I am doing a research paper to compare manual chest compression vs automated chest compressions. In this paper I will compare which method has the highest success in ROSC, 30 days out come, and the pros and cons of both methods. Each year there is about 460,000 individuals that die from out-of-hospital cardiac arrest and emergencies. Research and Studies have shown that approximately only 5% to 15% of patients treated with standard CPR survive cardiac arrest. This made me question is there better ways out there that are more effective, more efficient, and can save the lives of many more all while being able to keep the care providers safer and more effective in other places of cardiac arrest care. By performing great quality CPR that …show more content…
One place CPR has been incorrectly done the most is in the back of a moving ambulance. Due to the small sizes of ambulances and road conditions along with many other contributing factors such as traffic, the route taken, and patient size, great, continues, CPR is difficult to perform in the ambulance. Failure to perform correct chest compressions can negatively impact survival and patient care. The quality of CPR is an important factor that contributes to survival in sudden cardiac arrest. In one experimental study which used pigs shows how much of a difference there is between high quality CPR and low quality CPR. In this study they put the pig in 4 minutes of ventricular fibrillation and then 9 minutes of CPR before defibrillation. In a study the group that received low subpar compressions that were 1.5 inches’ in depth and only 80 compressions per minute only two out of nine pigs survived. In the second group that received high quality compressions that were 2 inches’ in depth and at a 100 compressions per minute eight of nine pigs survived. With this study it was proven how much of a difference high quality CPR increased survival ability of sudden cardiac arrests. Being able to perform high quality CPR is the first step in successful …show more content…
These devices are the Lucas 2, autopulse, and Thumper. The most popular of these being the Lucas 2. Mechanical CPR is a great alternative to manual CPR, due to advantages of elimination of the rescuer fatigue factor, more consistent and reliable chest compression, and eliminating the need to stop CPR during rescuer changes and patient transfers. It is also conceivably safer for the ambulance crew during transport due to being able to be seat belted in the moving vehicle. However, results from clinical trials have been conflicting, with studies suggesting a benefit for mechanical CPR and others that failed to find any difference between manual and mechanical CPR in survival to discharge of the patient to rehab or home. There can be possible explanations for these unexpected results such as prolonged deployment time for the devices resulting in delayed defibrillation and enrollment bias. A study of the outcome of mechanical and manual CPR was performed, this study also called the “pragmatic" trial was designed to assess device use under real-life conditions in the front line of cardiac emergencies compared with standard CPR for resuscitation of nontraumatic out-of-hospital cardiac
Rehder, K. J., Turner, D. A., & Cheifetz, I. M. (2011). Use of Extracorporeal Life Support in Adults with Severe Acute Respiratory Failure. Expert Rev. Respir. Med., 5(5), 627-633. http://dx.doi.org/10.1586/ERS.11.57
The proposed change project will introduce CPR training to the schools of Contra Costa County. By educating faculty, students, and parents about the benefits of performing CPR and providing basic CPR training tools, the 70% of people who feel helpless during a cardiac emergency will decrease. Using social media tools, like YouTube, allows a larger population to receive education. Overall, by allowing the project into schools, the number of people who are fearful and or unwilling to perform CPR will increase and thereby improve the chances of survival.
Gerritse B. M., Advanced medical life support procedures in vitally compromised children by a helicopter emergency medical service. Emerg Med. 2010; 10: 6. Published online 2010 March 8. doi: 10.1186/1471-227X-10-6
Early heart attack deaths can be avoided if a bystander starts CPR (cardiopulmonary resuscitation) within five minutes of the onset of ventricular fibrillation.
This theory supports the practice of viewing and caring for each patient as a total human being, instead of individual parts. It acknowledges that the human being and his/her surrounding environment are as one. The environment affects the thoughts and actions of the individual. If the environment is altered, so will the status of the individual. Possessing a healthy emotional and physical state of health and personal environment is necessary for positive outcomes and goals to be achieved and sustained throughout life. The initiation of bystander CPR depends on the knowledge and skills of the individual and surrounding environment. Acquiring the mental knowledge of the importance of the skill and taking the initiative to learn and initiate the physical technique of CPR is of utmost importance when striving for and increased survival rate of patients who undergo cardiac arrest. Existing in and educating the environment of proper technique and mortality rates can also increase the likelihood of patient
Firefighters respond to a variety of a calls every day, these include (but are not limited to): fire-related, medical, MVCs and HazMat. Response statistics from Toronto Fire Service’s 2011 annual report show that while fire-related calls have been relatively stagnant throughout the last 7 years, medical calls have been significantly increasing (table 1; figure 1). Heart disease and stroke account for roughly 350,000 hospitalizations per year in Canada and first responses to related illnesses and symptoms will undoubtedly be common (Heart and Stroke Foundation of Canada, 2014). Myocardial Infarction (often referred to as a heart attack) is a common cardiac condition that firefighters will encounter in their career. This paper will discuss Myocardial Infarctions in greater detail than the first responder level and explore what the conditions is at the greater health-care provider level.
Medical technology today has achieved remarkable feats in prolonging the lives of human beings. Respirators can support a patient's failin...
On a boring Wednesday afternoon, I sat in a brightly lit CPR classroom listening to the instructor drone on and on. I began to wonder if I would ever actually need to use these skills. I highly doubted it. The past two years I have worked at the "little-kid-infested" North Fork Swimming Pool, where there have been absolutely no emergencies. A bloody nose or a stubbed toe here or there but never any serious traumas.
CPR is (cardiopulmonary resuscitation). This procedure is used to restore blood circulation and breathing in a person who is in cardiac arrest. All the cells in a human body require oxygen to survive, they also require a good supply of nutrients and removal of all waste products. In your lungs oxygen enters your blood and carbon dioxide is removed, this process is called gas exchange. Cardiac arrest is when your heart completely stops beating. Although your heart stops, this is not the same as a heart attack . a heart attack may lead to cardiac arrest. There are many causes that can put you in a state of cardiac arrest like, drugs, poising and over – dosing on medications, traumatic injury such as a motor vehicle accidents of any kind or any significant amount of blood loss and also anaphylaxis (and allergic reaction to anything) can also lead to cardiac arrest. If any of these happen blood will stop circulating throughout the body. Breathing begins to decrease most of the time you stop breathing for several minutes. The purpose of CPR is to keep oxygen in the blood so it can continue to flow, throughout the body to keep the vital organs alive. CPR will not restart someone’s heart, it just keeps the blood flow circulating until official help arrives , once you come across someone that isn’t breathing you should first see if the scene is clear before you go to help the person( always remember DR ABC always make sure you are not in any DANGER check for a RESPONSE from the person you’re doing CPR on shake them gently . make sure the AIRWAY is clear by kneeling by the persons head and tilting there head backwards . check if the person is BREATHING by placing your ear above their mouth and looking at their chest for normal breathin...
The United States performed their own study in Minnesota of college and high school athletes trying to see the rate of sudden cardiac arrest. The athletes in Minnesota did not undergo ECG screening, unlike the athletes in Italy. I have compared the results of the two studies which have taken place around the same time period. I found out that there were 12 deaths in the Veneto, Italy region, where the screening took place, compared to only 11 deaths in Minneosta, where there was no screening. ( Corrado; Drezner; Basso; Pelliccia; Thiene p. 199 ) With that observation it is clear on why the United States do not perform the expensive ECG screening, like Italy requires.
Guidet et al(2) conducted a study in sepsis patients to find haemodynamic efficacy and safety between 6%HES 130/0.4 vs 0.9% NaCl. He found that volume requirement was less with HES than NaCl in inial phase of fluid resuscitation and also the time required to reach haemodynamic stability was less with HES. There was no difference between AKIN and RIFLE criteria between two groups. There was also no difference in mortality upto 90days after resuscitation.
The AED treats only a heart in ventricular fibrillation (VF), an irregular heart rhythm. In cardiac arrest without VF, the heart doesn't respond to electric currents but needs medications. The victim needs breathing support. AEDs are less successful when the victim has been in cardiac arrest for more than a few minutes, especially if no CPR was provided.
CPR was not developed before 1950 so people that went into cardiac arrest would die, no measures were set in place to save them and family members would just accept this as part of the life cycle (Doolin, Quinn, Bryant, Lyons, & Kleinpell, 2011)....
First Aid encompasses so much more than just bandages and antibiotic cream. One of the biggest components to first aid is CPR. One of the major advancements in first aid today is “The Lucas” an automated compression machine for CPR to aid medics in providing the best care possible without tiring out doing compressions. It allows the first responders to have more hands to check pulses, give epinephrine if needed, and intubate if unable to have a clear open airway to provide breaths.