The patient L.E. is a 73 year old male. The patient has no history of coronary artery disease or any problems with his heart. Yet, he suffered an event of ventricular fibrillation which he was shocked for followed by a massive heart attack while unaccompanied at a restaurant. Upon arrival to the Southcoast Hospital he went into ventricular tachycardia in the Emergency Room and was shocked a second time. According to the Southcoast critical care manual, these events are part of the inclusion criteria for therapeutic hypothermia after cardiac arrest. He fits the first inclusion criteria listed which is: cardiac arrest with return of spontaneous circulation (ROSC) with initial rhythm of ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity or asystole. The protocol has been provided at the end of the paper.
The Arctic Sun is an experimental study but has various supportive data. When a person such as L.E. experiences a heart attack, one of the body’s responses is increased body temperature. An increased body temperature contributes to ischemic brain damage post cardiac arrest. The Arctic Sun is a system that provides targeted temperature management in the neurologically impaired patient. Pads are placed on approximately 40% of the body and a temperature probe is inserted. L.E. had two temperatur...
... middle of paper ...
... and many nurses have not yet had the experience of implementing it. It is complex and challenging and the importance of a multidisciplinary approach is critical. The nurse has to rely or her own judgment while valuing and recognizing the expertise of other team members. The article summarizes article perfectly, “One life saved by means of successful implementation of the therapy, "Therapeutic Induced Hypothermia", is an example of science translated into practice on account of commitment, collaboration and achievement of the multidisciplinary team.
Voelzing, L., Willoughby, L., & Loree, K. (2008). Therapeutic induced hypothermia: when every minute counts -- a multidisciplinary team approach. Dynamics, 19(2), 43. Retrieved from EBSCOhost.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Introduction 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. Control studies, animal studies, and case studies have been published related to these medical interventions.... [tags: Medical Research]
1096 words (3.1 pages)
- Myocardial infarction (MI) which leads to cardiac arrest cause a global cerebral ischemia that results in low survival rate and poor neurological outcomes in patients resuscitate in the emergency room. The definition of out-of –the- hospital cardiac arrest (OHCA) is the cessation of cardiac mechanical activity that happens outside of a hospital environment, and is mark by a lack of signs of circulation. Each year over 250,000 persons in the United States experience an out-of-hospital cardiac arrest (OHCA).... [tags: cardiac arrest, eligibility]
1796 words (5.1 pages)
- Theraputic Hypothermia Hypothermia, defined as a core body temperature less than 95 °F(35°C) occurs when heat loss exceeds the body’s heat production. (Ruffolo p.47) Thermal stability in humans depends on the body’s ability to adapt to changes in internal and external temperatures. Heat is transferred throughout tissues and fat, and is released at a rate directly related to the temperature of the environment through radiation, conduction, convection, and evaporation. Hypothermia is typically seen as a bad thing; however, various studies have been proving it to be very useful.... [tags: Health Medicine Medical Essays Research Papers]
1966 words (5.6 pages)
- Therapeutic hypothermia The use of Therapeutic hypothermia for treatment of patients with potential ischemia has been around for around for about 70 years. After fading into and out of popularity for the past half century, therapeutic hypothermia has reemerged as a state of the art lifesaving tool in the fight of a potentially hypoxic brain injury. Even though the evidence to the support this treatment is growing, more research is needed to decide if this treatment will become the new standard of care for these patients, or if it will fall by the wayside.... [tags: potentially hypoxic brain injury]
1291 words (3.7 pages)
- The purpose of this paper is to review and evaluate two recent studies, published within the last 5 years, conducted on mild therapeutic hypothermia induction in relation to the cardiac and vascular circulation. One article tested and evaluated the effects of mild hypothermia therapy on patients with cardiogenic shock after resuscitation from an out-of-hospital cardiac arrest. The other study provides some insights on hypothermia therapy on cardiac index of postoperative cardiac surgical patients after iced and room-temperature injectates during hypothermic and normothermic body temperatures.... [tags: cardiac and vascular circulation therapies]
1108 words (3.2 pages)
- Introduction Mild Therapeutic Hypothermia to Improve the Neurologic Outcome After Cardiac Arrest written by Michael Holzer, MD (2002) conducted research to determine if mild systemic hypothermia after resuscitation from cardiac arrest resulting from ventricular fibrillation improves neurologic recovery. Cardiac arrest is known to lead to brain ischemia in a short amount of time; by cooling the body the hope is to preserve the brain on a cellular level. The author cites many preliminary studies with positive results in patients treated with mild hypothermia post-arrest comparing their outcomes favorably to historical controls.... [tags: Medical Research]
1912 words (5.5 pages)
- The therapeutic use of humor can be loosely defined as any activities that use the positive emotional responses associated with humor, smiling and laughter to specifically benefit one or more clients’ social, emotional, physical, cognitive or wellness domains. Using humor, therapeutically, involves establishing specific desired outcomes for a client which are facilitated by the use of humor and related techniques. Dattilo & McKenney, (2011) define the therapeutic use of humor when “specialists and others use humor in practice, they play for it to lead to specific therapeutic outcomes”.... [tags: humor, therapeutic recreation, clowns]
1100 words (3.1 pages)
- Therapeutic communication is a crucial and necessary tool that should be used on all occasions when dealing with a patient in the health care industry. I found the vignette video ‘Pregnant Stroke – Incident Scene’ to be a good example of how therapeutic communication should be used to create a human connection between patient and professional. The video involves paramedics attending the scene of a female having suffered from a stroke whilst pregnant. Allied health professionals initially perform a brief medical assessment on the patient by checking her vitals inclusive of blood pressure and heart rate.... [tags: Therapeutic Communication Essays]
792 words (2.3 pages)
- Exercise-induced asthma is an acute transient airway narrowing that occurs during and most often after exercise. It is objectively defined as a 10% fall in forced expiratory volume in the first second from baseline that may be measured up to thirty minutes following exercise (M&M). Exercise-induced asthma occurs not only in elite athletes and asthmatics, but it can also be found in non-asthmatics. The stimulation of exercise-induced asthma can range anywhere from inhaling allergens to hyperventilation or intense exercise.... [tags: Exercise-induced Asthma]
1782 words (5.1 pages)
- 1a. Explain your understanding of a "therapeutic relationship" with a client. A therapeutic relationship with a client is a well planned and goal oriented connection between the clinician and the client in order to meet the therapeutic needs. The clinician would develop and maintain mutually beneficial association with the client and his family. He always believes the client as a person of goodness, dignity and strength. 1b. what are the benefits of a therapeutic relationship. Encourages Positive Interaction Encouraging a patient to express himself allows you to get more information of the client's emotional tendencies and helps determine the most beneficial treatment approach.... [tags: Therapeutic Relationship Essays]
1402 words (4 pages)