Mr Cruz Incident Analysis

How quickly the sufferer was transported to a hospital was heavily depended on the education of the people surrounding them at the time. In Mr. Miele’s case, he was accompanied by friends who immediately recognized the symptoms of a heart attack, and were able determine that calling an ambulance was the smartest thing to do. In Ms. Gora’s case, she was not aware she was having a heart attack, and initially refused to allow her husband to call an ambulance out of fear that it would cost too much, and hoping that her symptoms would go away. Lack of education is not limited to a person’s individual level of education. The level to which doctors educate their patients about what’s going on with their body, or what their different treatment options are, also effects the aftermath of a heart

Not only does he have to witness, face, and mend the bloodied and injured hospital occupants but he has to do this all while suffering from a tremendous amount of fear, uncertainty, and shock from the explosion.

Pulling off the ramp, we turned onto Church Hill Road responding on a priority one for the cardiac arrest. I tried to review my field guide en-route to the call, but all I could see were flashing lights reflecting off the guide’s pages and crowds of cars moving over for our wailing sirens. Within three minutes we had arrived on-scene and it was clear that our patient was not in cardiac arrest; however, his 12-Lead EKG and oxygen saturation were marginally reassuring and pointed to an active heart attack. At this point in my EMS training I was a BLS provider, but had adequate knowledge to assist Kathy. Instinctively, I went right to work and loved every second of it. The concept of formulating a differential diagnosis in the field and testing that theory is one of the principle factors that kept drawing my back to EMS. In addition, I developed an unparalleled appetite for knowledge, stemming from my desire to get every differential diagnoses right. Coming to this realization early in my EMS career, we [healthcare providers] frequently forget that patients often lack the medical knowledge provided to us through years of training. Behind CT Scans and MRIs are patients with questions. Having the ability to provide compassion, sympathy and reassurance to a patient is a central part to their recovery and survival; therefore, we [healthcare providers] need to be able to care for our patients on a holistic level, focusing less on the disease and more on the

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.

Get help, shout for assistance, call a first aider. If you have been trained in emergency first aid, what is needed and your action will depend on the result of the primary survey. Call emergency services if required, don’t call emergency services without basic information about the condition of the casualty. Get some support for yourself as you may go into shock or be stressed afterwards. Report and record what has happened as soon as possible before you forget the details.

A patient who becomes unresponsive may be experiencing arrhythmia. If a patient has fainted and there is no response immediately notify the physician also provide oxygen. loosen any tight clothing, cover the patient with a blanket for warmth. Once the emergency passes,obtain a set of vital signs and document all activities in the patient's medical

Several months ago, while sitting at work the command phone rang. Moments later, the doctor states “cardiac arrest, ETA 5 minutes." My heart dropped - this is the second one this week. After a flutter of activity and preparation, the stretcher finally comes barreling through the double doors. The EMT states, "I have a 37 year old male with a sudden onset of left sided chest pain that radiates into his left arm. He went into cardiac arrest secondary to ventricular fibrillation while en route to the hospital." I diligently document every detail into the computer.

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

By this point the patient had stopped breathing, I had pressed the emergency buzzer and ran to phone outreach whilst one of the nurses on my ward had started CPR and a nurse from the ward next door had pushed down the crash trolley. During situations like this it is hard to always insure that the patient’s dignity says intake, there is a lot that happens quickly, with urgency and as well as a confined space, as a result an output is often prioritised over making sure that patient in covered for example. However, the patient is constantly being reassure and we were running him through what was happening to try and lessen his panic in an unsettling and terrifying experience.

Attention Getter: What if one of your friends just fell to the ground because they couldn’t breathe, would you know what to do, could you perform CPR if it was needed? It is said by the American Heart Association that sadly 70% of Americans do not know how to do CPR, or they just don’t remember how.

On March 26, 2018, at approximately 1046 hour, I Deputy Sheriff Javion Brown responded to 2204 Jitway Avenue, Sanford, unincorporated Seminole County in reference to a disturbance. Upon arrival, I made contact with victim Emily Gonzales-Diaz and arrestee Bienvenido Lopez-Cruz, both of whom provided me with sworn written statements.

There are errors and hazards in care that occurred in the Mr. B scenario. One error was the emergency room physician’s failure to recognize the signs and symptoms of deep vein thrombosis (DVT) that Mr. B was presenting. If not treated early, a DVT can become a pulmonary embolism, a fatal condition that Mr. B unfortunately developed. Another error in care that happened in the Mr. B scenario is the nurses’ failure to monitor Mr. B’s ECG and respirations. Early detection of critical ECG and respiratory changes could have initiated medical interventions that would have saved Mr. B’s life. One hazard is the emergency room nurses’ heavy patient load at the time of Mr. B’s sentinel event. Another hazard is having a licensed

On the video, you can hear Devers administering the chest compressions and telling the man to keep breathing. You can also hear Devers yell out, "Don't you die on me." Devers was with the man for 12 minutes before the medical workers arrived on the scene. The man was breathing when the medical workers arrived. It is obvious that the quick actions of the officer saved the man's life.

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,

If there are no signs of life, place a breathing barrier (if available) over the victim's mouth.I would usually use an air mask that EMT's carry with them in the ambulance or in their side pocket. Give two rescue breaths and make sure to keep the air way open. Breathe slowly, as this will air go in the lungs not the stomach.Every time you give rescue breathe, keep your eye on the victim's chest.If the rescue breath goes in, you should see the chest slightly rise and also feel it go in.Then give a second rescue breath.If the breath does not go in, re-position the head and try again.After you successfully gave two rescue breaths, prepare for the hardest physical part of CPR.