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Patients in the CHEER trial [19] had a mechanical compression device, the Autopulse (TM ZOLL Inc, MA USA) attached. Also specific to the CHEER trial is the infusion of 2L of ice-cold saline in an effort to induce hypothermia. The patient is intubated for ventilatory support, while they continue to be managed. [20]
Pediatric advanced life support (PALS) is a course offered by the American Heart Association (AHA) for health care providers who take care of children and infants in the emergency room, critical care and intensive care units in the hospital, and out of hospital (emergency medical services (EMS)).
If the patient does not achieve ROSC, and CPR continues until an operating room is available, the kidneys and liver can still be considered for donation. [102] 1,000 organs per year in the US are transplanted from patients who had CPR. [103] Donations can be taken from 40% of patients who have ROSC and later become brain-dead. [104]
Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any trained general personnel).
Early cardiopulmonary resuscitation (CPR) is essential to surviving cardiac arrest with good neurological function. [80] [30] It is recommended that it be started as soon as possible with minimal interruptions once begun. The components of CPR that make the greatest difference in survival are chest compressions and defibrillating shockable ...
Normal breathing rates are between 12 and 20 breaths per minute, [14] and if a patient is breathing below the minimum rate, then in current ILCOR basic life support protocols, CPR should be considered, although professional rescuers may have their own protocols to follow, such as artificial respiration.
The LUCAS can be used both in and out of the hospital setting. [6] [7] The 2015 European Resuscitation Council Guidelines for Resuscitation does not recommend using mechanical chest compression on a routine basis, but are good alternative for situations where it may be difficult or to maintain continuous high-quality compressions, or when it may be too strenuous on the medic to do so. [8]
Patients have died not long after their circulation has returned. One study showed that those who had had an out-of-hospital cardiac arrest and had achieved return of spontaneous circulation, 38% of those people had a cardiac re-arrest before arriving at the hospital with an average time of 3 minutes to re-arrest. [ 8 ]