The Prevalence Of Ischemic Heart Disease

The Prevalence Of Ischemic Heart Disease
The prevalence of ischemic heart disease is increasing in the United States, and around the world. Sudden cardiac arrest, the primary cause of death
related to ischemic heart disease, is now the leading cause of death worldwide (Weng & Sun, 2012). Of the more than 300,000 patients who suffer
sudden cardiac arrest in the United States each year, only 7.9% survive to hospital discharge (Weng & Sun, 2012). Lilja, et al. (2015) report that despite
recent improvements in methods of cardiac resuscitation, severe and often permanent brain injury remains the leading cause of death in hospitalized
patients post–resuscitation. Recent research has sought to preserve neurologic function and improve outcomes post–resuscitation through the
implementation of therapeutic hypothermia. Neumar, et al. (2015) provide a 2015 update to The American Heart Association's Guidelines for
Cardiopulmonary Resuscitation and Emergency Cardiovascular Care recommending that Targeted Temperature Management (TTM) between 32В°C
and 36В°C be initiated and maintained for at least 24 hours in all comatose adult patients following restoration of spontaneous circulation (ROSC)
after cardiac arrest (p. S343). CINHAL, PubMed and the Cochrane Database of Systematic Reviews were searched between October and November
2016, to identify studies involving the implementation of therapeutic hypothermia following ROSC after cardiac arrest. Search terms for CINHAL
included therapeutic hypothermia AND cardiac arrest AND
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Cardiac Arrest Research Paper
The sudden cardiac arrest is a growing healthcare problem in many growing nations. According to the survey done by blah blah 1878 out of hospital
cardiac arrest. Such deaths are frequently related to cardiac arrhythmias. Among the different arrhythmia, the ventricular tachyarrhythmia is
life–threatening and need an immediate diagnosis. If such lethal arrhythmias can be detected early, it could save the life of one–third patient suffering
from them. The most common out of hospital devices that are used to restore back the normal signals are AEDs, ICDs, and WCD's. If a device
detects VF a strong is send to restore the normal signal. IF VT is detected a milder shock is sent to restore a normal signal. AEDs are portable devices
that are found

Cardiac Arrest And The Effects Of Epinephrine Essay
Cardiac Arrest and The Effects of Epinephrine in Pre–hospital Setting
Sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops beating. When this occurs the blood flow stops to the brain
and vital organs. Sudden cardiac arrest is not the same as a heart attack or myocardial infarction. Aheart attack is when the blood flow to part of the
heart is blocked.
Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. " Cardiac arrest and sudden death account for 60
percent of all deaths from coronary artery disease",(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac
arrest. Most are caused by ventricular fibrillation. "During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and
irregularly." When this occurs, the heart pumps very little and blood does not get circulated throughout the body. " Most of the cases found with
sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and
drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. "Four rhythms produce pulseless cardiac arrest: ventricular
fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole."("Circulation ," 2005, p. IV–58)Other signs and symptoms that
could occur prior to sudden cardiac arrest, include fatigue,

A Research Study On Cardiac Arrest Management
Cardiac arrest management is an ever evolving system, based on expanding science and technology that allows for the lay rescuer, or the seasoned
paramedic to try and bring back someone whose heart has stopped. This paper will explore the history and general practices of Advanced Cardiac Life
Support – or ACLS – as well as basic techniques, and how it has helped to improve survival rates in sudden arrest victims, as well as if there are better
ways to tackle issues involving the correct or incorrect practices of resuscitation.
Before we begin to talk about how to fix a broken heart we must first learn how one functions. The heart is the powerhouse of the body, its main
function is to move the blood that provides oxygen and other key nutrients to the individual organs in the body. It is a very muscular organ that is
regulated by electrical currents that help to determine the pattern of the heart rate and keep it at a normal rate. The main reason a heart stops working
is because of an interruption in the electricity regulating the heart. And this is where ACLS comes in, in restarting the heart and reigniting the urge to
run. And this comes via three main routes, CPR, defibrillation and Cardiac medications.
The one and only thing that is the most proven thing in cardiac arrest management is good CPR – or Cardiopulmonary Resuscitation – this is what
everyone can do, from john smith bystander on the street to emergency medical personnel to the nurses and doctors in the emergency

Post-Cardiac Arrest Syndrome Case Study
All patients' post–cardiac arrest has risks associated ICU level of care such as acute respiratory distress syndrome (ARDS), pneumonia, debilitation,
PE, depression, and so on. Post–cardiac arrest syndrome (PCAS) is a unique condition that is associated with CA. It is an umbellar term for the major
complications for complications that are directly associated with CA, which include brain injury, cardiac dysfunction, and systemic inflammatory
response (SIRS). Ischemia related injuries are the pathogenesis of all the complication. And, the physiological response these complications can
overlap. For instance, tachycardia can be caused by cardiac dysfunction and SIRS. Brain injuries are one of the major complications. It is the main
cause of disability

Cardiopulmonary Persuasive Speech
Sergio Ramirez
Date 11/04/2014
Dr. Rachel Friedman
Persuasive Speech
Cardiopulmonary resuscitation: Saving a life.
Specific Purpose: To persuade the audience to learn how to perform Cardiopulmonary resuscitation to a patient, or they may be the next witnesses of an
unnecessary death.
Central Idea: By having more people in the world that know how to perform Cardiopulmonary resuscitation we can decrease cardiac arrest and heart
attack death statistics.
Introduction
Attention:I. Between 180,000 and 450,000 cases of sudden cardiac death are estimated each year in the United States. II. Sudden cardiac arrests is
the leading cause of death of Americans over 40, more than 1000 a day and the survival rate is 1 of 10. III. Only 8 percent of ... Show more content on
Helpwriting.net ...
Sudden cardiac arrest is defined as unexpected death caused by cardiovascular causes. Death occurs less than 1 hour form the begging of the symptoms.
1) It is a leading cause of death in the United States and affects any race, sex and age of patients.
a) According to medical reports taken in 2013 in the United States by Timely Data Resources African American population have higher rates of cardiac
arrests.
b) Two thirds of the Women who suffer cardiac arrests in the United States had no heart disease history, 50% of men did have diseases history.
2). According to the American Heart Association Webpage (11/04/14) there is a simple solution to increase the survival rates of sudden cardiac arrests.
They say that approximately 70% of Americans are going to feel helpless during a cardiac arrest emergency. a) They don't know how to administer
cardiopulmonary resuscitation.
b) Home is where 88% of the cardiac arrests occur, you will most likely be saving somebody you love. Mom, dad, brother, grandmother etc.
c) Many victims of sudden cardiac arrest don't know how to recognize the symptoms and don't have any known heart

The Effects Of Induced Therapeutic Hypothermia On Cardiac...
"Medic respond, stoppage," chirped the intercom. The call went out for an adult male found down, pulseless and apneic, by family at approximately
2200 hours. EMS personnel arrived on scene, performed quality CPR and followed appropriate ACLS algorithms, and found an organized rhythm with
matching peripheral pulses at the third check. Per 2010 AHA guidelines, medics performed a 12 lead EKG, managed the patient 's hypotension with a
fluid bolus, and managed the patient 's airway by endotracheal intubation (American Heart Association, 2011). The patient displayed no neurological
response, the EKG revealed significant ST segment elevation in anterior and septal leads, and intubation was performed successfully without induction
or paralytic... Show more content on Helpwriting.net ...
The American Heart Association (2011) states that, "Therapeutic hypothermia is the only intervention demonstrated to improve neurologic recovery
after cardiac arrest" (Pp 77). Recommendations range between 32 and 36 degrees centigrade for 12 to 36 hours. Cooling may be achieved through
either introduction of cooled, isotonic, non–glucose–containing fluid, or surface cooling interventions like ice packs or cold packs. The AHA states,
however, that patient core temperature must be monitored by an esophageal thermometer, a pulmonary artery catheter, or a bladder catheter and that
peripheral temperature measurements via axillary, aural, or oral thermometers are inadequate for measuring core temperatures in targeted temperature
management. Therefore, while the AHA does recommend initiation of therapeutic hypothermia by EMS personnel in certain situations, agencies must
carry––and be trained in the use of––equipment to adequately measure the patient 's core temperature. Further, the AHA states that therapeutic
hypothermia results in increased neurologic function post–cardiac–arrest but does not identify a timeframe for initiation for these protocols, let alone
explore whether or not initiation of post–cardiac–arrest targeted temperature management by EMS influences patient outcomes. According to a study
published in the

Sudden Cardiac Arrest (SCA)
Description of the issue/concern Participation in high intensity sporting activities is widely considered to be a contributor to positive cardiac health.
However, for a portion of the athletic population, sudden cardiac arrest (SCA) poses a serious risk (Chatard, Mujika, Goiriena, & Carre, 2016).
Although considered rare with estimates of one death every three days in the United States (Pigozzi, Rizzo, & Maffulli, 2009), the impact of the
often–fatal event resonates through society due to the young age of the athlete and the immediacy of the decline of the perceived healthy person
(Chatard et al., 2016). SCA in athletes under the age of 35 years predominantly occurs when there is a malfunction of the normal electrical conduction
in the... Show more content on Helpwriting.net ...
In addition to the standard questionnaires and examinations utilized in the United States, Italy mandated a resting electrocardiogram (EKG) for all
initial pre–participation screenings with repeat studies done every two years (Chatard et al., 2016). During the 25–year period following the
establishment of this national legislation in 1982, the rate for SCA in athletes dropped from 3.6 per 100,000 person–years to 0.4 per 100,000
person–years. During this same period, the incident rate did not fluctuate among the non–athletic population of the same age range (Pigozzi et al.,

Research Paper On Cardiac Arrest
1)BACKGROUND Cardiovascular disease is a common cause of death in the United States. More than 350,000 cardiac arrests occur outside of a
hospital; the overall survival rate in these cases is 9.5% though it can vary greatly from community to community. The likelihood of surviving a
cardiac arrest depends on an efficient cardiac system of care. States like North Dakota and Montana face unique challenges in the delivery of an
efficient cardiac system of care to a small population spread across a large area. Long emergency medical service response times coupled with limited
human resources may affect patient outcomes. However, community initiatives improving the timeliness and the quality of the care delivered by the
cardiac system of care

Cardiac Arrest Personal Statement
I feel that my experiences and goals closely align with the UWSOM's mission. During my shadowing internship with Northwestern Medicine, I found
that nearly every medical specialty I observed peaked my interest, but I could most clearly envision myself thriving in primary care. I specifically
enjoy family medicine and building lasting relationships with patients, as well as internal medicine and seeing a wide variety of cases on a daily basis.
My work in a research study involving out–of–hospital cardiac arrest opened my eyes to how discovering new medical knowledge can change how
treatment is given, and can have a lasting impact on patient outcomes. Therefore, I plan to participate in clinical research during my medical school
career.
I also

Therapeutic Hypothermia: Preventing Damage After Cardiac...
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. Unfortunately, there are still many healthcare providers not using this intervention. Dainty,
Scales, Brooks, Needham, Dorian, Ferguson et al. (2011) study states, "observational research shows that therapeutic hypothermia is ... Show more
content on Helpwriting.net ...
Reperfusion injury is the harmful adverse effects attributed to reestablished circulation (Writing Group et al., 2003). Hypothermia inhibits or reduces
normal body functions such as apoptosis and inflammation, and these can often cause additional damage (Torgersen, Bjelland, Klepstad, Kvale,
Soreide et al., 2010). Also, by cooling the body to the designated range the metabolic rate slows down and decreases oxygen demand. This allows
tissue to avoid ischemia, in particular the brain and heart. The brain is protected in many ways including preserving the blood brain barrier and
decreasing harmful free radicals (Wall, 2011). More recent studies done on animals have been performed in order to manipulate the variables associated
with the hypothermia protocol in attempt to solidify the most effective treatment. Although animal studies allow for a more precise scientific method
and yield important information, they are not guaranteed to be identical in a human patient. One study involved pigs that underwent a mechanically
induced 100% occlusion of the LAD. The results suggested that only early–induced hypothermia, prior to reperfusion, yield a decreased infarct size.
Also hypothermia, regardless of onset time related to reperfusion decreased microvascular obstruction. In addition, the study utilized IV cold saline to
achieve a more rapid cooling. The pigs, about 50kg, reached less than 35 degrees Celsius in 5 minutes. The usual time for humans to cool using

Cardiac Arrest : The Side Effects Of Saving Lives
Cardiac Arrest – The Side Effects of Saving Lives
Antje Dangel
University of South Florida
Cardiac Arrest – Drugs Administered during Advanced Cardiac Life Support and Associated Complications
In 2014, heart disease remains the leading cause of death while cardiac arrest is one of the most devastating conditions patients and their families have
to face. Despite all efforts to elucidate management of cardiac arrest and implementation of advanced cardiovascular life support (ACLS) survival
rates post cardiac arrest remains at 23.9 % in adults and 40.2% in children, respectively (AHA, 2012). Nurses undergo extensive ACLS training every
two years and while algorithms, administration of emergency drugs, and procedures seem to be followed appropriately, rationales are often not well
understood. While some studies show evidence of short–term outcome advantage, insufficient evidence exists regarding administration of ACLS drugs
and improved long–term outcome. In this paper pharmacokinetics and pharmacodynamics, adverse effects of ACLS drugs, and anticipated long–term
adverse effects of intervention drugs post cardiac arrest are being discussed. Lastly, drug–drug interaction of ACLS drugs with commonly used cardiac
medications will be discussed. In the case study of JG, the patient went into cardiac arrest on the way to the hospital and he was pronounced after a
full code had been performed for three hours. The cause of cardiac arrest in regards to heart rhythm is

The term "Cardiac Arrest" which I had heard from the news since I was young meant nothing to me until it suddenly took away my uncle's life on ...
Kneeling in front of the black–and–white photo of my uncle and hearing the crowd crying at the funeral, I painfully realized how unexpectedly
misfortune could happen in life and how little people could do to change it for the first time. As the crowd all leaving after the funeral, the pain on
my knee impeded me from standing up, and the pain in my heart stopped me from even trying again. "Cardiac Arrest has attacked us as a strong
enemy, but we are not defeated yet." My father went back and gave his hands to me. Staring at his firm eye, I wiped my tears and held his hands.
Leaning on him, I stood up and walked on with the determination of fighting against Cardiac Arrest.... Show more content on Helpwriting.net ...
I learned about its causes such as major blood loss, its signs such as chest pain, its symptoms such as mydriasis, and most importantly the emergency
treatment, Cardiopulmonary Resuscitation known as CPR. The brief procedure was to check consciousness of the victim, lay him down on firm
ground, compress his chest, perform mouth–to–mouth breathing twice after thirty compression, and repeat until the arrival of aids. I have performed
each step on the mannequin in my room for numerous times. Each time I went over the CPR procedure, I gained comfort and power. Because
although the pain of losing my uncle had never went away, it could never stop me from standing up again; although I could never save my uncle, I
could move on with the hope that I could save other people from the attack of cardiac arrest in the

Sudden Cardiac Arrest Essay
To prevent EHS, the history of any past heat illnesses must be known. The athletes wearing protective equipment must have special considerations,
since the equipment acts as a barrier and does not allow sweat to evaporate easily. To recognize EHS, the core temperature of the athlete must be
greater than 104 F to 105 F. Central nervous system dysfunction (confusion, dizziness, vomiting, collapse, etc.) is also a major sign of EHS. To treat
EHS, the core body temperature must be reduced below 102 F as quick as possible. The best way to cool down is a full cold–water immersion of the
athlete. Then take it easy with athlete and do not rush him/her back into activity right away. EHS is one of the top 3 causes of death in athletes,
especially in the summer. Acclimatization helps the body cope better with theheat and humidity where the practice or event takes place. Hydration
should also be available at any time to all the athletes.
Sudden Cardiac Arrest: ... Show more content on Helpwriting.net ...
Having access to a defibrillator is important and to deliver the shock within 3–5 minute from the collapse. To recognize SCA, it should be suspected
when an athlete collapses. Airway, breathing, and circulation should be checked, and an AED should be used for rhythm analysis. Seizure–like
movements also accompany SCA, which should not be mistaken for a seizure. To manage SCA one must provide CPR while the AED is being
brought. And calling emergency medical service is also important. SDC is the leading cause of death in young athletes, usually from an abnormality
in their cardiovascular system. Being prepared is key to saving one's life during SCA. Know where the AED is located and have an emergency action
plan at every venue. It is best to use the AED indoors, and not on a stadium bleacher nor if the patient is lying in a

Cardiopulmonary Resuscitation: A Case Study
"Cardiac arrest accounts for 600,000 deaths annually in industrialized countries" (Jabre, Belpomme, Bertrand, Jacob, Broche, Normand, & Adnet,
2013, p. 1009). This can be the effects of people not knowing how to do CPR, or they may be doing CPR correctly, or family presence. This paper
will touch on the problem of CPR and family presence, where the setting usually takes place, the outcome of the studies, and essential elements of care
during CPR.
Problem
Health care experts are now trying to figure out if it is beneficial if the family member should be present during cardiopulmonary resuscitation (CPR).
Health care groups believe it would be too upsetting for the family and may cause a higher risk for the working team (Jensen & Kosowan, 2011, ...
Show more content on Helpwriting.net ...
"Survival from cardiac arrest depends on early recognition, immediate activation of the emergency response system, but equally critical is the
quality of CPR delivered" (Avramidis, 2014, pg. 8). When CPR is not correctly done it can cause damage to neurological status afterwards.
Research shows there are basic steps to follow during CPR. It is recommended to go to a class like the Redcross for hands on practice and use
these following steps as a review. The reason to start CPR is when a person is lifeless or not responding to stimuli and not breathing (Ondeerko,
2010, p. p98). The first step is to put the person face up and on a flat stiff area, with your hand push the chin to tilt the head back so the mouth
opens. The second step is to cover the persons mouth with your mouth entirely and pinch the nose (child younger than 1 cover the nose and
mouth) give two breath. Check the chest to make sure the chest rises every time you give a breath. On Step three, give 30 chest compression to the
bottom have of the chest using the heel of one's hand (infants under the age of 1, use two fingers in the center of the breastbone) (Ondeerko, 2010,
p. p98). When doing the compressions it is vital to push to at the lowest 5 cm. The rate should be at the lowest 100 and no higher than 120
(Avramidis, 2014, pg. 8). Step four is to go right back to the chest compressions. For a child, step five is to call 911, after doing these steps 2–4 for two
minutes. Step six is to Continue to do CPR until help shows up or the person starts to breath on their

Cardiac Arrest Victim
When not given CPR right away , the cardiac arrest victim may have no chance to survive until professional care providers arrive on the scene. On an
average it takes three to four minutes for the EMS to get there. It is most effective immediately after a victim's heart stops beating. According to The
American Heart Association(2017), "For each minute CPR is not performed the chance of survival decreases by 10%"(para.5). Saying that by the
time the EMS arrives to the scene that victim's chance of living decreased by 40%. For a bystander to perform CPR they would be getting the blood
pumping to the brain and other organs. If a cardiac arrest were to take place the victim may have chest pains then collapse or faint. By collapsing they
will go

Is Hands Only Cpr Essay
Is Hands Only CPR effective?
Tiffany Schenck
Rasmussen College
Author Note This paper is being submitted on May 16, 2018, for Candace Newson's Professional Nursing II course. Is Hands Only CPR effective?
Cardiac arrest is when there is an electrical glitch in the heart that causes an arrhythmia and interrupts the flow of blood to the brain, lungs and other
vital organs. It is one of the leading causes of death. Every year more than 350,000 cardiac arrests occur in the community and not in a medical facility
("CPR Facts and Stats"). What I want to know is in a community dwelling with adults, how effective is hands–only CPR versus hands plus breathing
CPR at preventing mortality? When a person goes into cardiac arrest, their survival ... Show more content on Helpwriting.net ...
Safar conducted research on current basic life support procedures that included taking control a person's airway by tilting back their head with an open
mouth and then using mouth–to–mouth breathing. He then merged this with a method known as closed–chest cardiac massage to develop the basic life
support method of CPR. In 2008, the American Heart Association revealed a statement about Hands Only CPR, saying that eyewitnesses who witness a
sudden collapse of an adult that you should call 911 immediately and then deliver high–quality chest compressions by forceful pushing hard and quickly
in the middle of the victim's chest ("History of CPR"). Is Hands–Only CPR as effective and is long–term survival jeopardized? According to the
American Heart Association, hands–only CPR can be just as effective as the traditional mouth to mouth with compressions CPR. It has been proven that
more witnesses are apt to perform hands–only CPR if they do not have to implement mouth–to–mouth breathing. A victim of sudden cardiac arrest,
receiving chest compressions from eyewitness, is more likely to survive without any brain

Mechanical Chest Compression Analysis
There is strong correlation between high quality chest compressions and patient survival with positive neurological outcomes (J). Despite this, the
quality of manual CPR depends on the endurance and skills of the first responder and has been found to only provide approximately 30% of normal
cardiac output. This quality of CPR being particularly poor during patient transport (E). This is why numerous mechanical chest compression devices
have been invented and implemented in ambulance services. These devices attempt to improve circulation, uniformity and free up more paramedics to
perform other critical patient care tasks such as, airway management (L). However, research surrounding whether there are increased benefits for
patients that receive... Show more content on Helpwriting.net ...
However, there were still more occurrences with the mechanical device which aids in supporting the previous studies. The study identified that among
1000 patients that received mechanical and manual chest compressions, 7 experienced adverse events with mechanical and 3 with manual (E).
However, a proportion of these events were more serious than those mentioned in the previous study. For example, in the mechanical chest
compressions there was 1 reported case of a ruptured spleen, 1 pneumothorax and 1–fractured thoracic vertebrae. Within the manual chest compressions
there was a fractured rib and an abdominal aortic aneurysm (E).
This is indicative that adverse events are more likely to occur with manual chest compressions. However, in any cardiac patient management, the risk
of an adverse event occurring should be weighed against the benefit of applying a mechanical chest compression device that will provide the patient
with regular compressions. In addition, correct positioning and maintenance of the device may eliminate many of these events (C & F). Incorrect
positioning of the device increases risk of damage to the rib cage and internal organs, and can compromise blood circulation, increasing poor perfusion

Ambulatory Surgery Research Paper
From a quantitative point of view cardiac arrests after an ambulatory surgery unit are a rare emergency, but why is this problem important? This
problem is important because about 234 million person wordwide have major noncardiac surgeries every year (3),and even if a really small
percentage of these people have cardiac arrest during or post–surgery, it is still a lot of people that can be saved by implementing appropriate
measurements in order to prevent and respond to cardiac arrest. According to the article "Intraoperative Cardiac Arrest in Adults Undergoing
Noncardiac Surgery: Incidence, Risk Factors, and Survival,(3)" post–operative cardiac arrest occurs at a rate of approximately 7 per 10000 noncardiac
surgeries (2). From a qualitative ... Show more content on Helpwriting.net ...
I plan to have 4 patients per Registered Nurse, one Unlicensed Assistive Personnel, one secretary, two Licensed Vocational Nurses, two Registered
Nurses, and me as Charge Nurse/Manager.
Review of literature.
1.The first article I found was "Cardiac Arrest in Ambulatory Surgery: The Management Perspective." In this article the author Joan A. Ubele explains
who a small medical surgical unit have to be designed to tackle the problem of cardiac arrests after ambulatory surgery. In my plan I will include her
recommendations.
2.The second article I found was "Intraoperative Cardiac Arrest in Adults Undergoing Noncardiac Surgery: Incidence, Risk Factors and Survival
Outcome." This article was very useful to me because it allowed me see the problem from a quantitative and qualitative point of view.
3.The third article I found talks about the prediction of Perioperative Cardiac Complications and Mortality using the Revised Cardiac Risk Index
(RCRI). The RCRI discriminated well between patients at low versus high risk for cardiac events after mixed non cardiac surgery, but did not do well
at predicting deathly outcomes derived from cardiac arrest. I need something that helps to predict deathly outcomes, because I stated at the beginning of
the paper my problem in reality is not the incidence of cardiac arrests, the main problem is the mortality. Therefore, I need to find something better, and
fortunately I found it in

Cardiac Arrest
Getting Children Certified in CPR Cardiac arrest is one of the leading causes of death in adults each year, and 92% of cardiac arrest patients fail to
survive. These people that fall victim to cardiac arrest fail to survive because parents, children, co workers, fellow students, and other people you
associate with everyday lack the knowledge that it takes to give the victim the simple two step process of CPR. Learning CPR is easy to
comprehend, and does not take a lot of time to learn the and master the steps of CPR. Getting the knowledge of how CPR works and learning how to
effectively perform it is something we should be teaching students as early as we possibly can. A time where the students are ready and willing to
learn about the importance... Show more content on Helpwriting.net ...
After somebody goes into cardiac arrest, you must call EMS services. This is a very serious thing and the life of the patient is at risk. But if you have
to wait for emergency medical technicians to arrive to start cardiopulmonary resuscitation, chances are you have waited too long to save your patient.
Cardiac arrest is a very time sensitive thing and if not treated for immediately, it could very well mean death for your patient. This is why quick and
effective bystander CPR is so important. The faster someone can get the patient started on CPR compressions and get an AED on the patient, it
will also give the automatic external defibrillator (AED) more time to send the electric shock to your heart and have it be more effective than if
somebody would have started the process of CPR later. Although the death of some people who go into cardiac arrest is inevitable, many more
lives could saved by if more bystanders knew how to perform CPR. In the article Inotropic Therapies in Asphyxiated Neonates: The Clinical and
Laboratory Facts, Chloe Joynt says, "If bystander CPR is not provided, a sudden cardiac arrest victim's chance of survival fall seven percent to ten
percent for every minute of delay until defibrillation. Few attempts at resuscitation are successful if CPR and defibrillation are not provided within
minutes of collapse.". If more people knew the signs and symptoms of cardiac arrest, more lives could be preserved. Also, it is very important that
CPR is given effectively. If bystander CPR is given immediately and effectively, it can double the victim's chance of survival. Most people get the
idea of how CPR works and the basic motions of it, but you also must know the correct timing and techniques that come with performing this skill.
CPR is not as helpful if you don't take a class to understand what you are supposed to be doing to the patient, and how what you are doing

Hypothermia Treatment Of Cardiac Arrest
Hypothermia for Cardiac Arrest
Introduction
Survivors of cardiac arrest often suffer from neurological damage when oxygen to the brain is depleted. This ischemia to the brain can cause lesions
or damaged areas; which can effect any part of the body that is controlled by that portion of the brain. Decreasing the body temperature of a patient has
shown to be effective in decreasing the amount of damage to the brain. Therapeutic hypothermia may be a reasonable treatment for patients following
cardiac arrest due to its ability to decrease the impact of ischemia; reducing the number of lesions to the brain and possibly reducing the patient
mortality rate. This paper will discuss the benefits, risks, and Mercy Hospital 's protocol for using therapeutic hypothermia following a cardiac arrest.
Article Summary One In the first article, "Caring for Patients Receiving Therapeutic Hypothermia Post Cardiac Arrest in the Intensive Care Unit",
Gardner and MacDonald state that decreasing the body temperature of a patient to 32В° to 34В° has shown improved outcomes during trials. This
treatment is intended for "patients who present with non–perfusing ventricular tachycardia or ventricular fibrillation, are resuscitated to hemodynamic
stability, and remain unresponsive" (Gardner & MacDonald, p. 15). The article states that brain injury occurs when there is a loss of oxygen carrying
blood flow to the brain. This damage starts at the cellular level and leads to neurological dysfunction.

Cardiac Arrest Persuasive Speech
TED TALK Just close your eyes for a second for me, and imagine this... Imagine one of your loved ones (young or old), a person that means the
absolute most to you, walking in the middle of a shopping centre, or even playing hide and seek at 4–year–old birthday party. Now imagine them
collapsing onto the ground, unconscious not breathing. Their lifeless body lying there, slowly decaying. Let me ask you this, would you know what to
do in this situation? Sadly, the answer in this circumstance, is that out of all the people in this room statistically showing, only about 1 person 2 if
lucky that would be qualified to administer CPR. However, in most unfortunate situations there would be no one. Could you imagine in this
circumstance, the horrific... Show more content on Helpwriting.net ...
I'm a qualified life saver and hold both my bronze medallion and senior first aid certificate. And today I'm here to talk about why I believe more
people should learn how to do CPR, whether you're young or old. So, that hopefully in the coming future we can lift the survival rate of cardiac
arrest in Australia. You guys might ask what cardiac arrest or CPR is, so I will give you a bit of an insight to what they are. Cardiac arrest is a
disorder where the heart suddenly stops beating, which stops the blood flow around the body to the vital organs such as the brain. In this
circumstance, CPR if provided immediately at a scene, can be a lifesaving technique. Cardiopulmonary resuscitation (CPR) is a means to preserve
someone's life by maintaining their airways, breathing and circulation while professional help is along the way. And cardiac arrest can occur to
anyone, anywhere, anytime. 30,000 people pass away each year in Australia from cardiac arrest. And due to the lack of people knowing how to
perform CPR properly, sadly there aren't many lucky people who survive. Knowing CPR properly can mean the difference between life and death for
people who are suffering cardiac arrest in most situations. Just one easy procedure that isn't taught to enough people. And considering how simple it is
to learn CPR, why shouldn't you go and learn how to do

Stress And Heart Stress
Sometimes physical stress can contribute to having a heart attack. Doing intense physical activity will make the hormone adrenaline is released
during intense physical activity. There is also very low blood levels of potassium or magnesium, major blood loss, and lack of oxygen. Also the
tendency to have arrhythmias run in some families and is passed through genes. An example of this is long QT syndrome, which is a disorder of the
heart's electrical activity. The problems with tiny pores on the surface of heart muscle cells cause the disorder. Some people choose to drink too much
alcohol or smoke cigarettes to "control" their stress, but these habits can increase blood pressure and damage artery walls. And your body's response to
stress may be a headache, back strain, or stomach pains. Stress can also strip your energy, mess up your sleep and make you feel cranky, forgetful
and out of control. A stressful situation will set off a chain of events. Your body releases adrenaline, a hormone that temporarily causes your
breathing and heart rate to speed up and your blood pressure to rise. When stress is constant, your body remains in high gear off and on for days or
weeks at a time. Although the link between stress and heart disease isn't clear, chronic stress may cause some people to drink too much alcohol which
will increase your blood pressure and damage the artery walls.
There are certain people are at certain risk for sudden cardiac arrest. The risk factor increases

Disparities In Cardiac Arrest
The lack or delay in appropriate treatment for individuals who experience a sudden cardiac arrest has created a major public health disparity. Research
into pre–hospital treatment and subsequent implementation has historically seen neglect by the medical and scientific community creating vast
differences in survivability of cardiac arrests between demographic groups. In 2010, the American Heart Association and Emergency Cardiovascular
Care program developed the 2020 impact goal to reduce death from cardiovascular disease and stroke by 20% and double out–of–hospital cardiac arrest
(OHCA) survival rates (http://circ.ahajournals.org/content/121/4/586#sec–1). This has prompted a massive influx of research into the disparities that
exist and an ... Show more content on Helpwriting.net ...
Due to numerous etiologies that will lead to cardiac arrest there is a potential for variable mortality reporting and therefore it is conceivable this
number is misrepresented. A more accurate estimation of the burden of cardiac arrests can be elucidated from ROC data where the incidence of
EMS–treated OHCA was found to be 73.0 individuals per 100,000 population (95% CI, 71.2–74.7) for adults and 7.3 per 100,000 population (95% CI,
6.3–8.3) for children <18 years old (heart disease and stroke). As compared to an overall incidence rate, individuals who have received treatment by
EMS have the most potential for survival as this excludes arrest events where signs of obvious death were present, or a DNR was in place. An
Oregon–based study extrapolated a national risk–adjusted incidence of sudden cardiac death, due to a cardiac etiology to be 60 per 100,000 population
(95% CI, 54–66) with a premature death burden for men of 2.04 million (95% CI, 1.86 – 2.23 million) and women 1.29 million years of potential life
lost (95% CI, 1.13 – 1.45 million). (https://www.ncbi.nlm.nih.gov/pubmed/24610738). The CARES data report from 2005–2010 provides insight into
the demographics of OHCA due to cardiac etiologies and their survival rates (see table 1). Mean socioeconomic status of the region was found to be a
significant indicator of increased incidence of sudden cardiac arrest, with a two– to fourfold greater incidence in regions in the lowest economic
quartile compared to the highest quartile in the US among people less than 65 years old (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193117/).
The previous studies do not allow for a complete representation of the mortality that results from cardiac arrest due to selective populations studied.
There is a clear necessity for

Personal Narrative: Cardiac Arrest
Reaching across the center console of my car, I imagined the commute that I had into school. My 1992 Jeep Cherokee courageously braved the
snowstorm of the year, with only one functional windshield wiper and a forlorn four wheel drive system. As I turned onto the Merritt Parkway, a
Honda Civic swerved past me and proceeded to weave in and out of the afternoon traffic. Fast–forward sixty seconds and that Honda was now engulfed
by the powder white trees which bound the highway. Instinctively, I pulled up behind the crash site, dialing 911 as I ran over to the mangled wreck. I
peered into the car, my pupils the size of marbles, and the driver seemed uninjured; regardless, I proceeded to reassure the driver that Emergency
Medical Technician's/Paramedic's... Show more content on Helpwriting.net ...
Pulling off the ramp, we turned onto Church Hill Road responding on a priority one for the cardiac arrest. I tried to review my field guide en–route to
the call, but all I could see were flashing lights reflecting off the guide's pages and crowds of cars moving over for our wailing sirens. Within three
minutes we had arrived on–scene and it was clear that our patient was not in cardiac arrest; however, his 12–Lead EKG and oxygen saturation were
marginally reassuring and pointed to an active heart attack. At this point in my EMS training I was a BLS provider, but had adequate knowledge
to assist Kathy. Instinctively, I went right to work and loved every second of it. The concept of formulating a differential diagnosis in the field and
testing that theory is one of the principle factors that kept drawing my back to EMS. In addition, I developed an unparalleled appetite for
knowledge, stemming from my desire to get every differential diagnoses right. Coming to this realization early in my EMS career, we [healthcare
providers] frequently forget that patients often lack the medical knowledge provided to us through years of training. Behind CT Scans and MRIs are
patients with questions. Having the ability to provide compassion, sympathy and reassurance to a patient is a central part to their recovery and
survival; therefore, we [healthcare providers] need to be able to care for our patients on a holistic level, focusing less on the disease and more on the

Sudden cardiac arrest
Sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops beating. When this happens blood stops flowing to the brain
and other vital organs. Arrhythmias can cause SCA. An arrhythmia is an irregular heartbeat and what causes an arrhythmia is when the electrical
system that controls the rate and rhythm of the heart isn't functioning properly. During an arrhythmia the heart can beat too fast too slow or an irregular
rhythm. Some arrhythmias can cause the heart to stop pumping blood to the body which causes SCA. Some people think that SCA is the same as a
heart attack, but a heart attack happens if the blood flow to part of the heart muscle is blocked. During a heart attack the heart doesn't usually
suddenly stopped beating, however SCA can happen after or during recovery from a heart attack. People who have heart disease are at a higher risk
for SCA however it still possible for people who appear to be healthy and have no known heart disease to have SCA. Most people who have SCA do
die from it within minutes. Fast treatment of SCA with a defibrillator can sometimes help. Ventricular fibrillation causes most SCA. Ventricular
fibrillation is another type of arrhythmia. During ventricular fibrillation the heart's lower ... Show more content on Helpwriting.net ...
Doctors rarely diagnose SCA with medical test as it is happening. SCA is often diagnosed after it happened. Doctors do this by ruling out other
causes of a person sudden collapse. Doctors do use several tests to help detect what puts a person at risk for SCA. A few tests doctors use are EKG,
cardiac MRI, blood tests and more. EKG's test the rhythm and records the heart electric activity. This test shows the rhythm of the heart. Cardiac MRI
test are taken to show how well your heart is pumping blood. Blood tests are even used to check levels of potassium and other chemicals in your
blood. These chemicals can play an important role in your heart's electrical

Cardiac Arrest Analysis
Approximately three hundred thousand cardiac arrests occur annually in the United States, making it one of the leading causes of death nationally
(1). Pulseless electrical activity (PEA) is one of the most common forms of cardiac arrest and is generally associated with poor patient outcomes. It
has been widely theorized that a focused cardiac ultrasound exam (FoCUS) can play both a diagnostic and a prognostic role during PEA cardiac
arrest; however, it has not been adequately studied to–date. This paper explores the theory and current evidence supporting the utilization of a FoCUS
exam during cardiac arrest presenting with PEA in order to recognize its potential role in resuscitative guidelines. Defining Pulseless Electrical Activity
Cardiac

Abstract:– The largest cause of natural death in the world is Sudden Cardiac Arrest (SCD) i.e. unexpected death caused by loss of heart function.
There does not exist any technology that can monitor, analyze, predict and send warning/emergency messages before an heart attack strikes. This
project is aimed at defeating heart attack from victimizing people unexpectedly, through the use of the latest cutting edge technologies. A pill as big
as a grain of sand is embedded with an ingestible microchip that is encapsulated with a plastic test strip that is coated with a chemical called Glucose
Oxidase. It has two metal electrodes and is powered by the gastro–intestinal acids present in the stomach. Hence the pill is electrically powered. A
person

Cardiac arrest is another type of heart disease that may occur by a heart attack. It is the abrupt loss of heart function in a person who may or may not
have diagnosed a heart disease. The time for it is unexpected and instantly occurs. The term heart attack is not the same as cardiac arrest. Cardiac arrest
is caused when the heart's electrical system malfunctions. This results in when the heart suddenly stops working.
Congestive heart failure is a fluid buildup in the lungs, live, gastrointestinal tract, and the limbs. It is a serious condition that occurs when a heart
cannot pump enough blood to meet the body's needs. The heart has not stopped working, but the muscle is not strong enough to pump enough blood.
Majority of these cases are chronic conditions. The only cure for heart failure is a transplant. It is usually managed with medications, but must be
closely monitored.
Risk ... Show more content on Helpwriting.net ...
Heart disease is more prominent in African American women being the number one killer. African American women are less likely to be aware of
the education of heart disease than white women. Heart disease kills nearly 50,000 African American women annually. From ages 20 and older,
about 49 percent of women have heart disease. Less than half of the women know that heart disease is a health risk, but more than 52 percent are
aware of the signs and symptoms. However, men are at great risk for heart disease as well because about 44 percent of black men have heart disease.
African American men are at a 70 percent higher risk than white men. Early onset of heart disease means premature death, earlier disability, and higher
hospitalization cost. African Americans are among the highest in the world with high blood pressure. They develop high blood pressure earlier on in
life because of eating habits and high rates of obesity. But, why is it targeting African

Cardiac Arrest And Cardiac Death
Sudden cardiac arrest is a condition in which the heart suddenly and unexpectedly stops beating. When this occurs the blood flow stops to the brain
and vital organs. Sudden cardiac arrest is not the same as a heart attack or myocardial infarction. A heart attack is when the blood flow to part of the
heart is blocked.(ADD MORE)
Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. " Cardiac arrest and sudden death account for 60
percent of all deaths from coronary artery disease",(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229) [Click and drag to move] There are several
causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. "During ventricular fibrillation, the ventricles do not beat normally. Instead
they quiver rapidly and irregularly." When this occurs, the heart pumps very little and blood does not get circulated throughout the body. " Most of the
cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest
are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. "Four rhythms produce pulseless cardiac
arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole."("Circulation ," 2005, p. IV–58)Other signs and
symptoms that could occur prior to sudden cardiac arrest, include fatigue, fainting, blackouts, dizziness,

Cardiac Arrest Essay
The process of resuscitating a patient after cardiac arrest depend on what type of dysthymia they are presenting with. The first action that the nurse
should take is check for the patients' consciousness. If the patient is unresponsive and the nurse cannot feel a pulse, usually the carotid pulse, the nurse
should initiate a code without leaving the patients side. After initiating the code the nurse should start compressions. Compressions are a one–person
job until additional help arrives. Once additional help arrives that person should manage the patients airway by performing a head–tilt or chin–lift
maneuver to use the bag–mask device to administer 100% O2, (15 L O2 ). When we use the bag–mask device we want to make sure that it is covering
the patients nose and mouth to ensure proper... Show more content on Helpwriting.net ...
If there is enough people to participate in the code two people can oxygenate the patient, one can hold the mask in place while the other provides the
breaths. To defibrillate a patient two pads are placed in the patient. One of the pads is placed left side under the nipple and the other above the patients'
right nipple. If the patient is in v–fib or pulseless v–tach the patient should be defibrillated as soon as possible at around 120–200 joules. Before the
patient is shock we want to make sure that everyone is clear by saying, " I'm clear, your clear, we are all clear shocking in 3,2,1. Shocked deliver!)
Also we want to remove the bag–mask away from the patient and place it by the way every time the patient is shock to prevent explosions. Every two
minutes the person giving compressions should be switched. After shocking the patient we can administer medications, but first we want to make sure
that the patient has an IV or I/O access. The medication that we can administer first is 1mg of epinephrine followed by 20cc of normal saline or sterile
water. Throughout this the patient is still receiving high quality compressions. The recorder makes sure that the patients' heart

Cardiac Arrest : A Huge Problem For The American Public
Cardiac arrest is a huge problem for the American public. According to the American heart association cardiac arrest kills around 200,000 to 300,000
people each year. There are numerous studies on ways to increase the survival rates and overall outcomes of these patients. Therapeutic hypothermia is
one of the new and upcoming studies for post cardiac arrest care. It is used in various EMS agencies worldwide. It has shown significant improvements
in patient's outcome and reduced neurological deficits. There are specific indications for when therapeutic hypothermia can be used. Once indicated
there are three phases involved which include induction, maintenance, and rewarming. Each phase is critical for successful treatment of the patient. ...
Show more content on Helpwriting.net ...
When the decision is made to use therapeutic hypothermia it is key to verify the patient meets the specific criteria for use. According to the American
heart association the patient must be hemodynamically stable, comatose with Glasgow motor score of less than 6, have an arrest time of less than 60
minutes, among others. This criteria is imperative to achieve the greatest possible outcome for your patient. Conversely if the patient shows
uncontrolled bleeding, is septic, or has uncontrollable dysrhythmias this procedure can have various harmful effects on the body. In general,
hypothermia is usually well tolerated by the patient. According to neurologist Dr. Edgar Samaniego complications may include: 1) cardiac:
arrhythmias, bradycardia, reduced ventricular contractility, and hypotension; 2) immunological: immunosuppression; 3) hematologic:
thrombocytopenia and mild coagulopathy; 4) metabolic: shivering, hyperglycemia, hypokalemia, ileum, and cold–induced diuresis. The most common
complication is pneumonia, followed by asymptomatic bradycardia. These complications can be minimized by proper use of this procedure as well as
continuous monitoring.
Therapeutic hypothermia occurs in three phases, which include induction, maintenance, and rewarming. This process must be controlled to prevent and
or control adverse reactions like arrhythmias, skin break down, and electrolyte imbalances. Maintaining the target body temperature is crucial

Improving Pre Hospital Resuscitation
Running Head: Improving Pre–hospital Cardiopulmonary Resuscitation 1
Varying Methods To Improve Facets and Overall Methods of CPR Trident Technical College/ The College of Charleston
Running Head: Improving Pre–hospital Cardiopulmonary Resuscitation 2
Author Note
Austin R. Drouin, Department of Exercise Science, College of Charleston
Austin R. Drouin is currently enrolled in the EMT Basic Program, Trident Technical College.
Correspondence pertaining to this article should be addressed to Austin Drouin,EMT Basic Program,
Trident Technical College, Charleston, SC 29424
Contact: drouinar@g.cofc.edu
Varying Methods To Improve Facets and Overall Methods of CPR
Since its development in the early 1950s, CPR has become the cornerstone for cardiac arrest treatment. Incorporating a variating ratio of chest
compressions and ventilations, CPR has consistently demonstrated an improvement of outcomes when promptly and precisely administered to cardiac
arrest victims. The American Heart Association (A.H.A) provides constant guideline updates as more current, more advanced research is made
available. The most recent A.H.A update was released in 2005. At that time A.H.A introduced a new change in compression
–to–ventilation ratios,
switching from 15:2 to 30:2. This was done with the intent of increasing oxygen perfusion to starved tissues in adult victims. (1st Source) Their have
been other innovative ideas about improving CPR, of which

Sudden Cardiac Arrest Research Paper
Sudden cardiac arrest
What is cardiac arrest?
Sudden Cardiac arrest is when the heart's electrical system starts malfunctioning and beats in a useless rhythm causing the victim to become
unconscious and to stop breathing almost immediately.
Sudden Cardiac arrest is the leading cause of death in the United States, killing around 325,000 people a year.
It is also estimated that around 95 percent of victims die before being able to receive help.
Signs / symptoms
The symptoms of cardiac arrest are suddenly collapsing, losing consciousness, losing the ability to breath, and losing the pulse in your heart. Signs of
possibly having Cardiac arrest in the future include feeling chest pain, dizziness, or shortness of breath frequently.
Treatment

Informative Speech On Cardiac Arrest
Yearly, 10s of countless Americans make it through heart attack, get back to function and drink a typical life. You have every need to be confident of
a complete recovery. Your heart is healing and also with each passing day you'll get more powerful and also a lot more active.
The adhering to inquiries and also responses will assist you a lot better recognize exactly what has occurred to you and also how you get started on the
road to recovery.
Your heart muscle mass requires oxygen to make it through. Acardiac arrest occurs when the blood circulation that brings oxygen to the heart muscle
mass is significantly reduced or removed entirely (View an animation of blood circulation). Due to the fact that coronary arteries that supply the heart
muscular tissue with blood flow could gradually end up being narrow from a build–up of fat, cholesterol as well as other elements that with each other
are called cavity enducing plaque, this occurs. This sluggish procedure is referred to as atherosclerosis. When a plaque in a heart artery breaks, a
blood clot forms around the oral plaque buildup. This blood clot can obstruct the blood flow via the heart muscular tissue. When the heart muscle is
starved for oxygen and nutrients, it is called ischemia. When harm or fatality of part of the heart muscle takes place as a result of ischemia, it is
called a cardiac arrest or coronary infarction (MI). Concerning every 34 secs, somebody in the United States has a heart attack (cardiovascular disease).
... Show more content on Helpwriting.net ...
The network of broadened vessels is called collateral blood circulation as well as helps secure some people from cardiac arrest by obtaining required
blood to the heart. Collateral flow could additionally create after a heart attack to help the heart muscle

Cardiac Arrest Medical Case Scenarios
CLINICAL PRACTICE GUIDELINES and STANDARD OPERATING PROCEDURE FOR CARDIAC ARREST IN INPATIENT CARDIAC
SURGERY PATIENTS
POLICY and PROCEDURE FOR MANAGEMENT OF CARDIAC ARREST PATIENTS POST
–CARDIAC SURGERY
PURPOSE: To provide guidelines for staff caring for Inpatient Cardiac Surgery population requiring advanced life support duringcardiac arrest events.
SCOPE: All nursing personnel who have been oriented to and/or care for Cardiac Surgery population. All attending Cardiothoracic Surgery Physicians
currently practicing and providing surgical care within Brooke Army Medical Center. All Trauma Surgery Physicians currently practicing/providing
surgical care to include nightly on–call rotations.
I. POST–CARDIAC SURGERY–CARDIAC ARREST PATIENT... Show more content on Helpwriting.net ...
Staff should begin setting up for emergent resternotomy once cardiac arrest is noted. Goal is to have chest opened within 5 minutes. Please verify the
physician performing resternotomy is aware of procedure patient had done (high risk for graft detachment with retractors). Internal cardiac massage is
preferable and more efficient than external cardiac massage (should only be performed by trained physicians with two–hand technique).
g. If patient paced prior to cardiac arrest with functioning epicardial pacing wires and the rhythm shows PEA with paced rhythm, the pacing spikes may
be masking Ventricular Fibrillation. Detach pacing wires from pacemaker to assess underlying rhythm.
h. For severe bradycardia, Atropine can be given per AHA protocol.
i. Epinephrine should be witheld unless ordered by Cardiac Surgeon (Severe Hypertension with Return of Spontaneous Circulation– ROSC).
j. During external cardiac massage with intra–aortic balloon pump (IABP) in place, change trigger to "pressure." If prolonged period without cardiac
massage, change trigger to "internal" at rate of 100 BPM.
V. POST–CARDIAC SURGERY–CARDIAC ARREST GUIDELINES: Intervention– Pulseless Electrical Activity (PEA)

a. Do not delay external cardiac massage for any more than 1

Cardiac Arrests Of Children, And Opening The Reality Of...
Abstract Almost everyone who works in EMS has this one thing in common, the fear of the pediatric call. Due to those calls being few and far
between, the skills needed for a pediatric call are rarely at their best. There are also some who don't keep their pediatric skills as sharp as others,
because of the low amount of calls they might run on kids. This paper will be focusing on cardiac arrests in children, and opening the reality of how
common it is becoming. Everything from what causes it, what is the most common cause, and the unexplainable. The what's, how's and whys are all
questions that we will be expected to know. There is so much that goes into these patients, physically and mentally. Knowing these things and
understanding how to handle these situations is just as important as knowing the information for a registry test. In almost most of these incidents the
family doesn't care how much you know, they care about how much you care. Cardiac Arrests in Children We have heard it more than once, the high
school football player who has never had a health issue in his life, playing on a chilly, friday night, collapses in the middle of the game. The player
dies instantly. What was the cause, why did it happen, and how can it be prevented are all common questions that friends, family and the strangers that
share the story on facebook, are all asking. As an autopsy is finished it is concluded that the young athlete died of a heart abnormality that was never

Narrative Essay On Cardiac Arrest
60% Rough Draft Late in the fall of my sixteenth year, my heart stopped functioning and I went into cardiac arrest. One might think that a medical
phenomenon like this is next to inconceivable, but despite the improbable conditions, I was part of the 0.1%.
I was born with a rare heart condition called dextrocardia, also known as situs inversus. My heart and all of my other organs are mirrored on the
opposite side of my body, so instead of having my heart on the left side of the body like the other 99.9% of the human population, it's positioned on the
right side. Because of this, I've had health problems all my life. And with health problems comes financial problems.
My father left us when he found out how much money his three–year–old daughter was costing him between surgeries, physical therapy, and weekly
examinations. That left my mother with the burden of taking care me. She went to work, did all the housework, and never once scowled, or caused
anyone any trouble and was kind to everyone. However my aunt always hounded her for money and made excuses about why she was in need. My
mother financially supported her, doing part–time ... Show more content on Helpwriting.net ...
He had been watching the few moments I had conversing with him at the support group and hoped that I could have someone to talk to. As much as he
forced interaction between us, Toby and I grew together instantaneously. Doctor Gordon would walk in every few hours, checking in on us and acting
out of character– much like a hyper, optimistic school counselor. We spent the rest of the afternoon helping Toby settle in and playing board games
as well as doing other activities to get to know each other better. After a few hours of getting used to each other, he admitted that he requested a
room change to be closer to me. So he was hitting on me. I didn't mind. I was amused by the way he flirted. It was cute, but his charm got a hold of
me and soon enough our feelings were

Running Head : Cardiac Arrest
Running head: Cardiac Arrest
Cardiac Arrest
Dylan Noble
Utah Valley University
Captain Steve Allred
Paramedic 3110 Intro
"Each year, 326,200 people in the U.S. experience EMS–assessed out–of–hospital non–traumatic sudden cardiac arrest, and nine out of ten victims
die." (www.sca–aware.org 1) This number may seem quite low, but in the end one out of ten lives saved is still better than none.
This paper will be going over a scenario involving a real patient and what things could have been different with EMS care. It will also be covering what
exactly cardiac arrest is and what rhythms produce it. And for every cardiac rhythm in cardiac arrest, there is a specific treatment plan paramedics can
follow.
Scenario
The day started off normally. I got to the station early at 0645 and started to talk to some of the guys working. There were a couple guys I just met
that day. Then I started to get all my stuff ready for the day. I put all my gear on the ambulance and started on the daily checks for our rig. The
daily checks consist of checking the lights and sirens, fluids, and making sure all our supplies are in the compartments and in the bags. As I started
going through the monitor bag with the electrocardiogram (EKG), we get a call to a male in his 40's unresponsive and not breathing. Everyone
jumped into the rigs and we rushed off to the scene code three. We were en route to a residence to the south. When we arrived we looked for the
address but it did not

The Prevalence Of Ischemic Heart Disease

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The Prevalence Of Ischemic Heart Disease