 he shot and killed his girlfriend. Belcher then drove to the Chiefs training facility where he shot and killed himself in front of the general manager and head coach. His autopsy had revealed that he had CTE at the age of 25. (“NFL”, 2015). Some star NFL players have also suffered from CTE: Junior Seau died at the age 43, Dave Duerson died at age 50, Andre Waters died at age 44, Chris Henry died at the age of 26, Ray Easterling died at 62. (“The NF.L.s”, 2014). These cases all have two things in common, each player had CTE and each of them committed suicide. There are 82 more cases, just like these, from NFL

For an electronic search to be successful it is important to find the right key words or concepts required to retrieve the journal articles as journal articles are indexed and entered onto the databases using keywords (Aveyard, 2014). The keywords for this literature review derived from the research question and synonyms words (Schneider, Elliott, LoBiondo-Wood and Haber, 2004). The keywords identified and retrieved used a combination of the following keywords; CPR, cardiac arrest, cardiopulmonary resuscitat*, famil* and family carer*. The keywords 'family ', 'witnessed

Clipboard and stethoscope in hand, I walked toward the double doors that flashed emergency in bright red letters above. It was my first clinical shift as an EMT student, and first day jitters flittered around in my stomach, I had no idea what to expect. However, I was not expecting to witness the fragility of life. About a half an hour into my shift the rapid response alarm blared through the emergency room. I turned to my preceptor and quizzically asked what this meant. “A rapid response is a patient who is in need of immediate medical care and intervention. As an EMT who is part of the rapid response team you will be expected to assist with vitals and chest compressions. Let’s head toward the recess room, and I’ll explain more there.” Eventually, we reached the recess room, and the rapid response team was already there preparing for the arrival of the patient. A nurse was on the phone with the firefighters that were bringing the patient in. Seconds later she announced “It’s a STEMI”. Then fright ran through my veins. A STEMI is medical jargon for a segment elevation on an EKG. In other words the patient’s coronary artery is completely occluded. The patient is suffering from a heart attack. Prior to this, I had never seen someone who was having a heart attack. However, the thing that terrified me the most was that I knew I would be expected to perform chest compressions. I had only ever performed chest compressions on a dummy.

As I begin my fifth year of working as a nurse practitioner in a leading children’s hospital, I am certain the pediatric acute care setting is where I will continue my career of service to children and their families. Although I hold a masters degree in nursing and have been a primary care certified pediatric nurse practitioner for many years, I wish to expand my knowledge of pediatric nursing to encompass the unique and challenging aspects of pediatric acute care.

The Children’s Hospital of Central California (CHCC) is one of the nation’s largest pediatric hospitals; CCHC not only provides great quality healthcare for pediatrics but also caters and cares for children from pre-birth all the way until their young adulthood stage of life. CHCC is a nonprofit healthcare network that specializes in medical and surgical services to help care for common to rare health conditions. Children’s Hospital provides healthcare services in over forty different types medical services. Services can include from Intensive Care Unit (ICU), Emergency Room (ER) to Cardiology. The department that will be observed and discussed is the social services department

counseling or other help that is available for parents who may have lost a child

WEEK 5 PICO(T) QUESTION 1Good Afternoon Class and Dr. Stephenson,In and out of the hospital high quality cardiopulmonary resuscitation (CPR) is crucial to survival of victims of cardiac arrest. This research topic will focus on implementation of in hospital chest compressions in CPR. It will be based on a comparison of the efficacy of manual compressions and automated chest compressions in relation to survival outcomes. The potential attributes and short comings related to manual and automated chest compression will be reviewed. Intensive care unit (ICU) nurses have to be prepared to implement CPR during a cardiac arrest code. In consideration that patients in the ICU are often only marginally stable it is important that ICU nurses are familiar with their patient’s recent and past medical histories.

A similar accidental case occurred in the soccer field and famous sportsman Anthony Van Loo fainted in the field because of his pre-existing heart condition. Anthony experienced the devastating moment in his life and he could not continue with his football career further due to the incident.

Sudden death in athletes is difficult to diagnose because only a small percentage of athletes present problems and symptoms. According to one study just 21% of 48 athletes who died of hypertrophic cardiomyopathy related sudden death had previous signs or symptoms of cardiac disease (chest pain, exertional dyspnea, syncope, dizziness) before death (Koester, 2001). Hypertrophic cardiomyopathy affects many components of the heart. In hypertrophic

| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express

Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue,