NBC is taking a deep dive on America’s rural communities and how emergency medical services operate with volunteers and tiny operating budgets.
Tennessee man is being remembered by his family and friends after his sudden passing.
The Rialto Fire Department bundle of care, known as the “Rialto resuscitation toolbox” was implemented on the vision that survival from cardiac arrest should be the rule, not the exception.
Hospitals that have adopted a system of care approach to resuscitation have demonstrated dramatic reductions in arrest incidence as well as improvements in survival-to-discharge for arrest victims.
When out-of-hospital cardiac arrests occur, the lack of pulsatile blood flow facilitates rapid clot formation. Although this coagulopathy is poorly understood, strong consideration should be given to administration of drug therapies that reduce the likelihood of hypercoagulation.
Alameda County (Calif.) EMS has made several sequential changes over the last decade to improve out-of-hospital cardiac arrest care. The bundle of care approach, instituted in conjunction with several different agencies, has resulted in significant improvements in cardiac arrest resuscitation strategies and outcomes.
Although Whatcom County, Washington, is seeing improvements in cardiac arrest survival rates after implementing a bundle of care approach, the county still faces many challenges, including a population that’s growing at a rate of 10% a year.
In 2015, the new EMS medical directors for Palm Beach County, Florida, instituted a bundle of care approach in an effort to improve disappointing resuscitation rates. Within three months, these rates improved dramatically, and in the ensuing years, have remained at more than double their prior level.
A deliberate pre-arrival discussion is crucial for mental readiness when treating pediatric cardiac arrest and ultimately impacts their ability to initiate high-performance CPR in the presence of family and onlookers.
When trained personnel are available, transesophageal echocardiography can play an important role in the overall bundle of care by facilitating more accurate diagnosis of a number of disease states that can cause cardiac arrest.