Out-of-hospital cardiac arrest or OHCA is an abrupt loss of cardiac function in a public setting, usually occurring instantly or soon after symptom development (American Heart Association [AHA], 2014-a). Defibrillation and cardiopulmonary resuscitation or CPR are well-documented variables in predicting poor OHCA outcomes (Bur et al. 2001). CPR is the method of compressing a patient’s chest at 100 beats per minute, providing adequate blood flow to the body’s vital organs, preserving life (New…
Introduction Sudden cardiac death (SCD) is a world wide health problem resulting in one-fifth of unexpected deaths in the western world. Ventricular fibrillation (VF) is one of the life-threatening arrhythmias contributing to the increasing number of individuals needing urgent medical assistance (Wellens, Gorgels & Munter, 2013). The following case study will explore a complex critically ill patient who has suffered from a ventricular tachycardia (VT) and VF due to dilated left ventricle (LV)…
The following clinical cases are derived from an academic medical center in the state of Missouri during the author’s career as a Registered Nurse (RN). The cases are used to demonstrate dignity, beneficence, sympathy, nonmaleficence, respect for autonomy, and veracity. While the first case exhibits allowing a choice to occur, the second case counterpoints by exhibiting forcing a choice that may have otherwise not have happened. (This isn’t very fluid and I’m not sure if I should add more here……
couldn’t we have let the patient die in peace?” (Hoffman, 2006, p.1) By using pathos and imagery to evoke sadness from the reader, the author makes one feel as if it is their family member having CPR. In extreme cases like a patient going into cardiac arrest, it is challenging to determine who should have the final say whether one should do CPR on the dying patient. According to the law, the family has control to decide, however, the article uses medical opinions to sway the reader’s opinion.…
article that I choose was called “Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest”. The objective of the article was to find at which temperature was it better to induce hypothermia on a patient who had gone into cardiac arrest in an out-of-hospital scenario to prevent neurological damage and the. The researchers hoped that if by inducing hypothermia early on after the cardiac arrest and loss of consciousness there would be little to no brain damage. The researchers…
Over a three-week period thirteen patients on the night shift suffered violent seizures that where followed by cardiac and respiratory arrest. Of the thirteen nine of the patients died and the nurses described the patients’ seizures to be similar to grand mal seizures that epileptics suffer. Seizures usually do not occur in cardiac patients. Soon after the cardiac care/ intensive care unit…
The neuroprotective systems of medically induced hypothermia are presently broadly perceived and executed as a standard of care. When time is of extreme importance, medical attendants should have the capacity to settle on educated choices with a since of direness at during key moments to ensure a patient is effectively cooled and rewarmed without significant trauma. In the midst of the moderately occasional, yet developing information, it is trusted that utilizing a nursing checklist to…
more regularly. 38.5% of people that received an icd were 70 years or older, only 7% were 80 and older. The only that your age as to do with is death (Yung et al, 2013). “For example, among those undergoing ICD implantation for prevention of cardiac arrest, 2 in every 100 patients ages 18-49 died whereas 10 in 100 died among those 80 years and older.” as stated in the article in the last paragraph (Yung et al,…
According to the American Heart Association (2015), each year over 320,000 out-of-hospital cardiac arrests (OHCA) occur and as a result are one of the leading causes of death in the United States. With the frequent occurrence of such a life-threatening event, it is essential to understand the proper way to react. Cardiac arrests can be separated into three groups; ventricular fibrillation/tachycardia (VF/ VT), pulseless electrical activity (PEA), and asystole.…
Cardiopulmonary Resuscitation (CPR) is a lifesaving method that is used daily in many emergencies that involve trouble with the heart or breathing. This technique allows you to restore flow of oxygenated blood to a person’s brain and heart, and restore breathing in the person when the heart is stopped. When the heart stops, blood flow to the brain and organs stops which causes damage to these necessary body parts. Without help, the person could die within eight to ten minutes. Therefore, knowing…