We saw this at work in the case of Mr. Hamlin. Chest compressions began immediately, leaving his brain without oxygen. A defibrillator was present and used appropriately, possibly returning his heart to a normal rhythm. This process is called “chain of existence”. If a step is missed or delayed, a person who could have survived may die or be left with only significant brain damage.
Sadly, in cardiac arrest that occurs outside the hospital, such as this, bystander cpr Only a third of the time it is done. it is less likely Received by racial or ethnic minorities. It matters – if CPR is started immediately, the chances of survival may increase double or even triple – and there is a powerful argument for ongoing education by national and local organizations to train the general public, even at an early age, in the simple principles of resuscitation and advocate for better access to defibrillators. Had Mr. Hamlin fallen on the street instead of the football field, his outcome might have been different.
But the question in the intensive care unit isn’t whether we have the infrastructure to do high-quality CPR, the question is whether we should be using it. opposite of arrhythmia or heart attack which can What causes an out-of-hospital arrest in a previously healthy person, the stories differ. Many of these patients are in the final stages of a fatal disease before their heart stops. We see codes already on ventilators in patients with severe respiratory failure, advanced cancer or sepsis whose blood pressure continues to drop despite increasing doses of drugs to raise it.
In this population of patients intubated in the ICU, only 6 percent Those that have been arrested and reanimated will leave the hospital with little or no brain impairment. For the vast majority, CPR becomes one more act that must be performed before death, another medical ritual rather than a potentially life-saving intervention with no chance of real success.
Decades ago, patients were placed under ‘do-not-resuscitation’ orders by their doctors – often unbeknownst to them. This decision was recorded on the chart with a note or a coded symbol, visible to the medical staff but not to the patients themselves. In other cases, when they deemed CPR futile but a family insisted, doctors would plan to run the “slow code,” skipping the most aggressive steps.
Maybe we’ve gone too far in the other direction. We routinely perform resuscitation against our better judgment in a way we don’t for other procedures. And when there is no reasonable hope of any meaningful benefit, but we offer CPR as an option anyway, we may be doing harm to our patients and their families. Just as it is essential to improve knowledge and training about CPR so that we can give others like Mr. Hamlin the best possible chance to survive and recover, it is also essential to recognize what CPR cannot do.
When Mr. Hamlin woke up, he was still intubated is called Ask in writing which team won the football game on Monday. As if he had just woken up from a long sleep and wanted to know what he had missed. In response, his doctors told him that he had won the game of life.
#opinion #Dummer #Hamlin #CPR