Cardiac arrest

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

Shock is a life-threatening condition with a variety of underlying causes. Shock is caused when the cells have a lack of adequate blood supply and are deprived of oxygen and nutrients. In cases of shock, blood is shunted from peripheral areas of the body to the vital organs. Hemorrhage and decreased blood volume are associated with some, but not all, types of shock. Adventitious lung sounds occur in the upper airway D) Heart and respiratory rates are elevated Ans: D Feedback: As sepsis

When I arrived to the ER I was paired with the nurse Megan. Since the ER used team nursing you had more than one nurse taking care of a patient. So for my first patient she had Megan doing her history and setting up her fluids. And by the end of the day the other nurse did her discharge. The first patient was L.C., 46 years old who was admitted to the ER with dizziness, complaints of being cold, head pain, and her boyfriend abusing her. Patient looked as if she was intoxicated. She knew the hospital

Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice Stillwell, Susan B. DNP, RN, CNE; Fineout-Overholt, Ellen PhD, RN, FNAP, FAAN; Melnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAAN; Williamson, Kathleen M. PhD, RN Author Information Susan B. Stillwell is clinical associate professor and program coordinator of the Nurse Educator Evidence-Based Practice Mentorship Program at Arizona State University in Phoenix, where Ellen Fineout-Overholt

Introduction Therapeutic hypothermia, also called targeted temperature management, is a procedure that lowers the body's temperature in order to treat a heart that has suddenly stopped working (cardiac arrest). This procedure is used in emergency situations. During cardiac arrest, the brain cannot get enough oxygen. The brain also starts to swell, which can damage or kill brain cells. Therapeutic hypothermia helps reduce swelling in the brain. It also slows down the body's metabolism and allows the

Introduction: The electrocardiogram remains the single most important tool for interpretation of the cardiac rhythm. 1 It can be used to successfully pick up conduction abnormalities, rhythm disturbances, possible myocardial ischemia, and a slew of other abnormalities that can be linked to various cardiac or metabolic diseases. 1,2 ECGs can also be used as a preventive tool to screen for abnormalities early in the disease process. 3,4 In 1982, Italy passed a law that all individuals who want to compete

Despite advances made in cardiopulmonary resuscitation (CPR) guidelines over the past decades, many patients who suffer cardiac arrest (CA) are unresponsive to traditional CPR which includes defibrillation, manual chest compressions, and resuscitative medication (Stub et al., 2015; Avalli et al., 2012). This has sparked a growing interest in the use of extracorporeal membrane oxygenation (ECMO), in providing mechanical circulatory support in victims of CA after conventional CPR (C-CPR) has failed

are suffering from cardiac arrests and neurologic outcomes have a high chance of needing cardiopulmonary resuscitation. Efficient use of both hands-only CPR versus breathing and hand use CPR may improve their survival chances and boost their neurologic outcomes when they undergo any form of an attack. The hands-only CPR versus breathing and hand use CPR training programs assist nurses, and the public on the treatment criteria to efficiently handle patients with cardiac arrests emergencies, resulting

The use of an AED has been associated with saving the lives of many who suffer from sudden cardiac arrest. The federal compliance laws for an AED were established by the food and drug administration. This includes the Cardiac Arrest Survival Act, which grants immunity for lay rescuers and acquirers of AEDs. When it comes to state of Pennsylvania, it is important our ENCOMPASS branch follows the state laws for AEDs. The State laws for AEDs include the following: AED users should complete training

A person should have the right to choose what medical interventions he or she would or would not have implemented in a life threatening situation, but euthanasia and physician assisted suicide (PAS) does not align with the code of ethics that health care providers are sworn to and, therefore, should not be practiced. Research has shown that only a fraction of individuals who qualify for end-of-life (EOL) care options, such as hospice, have heard about what options are available to them. Patients