Can The Use Of The Structural Resuscitation Checklist For Cardiopulmonary Resuscitation Increase The Survival Rate Of Patients Compared With Not Using The Checklist For Resuscitation

Can the use of the structural resuscitation checklist for Cardiopulmonary Resuscitation

increase the survival rate of patients compared with not using the checklist for resuscitation?

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Introduction

Cardiac Arrest (CA) considerably claims quite a significant number of lives globally and thus

causes an increasing worldwide concern. About 400,000 to 460,000 individuals in the US die

every year as a result of CA before they arrive in the hospital or the emergency departments

(Meaney et al., 2014). Initially, standard cardiac, pulmonary resuscitation (S-CRP) has been

used. Although the mortality rate was not significantly improved with the use of S-CRP since

only between 5-10% of the cases were successful. The Coronary Perfusion Pressure (CPP)

reported was related closely to resuscitation that was successful however it served to be far

much behind the patients with CA getting S-CRP that were normal. With the advent of

Active compression-decompression Cardiopulmonary resuscitation (ACDCRP) checklist, it

has replaced the original S-CRP. It encompasses hand-held suction device applied to actively

compress and decompress after every compression on the mid-sternum of the chest, and this

has been noted to pose significant impacts on patients (Lighthall et al., 2012).

Situation

According to recent studies in Embase, PubMed and China Biomedical Document Database

from January 1990 to May 2012 have demonstrated that the ACD-CPR checklist significantly

improved the outcome of cardiac arrest patients by increasing their survival rates as

compared to not using the checklist at all (Hunziker et al., 2015). However, the healing

ability of ACD-CRP notably is not consistent as such. The following terms were critical

during the research, Cardiac arrest, active compression-decompression cardiopulmonary

resuscitation checklist and cardiopulmonary resuscitation (Bigham et al. 2011)

Background

Active compression-decompression cardiopulmonary resuscitation (ACDCRP) checklist has

been useful in patient’s treatment suffering from cardiac arrest (CA) for quite some time.

Nevertheless, the programme has not been posting outstanding results, although it has been

known to increase the survival rates of most patients as compared to not using it entirely. The

study concentrated on the importance of using the basic resuscitation checklist for

cardiopulmonary resuscitation rather that not using it by increasing the rate of survival of

patients (Kaye et al., 2014). The procedure was written by a variety of individuals such as

Xu-Rui, Hui-li Zhang, Geng-jin Chen among many other persons in the world medical

journal of 2013.

Assessment

According to my perceptions, the procedure is supported by the appropriate quality and

amount of research evidence. This is evidently displayed by a large group of individual

taking part in coming up with the procedure after several years of research. The research

tends to be quite recent that is within duration of the last few years. From clinical decisions,

the research imperatively supports clinical decisions making, since most of the patients

exposed to the practice have posted significant results. Besides, the procedure covers the

entire important concept relevant to my process as listed in the situation section.

Recommendation

The method is appropriate to me since I am in a position to provide high-quality care to

Cardiac arrest patients who are in need. Additionally, the procedure is neither sophisticated

nor complicated, and it can be administered anywhere at any given time without any

restrictions. Similarly, the outcome of the practice is instantaneous.

Conclusion

In summary, from the study, I understood that the ACD-CRP checklist is indeed relevant

since it significantly improves the survival rate for patients on hospital discharge or to the

survival rate of patients to hospital admission. Therefore, putting in practice the resuscitation

checklist for Cardiopulmonary resuscitation increases the survival rate of patients as

compared to not using the checklist for resuscitation entirely.

References

Meaney, P.A., Bobrow, B.J., Mancini, M.E., Christenson, J., De Caen, A.R., Bhanji, F.,

Abella, B.S., Kleinman, M.E., Edelson, D.P., Berg, R.A. and Aufderheide, T.P., 2014.

Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside

and outside the hospital. Circulation, 128(4), pp.417-435.

Kaye, W., Rallis, S.F., Mancini, M.E., Linhares, K.C., Angell, M.L., Donovan, D.S., Zajano,

N.C. and Finger, J.A., 2014. The problem of poor retention of cardiopulmonary resuscitation

skills may lie with the instructor, not the learner or the curriculum. Resuscitation, 21(1),

pp.67-87.

Bigham, B.L., Koprowicz, K., Rea, T., Dorian, P., Aufderheide, T.P., Davis, D.P., Powell, J.,

Morrison, L.J. and ROC Investigators, 2011. Cardiac arrest survival did not increase in the

Resuscitation Outcomes Consortium after implementation of the 2005 AHA CPR and ECC

guidelines. Resuscitation, 82(8), pp.979-983.

Hunziker, S., Bühlmann, C., Tschan, F., Balestra, G., Leger, C., Schumacher, C., Semmer,

N.K., Hunziker, P. and Marsch, S., 2015. Brief leadership instructions improve

cardiopulmonary resuscitation in a high-fidelity simulation: a randomised controlled trial.

Critical care medicine, 38(4), pp.1086-1091.

Lighthall, G.K., Poon, T. and Harrison, T.K., 2012. Using in situ simulation to improve in-

hospital cardiopulmonary resuscitation. The Joint Commission Journal on Quality and

Patient Safety, 36(5), pp.209-216.

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