...INTRODUCTION The incidence of out-of –hospital cardiac arrest is a common event, particularly in the Western world. There are 110,000 deaths from coronary disease in the United Kingdom each year, of which 75% are due to sudden cardiac death (Schilling et al., 1998; DoH 2005). Despite nearly 40 years of pre-hospital advance life support, the survival rate of hospital discharge following out-of-hospital cardiac arrest is very poor. Among the few survivors to hospital discharge, neurologic impairment often remains a lasting morbidity (Becker et al., 1993). A large body of evidence from animal models indicate that hyperthermia (a temperature higher than the threshold value of 37C) due to brain injury or ischemia can exacerbate the degree of permanent neurological damage following cardiac arrest. Each degree Celsius higher than 37C can cause cerebral destruction through increased metabolic expenditure, excitatory neurotransmitters resulting in calcium cellular reflux and accumulation of oxygen free radicals (Busto et al., 1987). To improve the outcome of patients who survive cardiac arrest requires not only reducing the ischemic process as quickly as possible, caused by cardiac arrest, but also preventing post resuscitation syndrome caused from reperfusion (Safar, 1993). Cerebral reperfusion after successful resuscitation can trigger harmful chemical cascades such as oxygen free radical production which can result in multifocal brain damage. Therapeutic hypothermia (TH) is considered...
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...In Pre-Hospital Cardiac Arrest Patients, How Does Hands-Only CPR Compared To Standard CPR, Affect Neurological Outcomes? Abstract Summary Out-of-hospital cardiac arrest is the leading cause of death in the U.S. Increasing bystander-initiated CPR through “hands-only” CPR and EMS dispatcher instructed “hands-only” CPR improves survival rates. Methods CINAHL, PubMed, and OvidMD were searched for the following key terms or combination thereof: “hands-only”; “compression-only”; chest compression-only”; “bystander”; “CPR”; “dispatcher”; and “neurological affect”. We initially restricted our search to peer-reviewed studies published in English between January 2004 and June 2014, but agreed by consensus to use a 2000 study located during a manual search of included study references. Results We identified nine Level II, III, and IV studies comparing “hands-only” CPR and “standard” CPR, published between 2000 and 2013, and occurring in the countries of Japan, London, Sweden and the U.S. All but one of the study results recommend that “hands-only” CPR is at least equal or superior to “standard” CPR. Conclusions Guidelines should be established to teach bystander “hands-only” CPR nationwide, to increase public awareness of the effectiveness of “hands-only” CPR and start to teach out-of-hospital “hands-only” CPR. Introduction Sudden cardiac arrest is the leading cause of death in the United States (Neumar, Barnhart, Berg, Chan, Geocadin, Luepker,… Nichol, 2011). According...
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...flow to coronary arteries that supply blood to the cardiac muscles. The lumen of blood vessels become increasingly narrower, due to a build of plaque through a process called atherosclerosis. The resulting tissue necrosis eventually leads to heart attacks, cardiac arrests, and heart failure. Moments after the patient will stop breathing and become unresponsive. Emergency maneuvers to maintain perfusion in these cardiac emergencies are key to favorable post-emergency outcomes. Out-of-hospital cardiac emergencies historically have been associated with poor post emergency health outcomes (Nichol & Kim, 2015). Initiation of the chain of survival, activation of the EMS system, use of an automated cardiac defibrillator (AED), and CPR all have been shown to improve patient outcomes (Drager, 2012; Vadeboncoeur, Richman, Darkoh, Chikani, Clark, & Bobrow, 2008). Many cardiac emergency victims look to be in...
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...the Master of Science in Health and Human Performance With concentration in Sport Administration April 2013 Abstract The purpose of this study is to determine if college athletes that are predisposed to heart defects develop a heart defect during their athletic career. The researcher will conduct a causal comparative study to prove that college athletes that are predisposed to heart defects develop one during their athletic career. The study will examine college athletes that are predisposed to heart defects and do not realize they are at risk for possible development of a heart defect during their athletic career. Knowing an athlete’s family and medical history could help prevent a great deal of possible health conditions. Athletes have a higher risk of developing a higher risk if they are predisposed. There are athletes that do not realize that they are predisposed to heart defects and that they could develop one. Table of Contents Introduction 5 Background 5 Theoretical Framework 6 Statement of the problem. 6 Research question. 6 Purpose for the study. 7 Significance 7 Limitations of the Study 7 Definitions of Terms 8 Arrhythmias 8 Athletic Career 8 Electrocardiogram 8 Hypertrophic cardiomyopathy: 8 Sudden Cardiac Death: 8 Review of Related Literature 9 What is causing the sudden death of young athletes? 9 Successful Prevention 10 Role of NCAA 11 Summary 12 Methodology 13 Design 13 Setting and Participants 13 ...
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...infarction (heart attack), a coronary artery or one of its smaller branches is suddenly blocked. The part of the heart muscle supplied by this artery loses its blood (and oxygen) supply if the vessel is blocked. This part of the heart muscle is at risk of dying unless the blockage is quickly removed. When a part of the heart muscle is damaged it is said to be infarcted. The term myocardial infarction (MI) means damaged heart muscle. If a main coronary arteries is blocked, a large part of the heart muscle is affected. If a smaller branch artery is blocked, a smaller amount of heart muscle is affected. After an MI, if part of the heart muscle has died, it is replaced by scar tissue over the next few weeks. What happens in dysrhythmias- A cardiac dysrhythmia is an abnormal heart beat: the rhythm may be irregular in its pacing or the heart rate may be low or high. Some dysrhythmias are potentially life threatening while other dysrhythmias (such as sinus arrhythmia) and normal. Tachycardia is a fast (over 100 beats per minute) heart rhythm. Tachycardias can originate in the atria or ventricles. * Dysrhythmias that originate in the atria are termed supraventricular dysrhythmias (supraventricular means above the ventricles). These...
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...improve the outcomes of sudden cardiac arrest (SCA) patients and to update the protocol for CPR. Unfortunately, we do not have a similar national or...
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...Background Hypothermia (hi-po-THUR-me-uh) is a medical emergency that occurs when your body loses heat faster than it can produce heat, causing a dangerously low body temperature. The term “hypo” refers to less, and “thermia” refers to temperature. Normally, the core body temperature is 98.6 degrees F. Hypothermia occurs as your body temperature passes below 95 F (35 C). When your body temperature drops, your heart, nervous system and other organs cannot work correctly. Left untreated, hypothermia can eventually lead to severe heart and respiratory failure, and in some cases, death. Hypothermia is most often caused by long term exposure to cold weather or or and unexpected immersion into in the face of a cold stressor. Hypothermia, though, is not always the result of exposure to extremely cold outdoor temperatures. History Hypothermia has been applied therapeutically since antiquity. The Greek physician Hippocrates, the namesake of the Hippocratic Oath and arguably the world’s first modern doctor, advocated the packing of wounded soldiers in snow and ice.[3] Napoleonic surgeon, Baron Dominque Larrey recorded that officers who were kept closer to the fire survived less often than the minimally pampered infantrymen using snow and ice.[3] In modern times the first medical article concerning hypothermia was published in 1945.[3] This article focused on the effects of hypothermia on patients suffering from severe head injury. In the 1950s hypothermia established its first medical...
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...diomyopathy Topic presentation on Cardiomyopathy Topic presentation on Cardiomyopathy INDEX S.N | CONTENT | PG.NO | 1 | Introduction | 5 | 2 | Definition Cardiomyopathy | 5 | 3 | Classification | 6 | 4 | Risk Factors | 7 | 5 | Clinical Manifestations | 7 | 6 | Diagnostic Evaluation | 7-9 | 7 | Dilated CardiomyopathyDefinition,Charecteristics,Types , Causes,Diagnostic Evaluation,Pathophysiology,Clinical Manifestations,Medical Management | 10-17 | 8 | Hypertrophic CardiomyopathyIncidence,Causes,Charecteristics,Clinical Manifestations,Medical And Nursing Management | 18-21 | 9 | Restrictive Cardiomyopathy-Other Names,Causes,Pathophysiology,Clinical Manifestations,Diagnostic Evaluation,Medical Management | 23-26 | 10 | Surgical management | 27-32 | 11 | Prevention | | 12 | Nursing Management,Home Care Management | 32-40 | 13 | Complications | 40-42 | 14 | Conclusion | 42 | 15 | Research Abstract | 42-43 | 16 | References | 44 | GENERAL OBJECTIVE: On completion of the course the students aquires indepth knowledge regarding cardiomyopathy and able to apply this knowledge with a positive attitude. SPECIFIC OBJECTIVE: On completion of the course the students are able to ...
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...ingredients: algae Nuri, different vegetables and rice. So the proportion of fish in sushi is very low, and even if eat a few rolls every day, it can’t be more than 150 grams of fish a week. And according to medical standards, the maximum allowable amount of consumption of oily fish - about 600 grams per week. Myth Two: The sushi contains a lot of salt, which is dangerous for the kidneys. Indeed, soy sauce, which served to sushi, very salty, and it is better not to abuse it. Two tablespoons of soy sauce contains about 1 gram of salt. This amount is more than enough, because daily standart of salt -6 grams for an adult. So, eating sushi, lean on ginger and use sauce economically. Myth Three: people get fat from rice. But this can only be the case if eat it in incredible quantities. This is true not only for sushi. You need to know when to stop eating and then the fullness does not threaten you. Also do not forget that part of sushi is soy vinegar, which speeds up the metabolism. Because land is not only possible but also need to eat, this is a great healthy food to maintain a healthy lifestyle. Only...
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...Case Study 5—Coronary Artery Disease It is midmorning on the cardiac unit where you work, and you are getting a new patient. G.P., a 60- year-old retired businessman, is married and has 3 grown children. As you take his health history, he tells you that he began feeling changes in his heart rhythm about 10 days ago. He has hypertension and a 5-year history of angina pectoris. During the past week he has had more frequent episodes of midchest discomfort. The chest pain has awakened him from sleep but does respond to NTG, which he has taken sublingually about 8 to 10 times over the past week. During the week he has also experienced increased fatigue. He states, “I just feel crappy all the time anymore.” A cardiac catheterization done several years ago revealed 50% occlusion of the right coronary artery (RCA) and 50% occlusion of the left anterior descending (LAD) coronary artery. He tells you that both his mother and father had CAD. He is taking amlodipine, metoprolol, lipitor, and baby ASA qd. Setting: Hospital, outpatient cardiac rehabilitation Index Words: coronary artery disease (CAD), hypertension, angina, lifestyle modification, medications, laboratory values, assessment, risk factors, pacemaker 1. What other information are you going to ask about his episodes of chest pain? [k] Use the following memory aid to obtain information from the patient who has chest pain. FACTOR QUESTIONS TO ASK PATIENT P Precipitating events What events or activities precipitated...
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...First Aid/CPR/AED PARTICIPANT’S MANUAL American Red Cross First Aid/CPR/AED PARTICIPANT’S MANUAL This participant’s manual is part of the American Red Cross First Aid/CPR/AED program. By itself, it does not constitute complete and comprehensive training. Visit redcross.org to learn more about this program. The emergency care procedures outlined in this book reflect the standard of knowledge and accepted emergency practices in the United States at the time this book was published. It is the reader’s responsibility to stay informed of changes in emergency care procedures. PLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE AGREEING TO ACCESS AND DOWNLOAD THE AMERICAN RED CROSS MATERIALS. BY DOWNLOADING THE MATERIALS, YOU HEREBY AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. The downloadable electronic materials, including all content, graphics, images and logos, are copyrighted by and the exclusive property of The American National Red Cross (“Red Cross”). Unless otherwise indicated in writing by the Red Cross, the Red Cross grants you (“recipient”) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions: ■ The recipient is prohibited from selling electronic versions of the materials. ■ The recipient is prohibited from revising, altering, adapting or modifying the materials. ■ The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials...
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...Sudden Infant Death Syndrome Sudden Infant Death Syndrome Sudden Infant Death Syndrome (SIDS) is defined as “an unspecified medical entity: the sudden and unexpected death of a reasonably healthy child, whose passing away remains uncertain following the performance of an adequate assessment of medical history, autopsy, and death scene examination”(Valdes-Dapena,1979). SIDS is one of the predominately-unsolved problems of infancy. The number of infants who die each year of SIDS is greater than the number of children who die of pneumonia, child abuse, AIDS, cancer, heart disease, cystic fibrosis, and muscular dystrophy combined (Mayo Foundation for Medical Education and Research, 2007). Even though SIDS is not predictable or 100% preventable, there are prevention tips, guidance, and support for those that have been affected by this tragedy. The tragic loss of a child to SIDS weighs heavily on the minds of all parents. One thought that offers a little comfort to parents who have suffered such a loss is that there appears to be no suffering. In most SIDS cases, death occurs rapidly and during sleep. According to the National Center for Health Statistics (NCHS), “SIDS is the prevalent cause of death during the first year of life with a rate of roughly two per every thousand births.” SIDS could possibly have more than one cause, though the final process appears to be associated in the majority of cases. Though it is unknown what causes SIDS, it is known...
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...Contents: Topic Page Number Glossary Of Terms 1 Introduction 2 Aspect Of Care 3 The DNACPR Policy 4 Ethics 7 Patients Consent 9 Withholding Information 14 Informed Choice 17 Forcing Information Upon Patients 20 The Nurses Role 22 Conclusion 25 References 26 Appendix 27 Glossary of terms CPR: Cardiopulmonary Resuscitation. DNACPR: Do Not Attempt Cardiopulmonary Resuscitation. NMC: Nursing & Midwifery Council. GMC: General Medical Council. BMA: British Medical Association. GP: General Practitioner Introduction The Aim of this module is to encourage me to enhance my personal and professional skills, to increase the efficacy of patient care and interaction. Also to make me more aware of the legal, professional and ethical implications of practice. The module allowed me to further develop my knowledge of these topics: Ethics & Accountability, Legal Aspects of Practice, finally Accountability & Professional Practice. I was then asked to submit an essay of 4500 words based on the following: “Critically analyse an aspect of care from your practice setting that encompasses the ethical, professional & legal role of the nurse. Issues of accountability should be incorporated into this essay”. Aspect of care The aspect of care I have chosen to include in my essay is the “Do Not Attempt Cardiopulmonary Resuscitation (DNACPR)” Adult Policy...
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...Case Study for Final Exam Myasthenia gravis is a chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body. The name myasthenia gravis, which is Latin and Greek in origin, literally means "grave muscle weakness." With current therapies, however, most cases of myasthenia gravis are not as "grave" as the name implies. In fact, for the majority of individuals with myasthenia gravis, life expectancy is not lessened by the disorder. The hallmark of myasthenia gravis is muscle weakness that increases during periods of activity and improves after periods of rest. Certain muscles such as those that control eye and eyelid movement, facial expression, chewing, talking, and swallowing are often, but not always, involved in the disorder. The muscles that control breathing and neck and limb movements may also be affected. Myasthenia gravis is caused by a defect in the transmission of nerve impulses to muscles. It occurs when normal communication between the nerve and muscle is interrupted at the neuromuscular junction - the place where nerve cells connect with the muscles they control. Normally when impulses travel down the nerve, the nerve endings release a neurotransmitter substance called acetylcholine. Acetylcholine travels through the neuromuscular junction and binds to acetylcholine receptors which are activated and generate a muscle contraction. ...
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...Many physicians across North America hesitate to prescribe medical marijuana to their adult patients out of fear, why would they even start considering prescribing it to children . This fear mainly originates from the fact that as medical students in medical school, doctors learn absolutely nothing about prescribing it, therefor, cannot knowledgeably advise patients on dosage and side effects of this medication. This is quite sad considering how much benefits can come from medical marijuana, especially in paediatric care, as it useful, safe and in some cases lifesaving. The stereotype associated with "weed" forces doctors to second guess the benefits that may come from it. The fact that it is considered a Schedule 1 drug in United States and a Schedule 2 drug in Canada according to the Controlled Substance Act makes it almost impossible to conduct effective research. Medical Marijuana is a very broad acting and universally useful medicine, if used appropriately like any medication prescribed that has been put on the market out by the pharmaceutical companies. If you look at medical history, marijuana was one of the main components of medicine in the 19th century, dealing with a variety of ailments, any where loss of appetite to diarrhoea to mental illness, (Schaffer Library, 1). Unfortunately the modern day medicine industry has been brainwashed into the belief that we constantly need to innovate and make money from treatment, and consequently these "innovations" are rewarded...
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