Advanced emergency care - a critical evaluation Essay

Advanced emergency sympathize with - a critical evaluation - Essay Exampleribed by Kouwenhoven et al as a gist to resuscitate hearts that stopped beating, the intent was to use the procedure for sudden unexpected cardiac grows in patients who were otherwise in good physiological condition. Kouwenhovens method of closed-chest cardiac compression improved the outcome of cardiorespiratory resuscitation (CPR) dramatically. In his first report of 20 patients undergoing CPR, Kouwenhoven had a 70% success rate ( excerption up to discharge). During the 40 years since the introduction of modern cardio-pulmonary resuscitation (CPR), there have been many advances in the field of emergency cardiovascular care (ECC). Contrary to Kouwenhovens report, recent research has shown that people who experience traumatic cardiac arrest rarely survive outside the hospital. If the person has suffered blunt trauma, cardiac arrest prior to reaching the hospital carries a 99% mortality rate in spite of ong oing efforts at resuscitation after arriver at the hospital(Perina, 2005). Approximately 1% to 6% of patients suffering out-of-hospital cardiac arrest ultimately survive the event, and although survival rates are somewhat better for in-hospital arrest patients, a recent comprehensive report discovered that only 17% of these patients were discharged alive( Engdahl J,2002)Unsatisfactory results of cardiopulmonary resuscitation procedures have for the most part attributed to its indiscriminate use. conglomerate individual factors interfere with recovery from cardiopulmonary arrest. Despite the fact that the prediction of an individual outcome of such resuscitation is of great medical, ethical, and socio-economic interest, doubts about the decision whether or not to resuscitate a given patient, as intumesce as about the consequences of either attitude, persist (Rogov, 1995). This decision should not be made only at the moment of cardiopulmonary arrest, but should also take the prev ious medical condition of the patient into throwaway (Landry, 1992).Cardiopulmonary