Non Research Evidence Study

Decent Essays
A1. Describe a healthcare problem. Yearly, the adult population suffers over 350,000 out-of-hospital cardiac arrests (OHCA) in the United States (Go et al., 2012). Prehospital emergency medical services (EMS) is involved with about 60% of these cardiac arrests (CA) (Go et al., 2012). EMS frequently transports these patients to the emergency department (ED) without return of spontaneous circulation (ROSC). Of those transported without ROSC it is not unusual to pronounce the time of death shortly after arrival in the ED. The ED then must allot resources to complete the protocols after a death. Additionally, the patient’s family now has a bill for ED services, even if the patient arrived dead. If ROSC is by some means achieved after monopolizing half of the ED’s resources and the patient manages to survive past admission from the ED, it is not uncommon for the patient to have a long and costly hospital stay. Unfortunately, a long and expensive hospital stay does not determine patient survival to discharge. Of those that suffer OHCA, 92% do not survive to discharge (Sasson, Rogers, Dahl, Kellerman, 2013). Many of these patients were transported to the ED without ROSC. A 2. Explain the significance of the problem. There is…show more content…
(2012), they conducted their level IV retrospective cohort study that examined OHCA data in response to the continued transport of patients to the hospital without field ROSC even with accepted termination-of –resuscitation (TOR) criteria. The aim of the study was to determine how survival was influenced by field ROSC in OHCA patients, specifically looking at survival rate to hospital discharge in patients without field ROSC transported to the hospital (Wampler et al., 2012). The most important finding from the study was that survival without field ROSC was rare at 0.69% (Wampler et al., 2012). OHCA patients overall survival to discharge was 6.9% (Wampler et al.,
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