Improving outcomes in out-of-hospital cardiac arrest in the Emergency Department

Improving outcomes in out-of-hospital cardiac arrest in the Emergency Department
Thesis
Description: 

Challenges exist among hospital staff in performing high quality cardio pulmonary resuscitation (CPR) according to the 2010 international guidelines. Effective and uninterrupted chest compressions have demonstrated improved patient outcomes. The literature recommends that education and training specific to teamwork and leadership be provided to healthcare providers caring for patients requiring resuscitation. The overall aim of this study was to evaluate patient survival and neurologic outcomes using a nurse team leader approach that was initiated in June 2012 for the management of out of hospital cardiac arrest in the emergency department. A retrospective data analysis design was used in this study. Data was collected from the medical records of patients admitted to the Emergency department during a six month period pre and post practice change. The results demonstrated no significant differences (p =.058) in patients achieving ROSC in the pre group (7/20) compared to the post group (2/20). Nine patients survived to admission in the pre group with significance (p =.038) compared to three in the post group. There were no significant differences in survival to discharge with two in the pre-group and none in the post group. Neurologic outcome was not analyzed due to the lack of survival in the post group. The results suggest that future research should include a large group of subjects to fully evaluate the effect through patient outcome analysis. The implementation of an evidence based nurse led resuscitation team training program in the emergency department can promote teamwork and empowerment among staff. Training specific to leadership skills to empower nurse timing of events, introduce team skills such as pre-brief and de-brief and cross monitoring team adherence to resuscitation treatment guidelines.

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WHDL ID: 
WHDL-00006083
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