Cardiac Reperfusion/Resuscitation

Paper Summary:

This paper discusses how CPR administration methods since the 1950's have largely remained unchanged, although medical understanding of how the human body reacts to sudden cardiac reperfusion has greatly advanced. The writer describes a recent change in CPR procedure by the American Heart Association, and the use of advanced external defibrillators (AED's). The writer explains some of the medical advances in cardiac reperfusion methods, such as total liquid ventilation (TLV), and describes studies that were carried out to find the best reperfusion techniques. This paper contains a table.

From the Paper:

"First responders are always trained to provide the latest protocol for administering CPR. However, most people fall into three categories: never trained in CPR, fully trained and current, or fully trained but not current. A lot of people are turned off by the nature of administering CPR instead opting to do nothing rather than face a possible lawsuit if it is done improperly. Still others fear getting a disease from contact with mucus/saliva or blood born pathogens. With all of the infectious diseases carried throughout our society it is little wonder that a person would hesitate to perform resuscitation on a total stranger. As to the liability issue of performing CPR, most if not all states have a "Good Samaritan" law which precludes anyone receiving CPR from suing if they are injured as a result of the act. Chest compressions during CPR almost always result in broken ribs even when administered by first responders who do it for a living."

Sample of Sources Used:

• Adler, D. (May 2007). To Treat the Dead. Newsweek, 56. Retrieved on 7/8/07 from: http://www.webmd.com/news/20000815/heart-association-breathe-new-life-into-cpr-guidelines.htm
• Osaki, S., Ishino, K., Kotani, Y., Honjo, O., Suezawa, T. Kanki, K., Sano S. (2006) Resuscitation of Non-beating Donor Hearts using Continuous Myocardial Perfusion: The Importance of Controlled Initial Reperfusion. The Society of Thoracic Surgeons; 81: 2167-71.
• Tissier, T., Hamanaka, K., Kuno, A., Parker, C., Cohen, M., Downey, J. (2007) Total Liquid Ventilation Ultra-Fast Cardio Protective Cooling. Journal of the American College of Cardiology; 49: 601-605
• Brodie, B., Webb, J., Cox, D., Qureshi, M, Kalynych, A., Turco, M., Schulttheiss, H., Dulas, D., Rutherford, B. Antoniucci, D., Stuckey, T., Krucoff, M., Gibbos, R.Lansky, A., Na, Y., Mehan, R., Stone, G. (2007) Impact Time to Treatment on Myocardial Reperfusion and Infarct Size With Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction. American Journal of Cardiology; 99:1680-1686

More papers on Cardiac Reperfusion/Resuscitation:

• Research Paper # 147251 : "Cardiopulmonary Resuscitation Guidelines"
• Case Study # 118667 : "Cardiac Transplant Recipient Case Study"
• Essay # 70044 : "Cardiac Assessment"

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