Out of Hospital Cardiac Arrest and Benefits of Therapeutic Hypothermia PDF Download
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Author: Amber M. Branum
Publisher:
ISBN:
Category : Body temperature
Languages : en
Pages : 0
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Book Description
People die every day from many different kinds of illnesses, diseases, and even cardiac arrest. Unfortunately cardiac arrest is not bias and does not discriminate by age, race, and yes even lifestyle. Out of hospital cardiac arrest is a major factor in related deaths each year. The American Heart Association report that in twenty-fourteen that there were 424,000 incidents reported of cardiac arrest in the United States alone, emphasis on Reported. This report included both adults, elderly and children. Medical science make incredible strides every minute and every second which can change the outcome of those that have suffered from an out of hospital cardiac arrest. One of those studies includes therapeutic hypothermia to improve neurological outcomes and reduce the morbidity and mortality rate that goes along with cardiac arrest. When the heart ceases to beat and carry the needed nutrition to the vital organs of the body a major concern is brain function. Just like with a stroke, cardiac arrest deprives the brain of the blood, oxygen and nutrients to stay viable, as the saying goes, Time is Brain. Knowing the steps both outside the hospital and inside the hospital will make the difference between life and death and whether or not the patient will lose all cognitive function. Rapid CPR, call to EMS, the hospital receiving the patient in a timely manner along with the patient being assessed for the use of hypothermia protocol are all key roles in the success of the patients outcome. Once the patient has been assessed and is a candidate acceptable for therapeutic hypothermia it is imperative that the patient has reached goal temperature within three hours of reaching the hospital along with continued close monitoring of temperature, vitals, electrolyte and overall functions. Patients should remain at goal temperature for twelve to twenty-four hours to give the body the time it needs to heal, recovery and hopefully allow the patient to regain all functions once they have completed the therapy or after extensive physical therapy.
Author: Amber M. Branum
Publisher:
ISBN:
Category : Body temperature
Languages : en
Pages : 0
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Book Description
People die every day from many different kinds of illnesses, diseases, and even cardiac arrest. Unfortunately cardiac arrest is not bias and does not discriminate by age, race, and yes even lifestyle. Out of hospital cardiac arrest is a major factor in related deaths each year. The American Heart Association report that in twenty-fourteen that there were 424,000 incidents reported of cardiac arrest in the United States alone, emphasis on Reported. This report included both adults, elderly and children. Medical science make incredible strides every minute and every second which can change the outcome of those that have suffered from an out of hospital cardiac arrest. One of those studies includes therapeutic hypothermia to improve neurological outcomes and reduce the morbidity and mortality rate that goes along with cardiac arrest. When the heart ceases to beat and carry the needed nutrition to the vital organs of the body a major concern is brain function. Just like with a stroke, cardiac arrest deprives the brain of the blood, oxygen and nutrients to stay viable, as the saying goes, Time is Brain. Knowing the steps both outside the hospital and inside the hospital will make the difference between life and death and whether or not the patient will lose all cognitive function. Rapid CPR, call to EMS, the hospital receiving the patient in a timely manner along with the patient being assessed for the use of hypothermia protocol are all key roles in the success of the patients outcome. Once the patient has been assessed and is a candidate acceptable for therapeutic hypothermia it is imperative that the patient has reached goal temperature within three hours of reaching the hospital along with continued close monitoring of temperature, vitals, electrolyte and overall functions. Patients should remain at goal temperature for twelve to twenty-four hours to give the body the time it needs to heal, recovery and hopefully allow the patient to regain all functions once they have completed the therapy or after extensive physical therapy.
Author: Justin B. Lundbye
Publisher: Springer Science & Business Media
ISBN: 1447129512
Category : Medical
Languages : en
Pages : 134
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Book Description
Therapeutic hypothermia has emerged as a very important treatment option for patients with cardiac arrest as it provides significant protection from developing neurologic injury once the patient has been successfully resuscitated. Studies have demonstrated over 15% absolute risk reduction in death and neurologic injury using this therapy. Although hospitals and medical centers have become familiar with this important intervention it still remains greatly under utilized due to an experience and lack of resources to safely and effectively deploy such a program. The objective of this book is to educate and familiarize both providers and institutions as to how to develop and deploy and provide therapeutic hypothermia to their patients. The current knowledge for this is provided by speakers and national experts and also by literature review. There are several courses being provided on this as well throughout the US. These are good venues for people to come and see and get hands on experience, but there still needs to be a concrete book with references on how to go about getting this program started.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030937202X
Category : Medical
Languages : en
Pages : 291
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Book Description
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Author: Magda Villegas
Publisher:
ISBN:
Category : Cold
Languages : en
Pages : 0
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Book Description
Therapeutic Hypothermia (TH) has been used successfully since the 1950's during open-heart surgeries, protecting the brain from ischemia. "After cardiac arrest, permanent neurological injury occurs after only 5 to 10 minutes of complete cessation of cerebral blood flow and such delay is very common among Out-of hospital cardiac arrest patients" (Wang, 2013, pp. 6). Suggestions of, "the sooner cooling is initiated after reperfusion from cardiac arrest, the better the outcome" (Nolan, 2014, pg. 15). An educational deficit appears to be an issue, when initiation of the hypothermia protocol is delayed by the Emergency Department (ED). A solution to this problem, ensuring TH is initiated in the Emergency Department, by instituting an "ED standing orders" protocol. The proposal will describe the methods used for developing, implementing, dissemination and obtaining approval of an evidence-based proposal. Identifying resources, such as Intensive Care Unit staff, Therapeutic Hypothermia committees, and Shared governance committees, will help ensure early initiation of Therapeutic Hypothermia in the emergency department is implemented. Rationale for choosing the proposed project change, technology needed and assessment tools for successful implementation, will also be identified. Review of all literature used for obtaining evidence based data, will also be incorporated into the proposal. UAMC can potentially expand their research studies, which could further benefit patients, using different modalities of Therapeutic Hypothermia. Future studies can entail Cold saline infusion, along with cooling blankets, TH via the esophageal route and initiating TH on near drowning and near hanging patients. In the United States, there is an estimated 382,800 out of hospital cardiac arrest cases each year, with 75% occurring out of the hospital and killing approximately ninety percent (AHA, 2012, pp.7). The University of Arizona medical center (UAMC) is one of the centers which has implemented the Arizona Cardiac Arrest Center Consortium (ACACC). ACACC helps provide guidelines for post cardiac arrest patients. The Cardiology and heart surgery's national score for UAMC was 51.7 out of 100 (U.S. news, 2014, pp.1). There is definitely room for improvement.
Author: Alexander Yates
Publisher:
ISBN:
Category : Cardiac arrest
Languages : en
Pages : 0
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Book Description
Current statistics show that victims of out-of-hospital-cardiac-arrest (OHCA) have a low survival rate despite advancements in advanced cardiac life support. Therapeutic hypothermia is one solution to this problem that has been demonstrated in many studies to improve survival rates and increase cerebral function upon discharge. Therapeutic hypothermia has been shown to increase survival rates by as much as 17%, as well as improve both short and long term neurologic function of survivors. Therapeutic hypothermia works by decreasing metabolic oxygen consumption, and improving cell survival. By implementing standardized hypothermic protocols nationwide for both hospitals and pre-hospital emergency services, countless lives could be saved.
Author: N. Hayashi
Publisher: Springer Science & Business Media
ISBN: 4431668829
Category : Medical
Languages : en
Pages : 253
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Book Description
Rapid progress in technology and its application to diagnosis and monitoring of brain tissue temperature and metabolism have resulted in advances in the therapy for critically brain-injured patients and breakthroughs in understanding the pathophysiology of brain damage. The latest concept of brain hypothermia therapy clarifies targets such as brain thermal pooling, masking brain hypoxia associated with catecholamine surge, the metabolic shift from glucose to lipids, and selective radical damage of dopamine in the central nervous system. This volume explains the mechanism of brain injury and how brain hypothermia treatment differs from other hypothermia therapy in four major sections: Brain Injury Mechanism, Pathophysiology of Hypothermia, Basic Research of Hypothermia Treatment, and Clinical Studies of Brain Hypothermia. The book is a valuable source for practitioners and researchers in neurosurgery and neurology and in critical care and emergency medicine.
Author: Peter Safar
Publisher: W.B. Saunders Company
ISBN: 9780721621562
Category : Medical
Languages : en
Pages : 488
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Book Description
An introduction to basic and advanced cardiac and trauma life support. This text embodies the principles and practices advocated by the World Federation of Societies of Anaesthesiologists' Committee on Cardiopulmonary Cerebral Resusitation and Critical Care and incorporates American Heart Association Conference guidelines on CPR and emergency care. Includes complete coverage of resuscitation medicine--basic, advanced and prolonged cardiac and traumatic life support. Approved by the WFSA.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: James Frederick
Publisher:
ISBN:
Category : Physicians' assistants
Languages : en
Pages : 128
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Author: Steve Lin
Publisher:
ISBN:
Category :
Languages : en
Pages :
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