Introduction
Basic life support (BLS) is a skill that many people in the community are lacking. Nearly 400,000 out-of-hospital cardiac arrests occur annually in the United States (American Heart Association, 2012), and of this 89% of the people die because they did not receive immediate CPR by a bystander (American Heart Association, 2012).
In communities throughout Contra Costa County in the state of California, several cities have experienced tragedies of teens that have died due to sudden cardiac death and lack of cardiopulmonary resuscitation (CPR) or defibrillator use. In December 2009, a 15 year-old Dairus Jones from Pittsburgh High School died after going into sudden cardiac arrest on the basketball court (Darius Jones Foundation, 2011) and in January 2010, 15-year-old Calvary Christian Academy student Joshua Ellison, of El Sobrante, died after collapsing at a basketball game (Contra Costa Times, 2010).
Problem
Despite the fact that from May 2009 - February 2010, in Contra Costa County alone, there were 9 sudden cardiac arrests experienced by children and youth, there is no standard curriculum in place at school for youth and their parents to learn lifesaving CPR skills. The youngest was 10 years of age and the oldest was 17, which resulted in 4 deaths and 5 saved lives (Darius Jones Foundation, 2011). In each case, there was a direct correlation between bystander use of cardio-pulmonary resuscitation (CPR) and those children who survived.
The American Heart Association gives sufficient evidence for the need of change by acknowledging that sudden cardiac arrest is a leading cause of death (2012). These fatalities affect both adult and child victims. Statistics also show that 70% of people feel helpless during a cardia...
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...ng cause of death. In Contra Costa County from 2009-2010, 9 sudden cardiac arrest occurred in children. The survival rates and deaths of the youth were a direct correlation of CPR use. Several factors are related to a bystander unwillingness to perform CPR on victims. These factors contribute to 89% of victims dying.
The proposed change project will introduce CPR training to the schools of Contra Costa County. By educating faculty, students, and parents about the benefits of performing CPR and providing basic CPR training tools, the 70% of people who feel helpless during a cardiac emergency will decrease. Using social media tools, like YouTube, allows a larger population to receive education. Overall, by allowing the project into schools, the number of people who are fearful and or unwilling to perform CPR will increase and thereby improve the chances of survival.
...sk of sudden cardiac deaths to athletes there. Screening those athletes undergo is very expensive and I do not think it is the way for the United States to handle the sudden increase of sudden cardiac arrests leading to death. One thing that I think that the United States can look into is having a defibrillator on site of any athletic activity. A defibrillator can be used when someone undergoes a sudden cardiac arrest. The defibrillator
Hammer, L., Vitrat, F., Savary, D., Debaty, G., Santre, C., Durand, M., et al. (2009). Immediate prehospital hypothermia protocol in comatose survivors of out-of-hospital cardiac arrest. American Journal of Emergency Medicine, 27(5), 570-573.
Yes, the standard of care changes depending on the defendant involved. Our GCU textbook states, “a stranger is not legally required to assist, unless the stranger caused the incident in most instances, the parent might well be expected to do so in the eyes of the law and the lifeguard is obligated to do so.” In other words, you are not obligated to help out even if it’s the correct thing to do. However, if you’re involved in causing the incident then you are obligated.
The idea of family presence during resuscitation is not a new concept, but it still remains controversial with no widespread implementations through out the medical community. A family presence during resuscitation is becoming more popular with healthcare providers but still is not accepted by all healthcare providers. The risk and benefits are often debated when deciding if the family should be present. Despite the few negative outcomes associated with family witnessed resuscitation, they are outweighed by the positive outcomes. Family
Early heart attack deaths can be avoided if a bystander starts CPR (cardiopulmonary resuscitation) within five minutes of the onset of ventricular fibrillation.
In addition, those potentially nearing the end of their life may be asked a DNR, or “Do Not Resuscitate,” Order. This states that in a life-threatening emergency where one is facing possible death, no actions shall be done try and “resuscitate” the individual in an attempt to restore life to the person. However, if a DNR Order is not filled out, actions including CPR, or cardiopulmonary resuscitation, mechanical ventilation, h...
The term “failure to rescue” refers to a clinical scenario where hospital doctors, nurses, or caregivers fail to recognize symptoms. Responders do not respond adequately to clinical signs that would prevent harm (Morse, 2008, p.2). Dr. Jeffery H. Silber, Director of the Center for Health Outcomes and Policy Research, first coined the term “failure to rescue” in the 1990’s. He characterized the matrix of institutional and individual errors that contribute to patient deaths as “failure to rescue” (Aleccia, 2008). Since 1990, it has been well documented patients usually exhibit signs and symptoms of impending cardiac or respiratory arrest 6-8 hours before an arrest (Schein, Hazday, Pena, Ruben, & Spring, 1990). Buist, Bernard, Nguyen, Moore, and Anderson’s (2004) research reported similar findings. They found patients had documented clinically abnormal signs and symptom prior to arrest (Buist, et al., 2004). When certain abnormal signs and symptoms are identified early, critical bedside consultat...
CPR is (cardiopulmonary resuscitation). This procedure is used to restore blood circulation and breathing in a person who is in cardiac arrest. All the cells in a human body require oxygen to survive, they also require a good supply of nutrients and removal of all waste products. In your lungs oxygen enters your blood and carbon dioxide is removed, this process is called gas exchange. Cardiac arrest is when your heart completely stops beating. Although your heart stops, this is not the same as a heart attack . a heart attack may lead to cardiac arrest. There are many causes that can put you in a state of cardiac arrest like, drugs, poising and over – dosing on medications, traumatic injury such as a motor vehicle accidents of any kind or any significant amount of blood loss and also anaphylaxis (and allergic reaction to anything) can also lead to cardiac arrest. If any of these happen blood will stop circulating throughout the body. Breathing begins to decrease most of the time you stop breathing for several minutes. The purpose of CPR is to keep oxygen in the blood so it can continue to flow, throughout the body to keep the vital organs alive. CPR will not restart someone’s heart, it just keeps the blood flow circulating until official help arrives , once you come across someone that isn’t breathing you should first see if the scene is clear before you go to help the person( always remember DR ABC always make sure you are not in any DANGER check for a RESPONSE from the person you’re doing CPR on shake them gently . make sure the AIRWAY is clear by kneeling by the persons head and tilting there head backwards . check if the person is BREATHING by placing your ear above their mouth and looking at their chest for normal breathin...
Most AEDs are designed to be used by nonmedical personnel such as police, firefighters, flight attendants, security guards, and other lay rescuers who have been properly trained. Having more people in the community who can respond to a medical emergency by providing defibrillation will greatly increase sudden cardiac arrest survival rates.
With the establishment of the DNR order, withholding CPR from an individual has reformed into standing as “ethically appropriate if the anticipated benefit outweighs the harm. However, since then, the literal meaning of DNR has not been clear, thus causing confusion that remains problematic in clinical practice” (Yen-Yuan 4). With the renovation of the DNR order, people and health care providers have worked to progress defining what the DNR order stands for along with people gaining autonomy in their choice of death. Additionally, associations and activists keep pushing forward in the refinement of the DNR order: “there has been increasing focus on promoting quality of care for the dying [. . .] However, the persistent problems with DNR orders suggest that physician behaviors toward communication with patients about goals of care and resuscitation decisions have not measurably changed in the past 20 years” (Yuen 7). Through the efforts of benefactors such as the American Heart Association and others, the DNR order will continue to increase in quality over time as improvements are made. The DNR order sprouted from the first incentives that people deserve a say in how they shall die and today has transformed into a necessity that functions to entitle people to their own choice of death or
As you sit in a classroom at the Community College, you may not think that saving a life is something you could do today, but, in fact, it's quite easy to do.
To perform CPR, first you must establish unresponsiveness. Try tapping the child and speaking loudly, to provoke a response. Once unresponsiveness has been determined, if you are alone, you should shout for help. Then provide basic life support for approximately one minute before going to call 911. If a second person arrives, send him or her to call the ambulance.
...rstand the effects of ICD implantation after cardiac arrest on intimate partners. Patients are increasingly surviving life-threatening illnesses and needing to be cared for at home by family members. In order for patients to become healthy and make a complete recovery, the physical and psychological needs of the intimate partner caring for them need to be addressed.
In a pre-hospital setting, there are few moments that are as intense as the events that take place when trying to save a life. Family presence during these resuscitation efforts has become an important and controversial issue in health care settings. Family presence during cardiopulmonary resuscitation (CPR) is a relatively new issue in healthcare. Before the advent of modern medicine, family members were often present at the deathbed of their loved ones. A dying person’s last moments were most often controlled by his or her family in the home rather than by medical personnel (Trueman, History of Medicine). Today, families are demanding permission to witness resuscitation events. Members of the emergency medical services are split on this issue, noting benefits but also potentially negative consequences to family presence during resuscitation efforts.