Hypothermia Treatment Of Cardiac Arrest

For more than a decade, Targeted Temperature Management (TTM) has been the recommended treatment modality in adult comatose patients following out-of-hospital cardiac arrest (OHCA)[1] in order to improve survival and neurological outcome by minimizing brain injuries due to anoxia and reperfusion injury.

Purpose: The purpose of this speech is to educate and inform my audience of the risks inherent from unintended hypothermia. I’m eager to alert perioperative staff of the potential dangers as well as the preventative measures that can be taken in order to avoid complications associated with unintended hypothermia. My central idea is hypothermia management saves lives.

He then took samples of urine, blood, and mucous as body temperatures lowered. Through this tortured, Rascher used the data to create the hypothermia treatment called "active rapid rewarming." More than 90 people lost their lives for this medical advancement (Adams).

THT is the only therapy that has appeared to positively affect the neurological outcome of patients after cardiac arrest. THT has been around for more than fifty years. The history of the scope of THT is limited and the only consistent application of this therapy invasive surgery. Within the last 10 years, the benefits of induced therapeutic hypothermia have been rediscovered, mainly with the improvement in neurological outcomes in out-of-hospital cardiac arrest (OOHCA) victims. In addition, therapeutic hypothermia has been suggested to improve outcome in other neurological conditions such as traumatic brain injury, neonatal asphyxia, cerebrovascular accidents and intracranial

The lack or delay in appropriate treatment for individuals who experience a sudden cardiac arrest has created a major public health disparity. Research into pre-hospital treatment and subsequent implementation has historically seen neglect by the medical and scientific community creating vast differences in survivability of cardiac arrests between demographic groups. In 2010, the American Heart Association and Emergency Cardiovascular Care program developed the 2020 impact goal to reduce death from cardiovascular disease and stroke by 20% and double out-of-hospital cardiac arrest (OHCA) survival rates (http://circ.ahajournals.org/content/121/4/586#sec-1). This has prompted a massive influx of research into the disparities that exist and an

Markus Thalmann, the cardiac surgeon who saved the little girl from death by drowning in icy water, said that she was not the first hypothermia and suffocation case. However, she was the first one to survive. In her complicated rescue they tried to follow a checklist that stats that in such a case, a rescue team was required to tell the hospital to prepare for possible cardiac bypass and rewarming. So, what was so effective about this approach is that by the time the patient gets to the hospital, everything is ready and standing by. These kinds of cases are time sensitive. In such complicated cases, success requires having a huge number of equipment and people at the ready. So, even small simple checklist could help in complicated rescues and even bring people to life

These procedures are not reported alone but as add-on codes used to identify extraordinary conditions of patients and their unusual risk factors. There are four kinds of certain codes used for particular circumstances which are: 1) Anesthesia for the age younger than one year and over the age of seventy (99100), 2) Anesthesia complicated by the utilization of total body hypothermia (99116), 3) Anesthesia complicated by the utilization of controlled hypotension (99135) and 4)Anesthesia complicated by emergency circumstances

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.

This standard only seemed important once the use of ventilators became popular in hospitals around the world. An argument made in favor of the total brain death is that people who have been determined ‘brain dead’ are great prospects for organ donation (Council, p. 8). As a way to support this argument it is said that because there is artificial respiration and circulation, the blood will continue to circulate throughout the body, which will in turn maintain the durability of the organs needed for surgical removal and therefore enhancing their use for their awaiting recipients (Council p. 8). There are also arguments that do not particularly agree with the total brain death standard and would assumingly prefer the cardiopulmonary standard of death. A downside pointed out by Robert D. Truog in the article “Is it Time to Abandon Brain Death?” is that as a hypothermic patient you are not able to be tested for brain death. According to Truog “the circularity of this reasoning can be clinically problematic, since hypothermic patients cannot be diagnosed as brain-dead but the absence of hypothermia is itself evidence of brain function” (Truog). While continuing to support his argument Truog mentions that “clinicians have observed that patients who fulfill the tests for brain

Therefore, assuming a constant blood pressure, as ICP rises CPP must fall. Minimising the ICP, should minimise ischaemia and brain damage resulting from localised pressure thus leading to a global increase in perfusion and therefore oxygen delivery to the brain. There is class I evidence that cooling to a mild hypothermic state of ≤35oC reduces intracranial hypertension by limiting cerebral oedema. In addition it is thought that moderate hypothermia of 33oC

The extreme environment in which rescues of this nature take place also contribute to a patient’s difficulty in surviving. Patients are typically critically injured, and in need of a speedy rescue. For instance, hypothermia can set in very quickly in cold water. This condition causes a patient’s mobility to become limited due to a dropping core temperature. It means the survivor is often unable to help and that means the rescue becomes more challenging for the rescue swimmer. (USCG RS Manual; knowledge of

As told, therapeutic hypothermia is a process which is used by doctors to help reduce damage to patient’s body and brain function after a cardiac arrest, which commonly knows as a stroke. Cardiac arrest can be sudden and deadly to people. Cardiac arrest is often caused by ventricular fibrillation, where patient’s heart experience rapid and sudden impulse. In result, patient’s heart is not beating hard enough and can’t pump enough blood to other organs and result organ failure. Particularly to patient’s brain because it’s the first part of the body suffers, all depends on an uninterrupted supply of blood. Reduced blood flow to your brain causes unconsciousness and for a long term can fatal damage to people. Now we have the way to cure patient

After going into cardiac arrest and receiving successful CPR it doesn’t stop there. Follow ups along with many other treatments such as; drug therapy, check ups, and the healing of any fractures or damage to vital organs (Stern Strategy Group). People should have a say in whether they want to live the rest of their lives constantly going back to see doctors and doing intense healing and therapy.

In 2014, heart disease remains the leading cause of death while cardiac arrest is one of the most devastating conditions patients and their families have to face. Despite all efforts to elucidate management of cardiac arrest and implementation of advanced cardiovascular life support (ACLS) survival rates post cardiac arrest remains at 23.9 % in adults and 40.2% in children, respectively (AHA, 2012). Nurses undergo extensive ACLS training every two years and while algorithms, administration of emergency drugs, and procedures seem to be followed appropriately, rationales are often not well understood. While some studies show evidence of short-term outcome advantage, insufficient evidence exists regarding administration of ACLS drugs and improved long-term outcome. In this paper pharmacokinetics and pharmacodynamics, adverse effects of ACLS drugs, and anticipated long-term adverse effects of intervention drugs post cardiac arrest are being discussed. Lastly, drug-drug interaction of ACLS drugs with commonly used cardiac medications will be discussed. In the case study of JG, the patient went into cardiac arrest on the way to the hospital and he was pronounced after a full code had been performed for three hours. The cause of cardiac arrest in regards to heart rhythm is

Freezing is a complicated process. In ideal conditions, a team of cryonicists wait nearby at the time of death, which greatly increases the chances for the patient to be successfully cryopreserved. However, the suspension procedure can only begin once the patient has been declared legally dead by a physician. Afterwards, steps are taken to postpone the body’s breakdown process. This is done by cooling in ice and water, and maintaining the flow of blood in the body. Cardiopulmonary support (CPS), a method similar to cardiopulmonary resuscitation (CPR) keeps the blood circulating. Drugs are administered to reduce the risk of blood clots. Next, CPS is replaced with a heart-lung machine. The heat-exchanger in the heart-lung machine causes the patient’s