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Evidence Supporting Cardio-Cerebral Resuscitation - Literature review Example

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Evidence Supporting Cardio-Cerebral Resuscitation Cardiocerebral resuscitation, otherwise known as CCR, is currently considered to be the most effective means of resuscitating patients who have suffered cardiac arrest…
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Evidence Supporting Cardio-Cerebral Resuscitation
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Download file to see previous pages In Australia and New Zealand, the Resuscitation Council (2012) implemented changes in accordance with the recommendations of the International Liaison Committee on Resuscitation. The increased ratio of 30:2 (compressions: ventilations) was also implemented in 2010 (Robinson, Swain, Hoyle, and Larsen, 2010). This method is a favourable option for arresting patients because it has been known to improve the survival rate of patients, specifically those whose arrest have been witnessed by bystanders and those who have “shockable” heart rhythm upon the arrival of the emergency medical services (Ewy and Kern, 2009). This method also supports continuous chest compressions without mouth-to-mouth ventilations, as well as the application of defibrillation. For bystanders who can gain access to automated defibrillators, the immediate use of the defibrillator is recommended (Seethala, Esposito, and Abella, 2010). The use of CCR is, however, not yet fully supported in the medical community because some argue that no significant improvements in survival rate of arresting patients have been seen (Ong, Ng, Anushia, Tham, Leong, Tiah, and Lim, 2008). Various issues in its application have also been presented. These issues mostly relate to interruptions in the chest compressions and the risk of transmission of infections through mouth-to-mouth resuscitation (Boucek, Phrampus, Lutz, Dongilli, and Bircher, 2009). This paper shall now discuss CCR and the contrasting views related to its application. It shall discuss the argument that CCR is superior to CPR (cardiopulmonary resuscitation) in terms of survival rates and neurological outcomes. Supporting evidence on both sides of the issue shall be presented, along with more specific data which can be utilized to either support or disprove the general application of this intervention. Discussion CCR is superior to CPR I believe that CCR is an effective method of resuscitation as it can improve survival rates of arresting patients. A study by Ewy and Kern (2009) is based on a literature review of current studies supporting the application of CCR. The study points out that there are various issues in the use of CPR. Firstly, the bystanders witnessing arresting patients may be willing to notify the EMS; however, they may not be willing to carry out mouth-to-mouth ventilation (Ewy and Ker, 2009). Secondly, stopping the chest compression in order to ventilate the patient can often reduce the patient’s survival rate. Lastly, positive pressure ventilation in the CPR process for arresting patients can increase intrathoracic pressure, reduce venous return to the thorax, as well affect the circulation to the heart and brain (Ewy and Kern, 2009). These elements, when taken as a whole, make CPR a less effective means of managing arresting patients. The results of this study are, however, not significantly reliable because the data is based on secondary research. There are various pitfalls of secondary data, including the unreliability of the data gathered and the lack of control on the initial data gathered by the researchers (Yilmaz, 2009). Moreover, no actual clinical study was carried out by the authors, but their extrapolations were drawn from the primary studies of other researchers. ...Download file to see next pagesRead More
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