Theraputic Hypothermia Essay

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.

hypertension. Therapeutic hypothermia (THT) has been considered an effective method for reducing ischemic injury of the brain due to cardiac arrest. But there are some opponents in the medical community who believe that broadening the scope of THT could be dangerous to patients. Although opponents do not seem to blame THT for adverse patient outcomes; the disagreement seems to be about the variables involved before hospital arrival, amount of time that it takes to administer THT in the ER, which therapies should be administered with THT and the need for more research that tracks adverse events. A study published by The American Journal of Emergency Medicine supports the widely held view that THT is an effective treatment for cardiac arrest

“Each year, 326,200 people in the U.S. experience EMS-assessed out-of-hospital non-traumatic sudden cardiac arrest, and nine out of ten victims die.” (www.sca-aware.org 1) This number may seem quite low, but in the end one out of ten lives saved is still better than none.

The American Heart Association (2011) states that, "Therapeutic hypothermia is the only intervention demonstrated to improve neurologic recovery after cardiac arrest" (Pp 77). Recommendations range between 32 and 36 degrees centigrade for 12 to 36 hours. Cooling may be achieved through either introduction of cooled, isotonic, non-glucose-containing fluid, or surface cooling interventions like ice packs or cold packs. The AHA states, however, that patient core temperature must be monitored by an esophageal thermometer, a pulmonary artery catheter, or a bladder catheter and that peripheral temperature measurements via axillary, aural, or oral thermometers are inadequate for measuring core temperatures in targeted temperature management. Therefore, while the AHA does recommend initiation of therapeutic hypothermia by EMS personnel in certain situations, agencies must carry--and be trained in the use of--equipment to adequately measure the patient 's core temperature. Further, the AHA states that therapeutic hypothermia results in increased neurologic function post-cardiac-arrest but does not identify a timeframe for initiation for these protocols, let alone explore whether or not initiation of post-cardiac-arrest targeted temperature management by EMS influences patient outcomes.

The title clearly represents the main topic and population of the study – the changes that occur in medical care when a person is placed on a Do-Not-Resuscitate order and pediatric oncology patients. The abstract capably depicts the problem that is being addressed, the results from the study, and the implications of the study. The methods for gathering data are also included in the abstract. The abstract may benefit from including the limitations of this research study, specifically that this study focused on one hospital; therefore, the results may not be able to be generalized to other populations. Overall, the abstract is written well.

David Casarett, there are many ways to preserve life after cardiac arrest. He says that all this research has led to most things used today that keep us alive longer. One of these things were Researchers at the University of Pittsburgh’s Safar Center chilling dogs at a very low temperature that helped keep them alive after cardiac arrest. He states that these studies have led to clinical trials that are designed to save patients who wouldn’t survive with conventional treatment.

The first article I found was “Cardiac Arrest in Ambulatory Surgery: The Management Perspective.” In this article the author Joan A. Ubele explains who a small medical surgical unit have to be designed to tackle the problem of cardiac arrests after ambulatory surgery. In my plan I will include her recommendations.

Today’s lab was focused on the therapeutic practices of thermotherapy and cryotherapy. Thermotherapy is heat is used in therapy to reduce pain and increase healing. Cryotherapy is much the same, but using cold to promote healing and reduce pain. Both do their jobs by creating physiological changes in the body that is induced by the change of temperature in the areas. For example, and ice pack applied to a swollen arm with reduce the swelling by slowing the blood flow to that area. This also should help with the pain in two ways: one, the cold should numb the nerve endings to any pain, and two, the decrease in swelling should alleviate any discomfort.

○ Important details include the duration of the anoxic episode prior to initiation of cardiopulmonary resuscitation, and the duration of the cardiopulmonary resuscitation (longer imparts poorer prognosis); as well as the cognitive state of the victim prior to the event

All patients’ post-cardiac arrest has risks associated ICU level of care such as acute respiratory distress syndrome (ARDS), pneumonia, debilitation, PE, depression, and so on. Post-cardiac arrest syndrome (PCAS) is a unique condition that is associated with CA. It is an umbellar term for the major complications for complications that are directly associated with CA, which include brain injury, cardiac dysfunction, and systemic inflammatory response (SIRS). Ischemia related injuries are the pathogenesis of all the complication. And, the physiological response these complications can overlap. For instance, tachycardia can be caused by cardiac dysfunction and SIRS.

Liquid nitrogen is the main chemical utilized in a cryotherapy procedure. It is used to freeze genital warts and other skin diseases at the cellular level. The super-cooled fluid is sprayed onto the warts. A blister then starts to form around the treated wart. After a few days, the wound heals. Both the blister and the wart then fall off. It often takes more than one cryotherapy session to completely eliminate all of the genital warts.

Authors Meeusen and Lievens preform these test in order to help give positive feedback about the process of cryotherapy and they also allows them the chance to get background information on the health benefits as well. For people who prefer not to submerge in the water, the author provides alternatives such as freezing gel pack. This is important because some people cannot handle being submerged in ice water in order to get the full benefit of the process.

Although the CPR device can be applied quickly and simply, it is not recommended to be used by

The total includes in the demises was 11 people from Tennessee. A total of 13,419 hypothermia connected mortalities were logged in the United States in the last years. However recent the CDC publication said that men are accounted for about 67% of these demises plus individuals of advanced age had the uppermost rates of demise. The rates of demise for males and females over ages of 65 were more than double than the general population (Hypothermia A Significant Health Threat, February 20, 2015 ). Hypothermia most often occurs in the elderly, infants and alcohol and drug abusers. Hypothermia occurs when the body's temperature falls below 95°F

The incidence of sudden cardiac arrest (SCA) in the United States is estimated to be approximately 450,000.1 When occurring out-of-hospital, the majority of these cases are fatal.2 If return of spontaneous circulation (ROSC) is attained, only 8.3% of all patients who experience SCA have a favorable neurologic outcome.2 It has been shown that without perfusion to the brain for five minutes, ischemia produces the release of inflammatory mediators that ultimately result in cerebral injury.3 Almost three decades ago, evidence to support a potential treatment for this brain injury emerged.