Cardiac Care Essay Example | Topics and Well Written Essays - 500 words

Cardiac Care - Essay Example d these are: 1) to restart the heart as quickly as possible, and to start cooling as early as possible, and 2) transport patients to a single-specialized post-resuscitation facility in hopes of preserving their brains. It was known typically that in EMS system, cooling begins after return of spontaneous circulation or ROSC. However, it was recently discovered that patients are cooled as resuscitation attempts occur, and receive a broad complement of additional therapies and support both pre-hospitalization and in hospital as studied by Virginia Commonwealth University (VCU) Medical Center. Chairman of VCUs Department of Emergency Medicine and medical director of the Richmond Ambulance Authority, Joseph Oranto, MD, had explained the motivation with such approach. He said â€Å""Our approach was to do something a bit different.† He had explained the need for early cooling as part of EMS based on his conducted study. He had stated, "The basis is animal data that pretty consistently suggests that the earlier you initiate cooling, particularly during the resuscitation process, the more likely you are to get a good neurologic outcome." Ornate pointed out even though the early studies to prove that the spontaneous circulation had improved the chance of survival had been failed, he is taking chances with the EMS approach of cooling early will be absolutely proven to be beneficial for the patients. As the time the article was written, they are still at the early stage of application of cooling early after ROSC. 1) Good quality CPR that includes automated chest compressions and interposed ventilations. This is being performed for 2 to 3 minutes before the rhythm is determined and should not be stopped during defibrillation. 3) Cooling is achieved with 4 °C saline when drugs had restarted the heart. This is a treatment in which vasopressin and epinephrine are being alternately used. Drugs are given IO whenever IV is not able to achieve in its initial pass. During the