Cardiopulmonary Resuscitation

Charging to 200....Stand clear…Shocking! CPR....EMS providers experience the adrenaline and rush of a patient in cardiac arrest. Trying to bring dead back to life is not a simple task by far, especially with the limitations and resources of the field. But, what happens after the patient makes it to definitive care? Annually, around 300,000 adults in the United States experience out-of-hospital cardiac arrests (AHA), and EMS providers only see the results of the short term survival of the patient, but rarely the actual patient care and recovery after an arrest. Patients undergo intense, aggressive treatment and recovery measures in the hospital post-code. These patients have a variety of treatment regimens

American Heart Association (AHA) estimates that nearly 700 Americans die each day of sudden cardiac arrest (MI), or 250,000 every year, as many as 50,000 lives could be saved each year if certain critical interventions were made. (Freeman , 50) A patient who receives early life support measures and defibrillation within one to five minutes of arrest is much more likely to live and to retain normal brain function. The brain is often at a serious risk for irreparable brain damage related to anoxia and many other co-morbidities that are associated with cardiac arrest (MI). When a perfusing cardiac rhythm returns after a heart attack, the most important objective is to preserve brain function. The AHA and the Advanced Life Support Task Force of

This paper will be going over a scenario involving a real patient and what things could have been different with EMS care. It will also be covering what exactly cardiac arrest is and what rhythms produce it. And for every cardiac rhythm in cardiac arrest, there is a specific treatment plan paramedics can follow.

The evidence surrounding the topic of therapeutic hypothermia post cardiac arrest is one lathered in potentially advantageous benefits, as well as harmful side effects. Although this procedure has potentially lifesaving and neurologically preserving implications, it does come with various side effects which can be dangerous in general or if left untreated. This paper will first address the many benefits, some of which include prolongation of life, retention of neurological function. It will then shed light upon some of the subsequent risks and harmful effects that are associated with therapeutic hypothermia. Lastly the paper will discuss why or why not the overall benefits outweigh the aggravating factors. Thus, being a topic of much controversy

A “do not resuscitate” order is a complex, ethical and moral dilemma. From a medical personnel point of view, when his/her patient is put into a situation where death is highly likely or already reached, they will do whatever is necessary to make you survive in that moment. But that doesn’t mean that you will continue to survive long term. Sometimes when a doctor “saves” you in that instance its only for an allotted time, maybe even a couple of hours, sometimes they break your ribs in order to make sure you survive a couple of more

"Medic respond, stoppage," chirped the intercom. The call went out for an adult male found down, pulseless and apneic, by family at approximately 2200 hours. EMS personnel arrived on scene, performed quality CPR and followed appropriate ACLS algorithms, and found an organized rhythm with matching peripheral pulses at the third check. Per 2010 AHA guidelines, medics performed a 12 lead EKG, managed the patient 's hypotension with a fluid bolus, and managed the patient 's airway by endotracheal intubation (American Heart Association, 2011). The patient displayed no neurological response, the EKG revealed significant ST segment elevation in anterior and septal leads, and intubation was performed successfully without induction or paralytic

The three major life-breathing concerns for a patient is a disruption of the airway, breathing, and circulation. When a patient goes into cardiac arrest due to pre-existing conditions or trauma, an EMT will initiate the steps of cardiopulmonary resuscitation (CPR) and hopefully using an available automated external defibrillator (AED). However, some patients due to having a terminal illness, age, or personal choice does not want to be resuscitated or have

The determination of the potential for cardiac arrest is readily apparent in some patients. Patients with the greatest potential for cardiac arrest require close scrutiny for the signs and symptoms of respiratory and hemodynamic instability. This investigation will attempt to determine the best methods of administering high quality chest compressions in CPR. The PICO(T) acronym represents a format that can be used to create an answerable research question. The PICO(T) formulated question for this investigation is: In adult cardiac arrest, will the utilization of automated chest compressions compared to physical chest compressions during cardiopulmonary resuscitation improve survival outcomes? PICO(T) components consist of patient population (P), intervention (I), comparison (C), outcome (O) and time (T). The PICO(T) components used to formulate the answerable research question are: Patient population: adults in cardiac

When not given CPR right away , the cardiac arrest victim may have no chance to survive until professional care providers arrive on the scene. On an average it takes three to four minutes for the EMS to get there. It is most effective immediately after a victim’s heart stops beating. According to The American Heart Association(2017), “For each minute CPR is not performed the chance of survival decreases by 10%”(para.5). Saying that by the time the EMS arrives to the scene that victim’s chance of living decreased by 40%. For a bystander to perform CPR they would be getting the blood pumping to the brain and other organs. If a cardiac arrest were to take place the victim may have chest pains then collapse or faint. By collapsing they will go

Patient is a 58 year old female admitted and brought in by ambulance on February 16, 2017 due to PEA (pulseless electrical activity) arrest at home. This patient has a history of hypertension, diabetes type 2, chronic obstructive pulmonary disease (COPD) and found to have a mild pulmonary hypertension with possible interstitial lung disease, mixed connective tissue disease, peripheral neuropathy and bipolar disorder. According to patient’s spouse, the night before the incident, the patient was acting like her usual self and went to sleep around 2330 with her oxygen in place. She was found unresponsive and had foaming at the mouth and was gasping for air. Her code status did not require resuscitation

A total of 851 patient cases were admitted into the study after they were cleared of the predetermined exclusion criteria. Data collected during the study showed that of the 433 patients that were treated with ACLS medications 165 patients had a return of spontaneous circulation. Of the 418 patients treated with only mechanical resuscitation, 107 had a return of spontaneous circulation. The number of patients discharged from the hospital after being admitted was 44 patients from the group treated with ACLS medication and guidelines. Of the patients in the mechanical CPR group, 40 patients were discharged from the hospital alive.

Saves Lives: CPR can help save the life of a person who is in cardiac arrest. When blood flow is unable to reach a person’s brain, lungs, and other organs, it can lead to death quickly. Performing CPR on a person in distress can help keep them alive until further emergency assistance

Hypothermia protocol for the post cardiac arrest patient has been an evidence based practice of this therapy for about a decade now. This intervention, often used in the critical care setting, is now expanding to primary emergency responders as well. This paper will present some of the notable research that has been done on therapeutic hypothermia, and current use of this intervention.

The implementation of advanced emergency management (drugs, endotracheal intubation) and post-cardiac arrest care (therapeutic hypothermia, coronary intervention) was also investigated. A total of 4,156

A Do not resuscitate (DNR) order is a legal document written by a licensed physician, which is developed in consultation with the patient, surrogate decision maker, and attending physician. This document indicates whether the patient will receive resuscitative care, cardiopulmonary resuscitation (CPR), or advanced medical directives, in the setting of cardiac and/or respiratory arrest. A DNR can also be referred as a no code when identifying a patient’s resuscitation status. If a patient has an existing DNR it allows the resuscitation team, taking care of the patient, to either withhold or stop any resuscitation measures, and therefore respect the patient’s wishes. Historically, DNR orders did not become active in the care of patients until 1974, when it was identified that patients who received CPR, and survived, had significant morbidities (Braddock & Derbenwick-Clark, 2014). Braddock and Derbenwick-Clark further noted, the American Heart Association (AHA) recommended that physicians, in consultation with the patient, family, and or surrogate, place on the patients chart when CPR was not indicated. This documentation is now what we refer to as the DNR order and has become the standard to allow autonomous respect for patients, and their families, to make informed medical decisions. Therefore, the purpose of this paper is to discuss the legal aspects, ethical issues, and the application surrounding the DNR order.