Cardiopulmonary Resuscitation Response Paper

Furthermore, prompt infusion of antimicrobial agents ought to be priority and this may require extra vascular access ports (Dellinger, et al., 2008). Early goal-directed resuscitation has confirmed to improved survival for emergency department patients presenting with septic shock in a randomized, controlled, single-center study. Resuscitation lessen 28-day death rate (Dellinger, et al., 2008). In a reviewed conducted by Dellinger, et al., (2012) advocated administering one litre of crystalloid or 300-500ml of colloid more than 30 minutes, to accomplish a central venous pressure (CVP) of 8 mm Hg to 12 mm Hg. Volumes ought to be increased if there are huge indications of hypoperfusion (Dellinger, 2014).

Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice

1-Who is an attorney in advance directive? What should he do? What should be his relationship with the patient? P1.

The case study I choose is Scenario No. 2: DNR. DNR stands for Do Not Resuscitate. A DNR is a legal document in which health care teams will follow once you are faced with serious health problems or when you are at the end of life. This document lets you choose if you would like CPR or electric shock if your heart stops. Also, this document lets you decline any support if your heart stop or it will let you decide different medical measures that you would like. This document is very important to be looked over carefully by the patient as this piece of paper will try to save

The case I chose was published in The Baltimore Sun. The title of the article is, Prosecutors: No Charges against Baltimore officer who used Taser on teen. This article is about a 19 year-old teen named George Vonn King Jr. who died from cardiac arrest. The article states that Mr. King was tased several times by police, before going into cardiac arrest (George). This incident took place at the “MedStar Good Samaritan hospital” in Baltimore MD, where Mr. King was admitted as a patient. Mr. King suffered from Meningitis which causes seizures, along with aggressive behavior. When King was asked by hospital staff to move to the intensive care unit, he became aggressive, which may have been because of the medication he received (George). Hospital

A controversy that I personally face is a DNR order (Do not Resuscitate). It is an order written by a licensed physician. DNR is usually decided in a consultation with a patient or a surrogate of the patient such as a parent. This choice decides whether a patient will receive cardiopulmonary resuscitation or CPR in case of cardiac and respiratory arrest. Many people struggle with the idea of someone not wanting to be “saved” but what some people don’t understand is that it’s not about saving the patient but allowing them to pass peacefully without problems.

Are you one of the thousands of people that say they are too busy and have not renewed your CPR card and not completed your CPR recertification? Just thing about the feeling of getting this accomplished and of course there is the fact you can removing this from the "things to do list".

The wide receiver catches the football and immediately drops to the ground, unconscious. This is exactly how unexpected sudden cardiac arrest is in adolescents. The reported incidence of pediatric sudden cardiac death ranges from 0.8 to 6.2 cases per 100,000 children in the United States every year (Berger, Kugler, Thomas, and Friedberg 1201). Approximately 20-25% of the deaths occur during sports (Gajewski and Saul 107). “Sudden cardiac arrest (SCA) is a condition in which the heart suddenly and unexpectedly stops beating. If this happens, blood stops flowing to the brain and other vital organs (“What is Sudden Cardiac Arsrest?”).” Sudden cardiac death, or SCD, usually occurs “within one hour of onset symptoms

Survivors of cardiac arrest often suffer from neurological damage when oxygen to the brain is depleted. This ischemia to the brain can cause lesions or damaged areas; which can effect any part of the body that is controlled by that portion of the brain. Decreasing the body temperature of a patient has shown to be effective in decreasing the amount of damage to the brain. Therapeutic hypothermia may be a reasonable treatment for patients following cardiac arrest due to its ability to decrease the impact of ischemia; reducing the number of lesions to the brain and possibly reducing the patient mortality rate. This paper will discuss the benefits, risks, and Mercy Hospital 's protocol for using therapeutic hypothermia following a cardiac arrest.

Worldwide the stories of what happens after a person comes back from the brink of death have fascinated people since time began. It appears there is so much more that we just don’t see. We see images in paintings, and some that are centuries old, all over the world of people and animals’ passing through what appears to be a tunnel hurling helplessly toward a bright light. Some paintings depicting death are angelic and beautiful and some range all the way to the macabre and bizarre. One thing that remains a constant in this depiction of “going toward the light” seems to be the stories that the people of recent times who have returned from the light bring back with them.

The American Journal of Critical Care is a bi-monthly, peer-reviewed journal focused on improving the care of critically ill patients and their families. The authors provide resources in the form of research studies, case reports, reports on new techniques, clinical/basic science reviews, guest editorials and clinical studies. The editors strongly encourage works focused on collaborative practice and research targeted at health professionals caring for critical care populations.

Children are curious by nature, often adventuring out to explore the world around them. Unfortunately, their curious nature can often lead to trouble, resulting in injuries. According to the Government of Canada, unintentional injuries are the leading cause of death in children. Learning how to recognize, prevent, and respond in the event of an accident or emergency can make all the difference. Read on for information on how to administer first aid in critical child and baby safety situations, such as cardiac arrest, concussions, dehydration, and choking.

There are many people in the world who fear death and the main hit point is having a heart attack is how one would say. “The long and short of it is there are 460,000 people that die each year from sudden cardiac arrest”, says Dr. Henry R. Halperin, a cardiologist and professor of medicine and biomedical engineering at John Hopkins University in Baltimore, MD. Ems changes are very difficult to describe in one word because there are so many. Ems departments have demands new policies, protocols, and of course the positives and the negatives of the job. In my Ems department I would like to see us with up to date equipment, such as an AutoPulse Resuscitation device on each 911 truck. We rely a lot on our DRFD to initiate CPR protocols when 911 trucks are all occupied on calls or others are out in the county with patient(s). I feel that the AutoPulse device would benefit our entire service in regaining ROSC in many more of our unresponsive, not breathing patients. It would greatly benefit our patient’s life outcomes greater that manual CPR.

Step 1- If AED is available, I would deliver one shock if instructed by the device, and I would begin CPR.

An aspect where fluid resuscitation can be beneficial to the outcome of the patient is when sepsis is present. According to Bozza et al (2010), “hemodynamic instability plays a major role in the pathogenesis of systemic inflammation, tissue hypoxia, and multiple organ dysfunction in sepsis,” and that fluid therapy reduces mortality in these patients by helping to restore this imbalance. Thus establishing that fluid resuscitation can be beneficial in prehospital care as it assists in maintaining adequate organ and tissue perfusion. This evidence is also supported by Daniels (2011), who outlines that early diagnosis and early fluid therapy is associated with decreased mortality in sepsis patients, as maintaining a systolic blood pressure