Week 8: Cardiopulmonary Resuscitation Flashcards
What is the chain of survival
The chain of survival symbolises the best approach to the treatment of the deteriorating
Components of the Chain of Survival
Early Recognition: To prevent cardiac arrest
Early CPR: To buy time
Early Defibrillation: To restart the heart
Post Resus Care: To restore quality of life
When assess vital signs
- On admission
- Change in health stats
- Before and after any activity/procedure that may alter vital signs
Significant of vital signs
Recognising acute deterioration relies on detecting, understanding and interpreting abnormal vital signs and
other observations, and escalating care appropriately
Abnormalities in respiratory rate, pulse & blood pressure are early cues to detecting the deteriorating patient
NSQHS Standard Requirements
- Staff to recognise clinical deterioration
- Means to escalate care
- Respond to clinical deterioration
Failure to recognise and respond to clinical deterioration
- Not monitoring physiological observations consistently
- Not understanding observed changes in physiological observations
- Lack of knowledge of signs and symptoms that could signal deterioration
- Lack of formal systems for responding to deterioration and
- Lack of skills to immediately manage the deteriorating patient
Chain of Prevention
- Education
- Monitoring
- Recognition
- Call for Help
- Response
What does Chain of prevent assist in
- Deterioration
- Cardiac arrests and deaths
- Admissions to ICU
- Inappropriate resuscitation attempts
Common factors seen in cardiac arrests:
- Most arrests are predictable
- Deterioration in up to 80% of patients prior to cardiac arrest
- Tachypnoea early sign - hypotension often later
- Hypoxaemia and hypotension common pre-arrest in review of arrested patients