CPR stands for Cardiopulmonary Resuscitation. CPR is an emergency procedure for preserving brain function until something else can be done to restore blood circulation and breathing into a person. How it is done is based on whether a person is an adult or a child. CPR alone is not to restart the heart its purpose is to restore partial flow of blood into the brain and heart. It is a lifesaving technique useful in many emergencies including cardiac arrests, drowning, unconsciousness, and choking or a person who is not breathing. CPR is a technique that moves blood to the person's brain to help prevent death or brain damage. Choking is the most common sign when CPR should be used. In this case a victim is choking on objects or food. Time is very important when there is an unconscious person who is not breathing so CPR should be done as soon as possible. Permanent brain damage begins in the first 4 minutes and death quickly follows so this procedure is very important to use. CPR is used for any unresponsive person with no breathing or only some gasping.
In 2010 the AHA, also known as...
Each individual patient should be offered and given equal care. The most effective and efficient plan of care should be made available without any bias present. When an individual is diagnosed with cardiac disease, he/she and the family members should be educated on the increased survival rate of bystander CPR. The most up to date evidence practice educational material should be researched and provided for everyone involved. Proper techniques should taught with return demonstrations for effective results. The same criteria should apply to all patients without regards to race, gender, religion, or financial
Cardiogenic Shock is defined as decreased cardiac output and evidence of tissue hypoxia in the presence of adequate intravascular volume
Despite the fact that from May 2009 - February 2010, in Contra Costa County alone, there were 9 sudden cardiac arrests experienced by children and youth, there is no standard curriculum in place at school for youth and their parents to learn lifesaving CPR skills. The youngest was 10 years of age and the oldest was 17, which resulted in 4 deaths and 5 saved lives (Darius Jones Foundation, 2011). In each case, there was a direct correlation between bystander use of cardio-pulmonary resuscitation (CPR) and those children who survived.
Gobel, B., & Peterson, G. J. (2010). Sepsis and septic shock. Clinical Journal Of Oncology
What I wanted to talk about today is this life save device called a automated external defibrillator. It has become the number one way to resuscitate a person who has had a cardiac arrest unwitnessed by emergency medical services and who is still in persistent ventricular fibrillation or ventricular tachycardia. Many people have played a big role in creating this device to become more efficient, smaller and easier to use for the general public. Here are just to name a few that played a part in the creation for this device: Claude Beck, James Rand, Paul Zoll, and Frank Pantridge. The first use of a defibrillator on a patient was in 1947 on a 14 year old boy. Claude Beck was performing a open-chest surgery when the boy went into fibrillation. Beck manually massaged his heart for 45 minutes until the arrival of the defibrillator. The defibrillator he used during surgery was made by James Rand and had silver paddles the size of large teaspoons. In 1956, Paul Zoll performed the first successful external defibrillation with a more powerful defibrillator. A major breakthrough in emergency medicine occur in 1965. At the time a majority of coronary deaths occurred outside of the hospital setting since defibrillator required a main power source and were only available in hospitals it made them pretty much useless in saving lives outside of a hospital setting. Frank Pantridge often referred to as the Father of Emergency Medicine, made the first portable defibrillator in 1965. This device was power by a car battery and weighted approximately 70 kg (155 lbs). By 1968 he was able to create a defibrillator that was safer to use and only weighted 3 kg (6-7 lbs). It was argued that their was a possibility of misuse of the device if given to a unt...
Rome wasn’t build in one day, and so wasn’t the CPR that goes right across Canada. It
According to the American Heart Association (AHA), over 350,000 people experience cardiac arrest outside of hospitals every year. Every second that a heart doesn’t beat dramatically decreases a person’s survival rate. CPR is a simple way to keep blood pumping through the body until medical personnel arrive. Only 46 percent of cardiac arrest victims receive CPR, primarily because most bystanders don’t have the proper training. Fortunately, schools are in a unique position to greatly improve that statistic.
To perform CPR, first you must establish unresponsiveness. Try tapping the child and speaking loudly, to provoke a response. Once unresponsiveness has been determined, if you are alone, you should shout for help. Then provide basic life support for approximately one minute before going to call 911. If a second person arrives, send him or her to call the ambulance.
Imagine a loved one in horrific pain with no medication or procedure to fix the discomfort. After suffering for a months maybe even years the option of a Do Not Resuscitate order arises. This may be difficult to hear and watch as a loved one decides if their heart stops beating they will not be resuscitated. Not being resuscitated will end their pain and relieve them from a life they are not enjoying. A Do Not Resuscitate order is a medical order written by a doctor.
A do not resuscitate order for patients who have emergency surgery is an “independent risk factor for poor surgical outcome and postoperative mortality” (Kelley , 2014 pg 1 para 3) and the probability of returning patients to their previous level of functioning is higher for CPR performed during the peri-operative period (Kelley , 2014).
Hypothermia protocol for the post cardiac arrest patient has been an evidence based practice of this therapy for about a decade now. This intervention, often used in the critical care setting, is now expanding to primary emergency responders as well. This paper will present some of the notable research that has been done on therapeutic hypothermia, and current use of this intervention.
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
Heath care is a dynamic environment and one in which consumerism is expanding. Patients and families are more educated and involved in their care than ever before. The movement toward health consumerism has spawned additional ethical conundrums. The American Heart Association, American Association of Critical-Care Nurses, Emergency Nurses Association, and other health care entities have all addressed the topic of family presence during resuscitation and/or invasive procedures. Clinicians and researchers have cited a multitude of ethical principles when supporting arguments for or against family presence during resuscitation. On one hand family presence may be unhealthy for the family and cause untoward provider stress during an already tense situation. However, on the other hand do families have the right to attend these events and might it be beneficial for closure and education. Members of the health care team must evaluate both sides of the question.
Death persists as the great equalizer for all, and every person holds their own right to pass away when they wish. Presently in America, laws protect and grant citizens the right to order when and how they shall die when the circumstances do arise. People can assign now what is called a Do-Not-Resuscitate order (DNR) to exercise their freedom to control their own fate. The DNR order allows each individual his or her inalienable right to control their own fate. In America, all people face the choice of how and when they prefer to pass away, and physicians must respect and grant autonomy to their moribund patients while leaving their own convictions out of the circumstances with respect to the DNR order.
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.