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Anesthetic Outcome and Cardiopulmonary Resuscitation
Published in Michele Barletta, Jane Quandt, Rachel Reed, Equine Anesthesia and Pain Management, 2023
A trained prepared team is needed along with appropriate supplies for successful resuscitation. Everything that is needed for resuscitation should be easily accessible. A well-organized crash cart should always be available and kept in the same place in the hospital, so it is easily found when needed.
Other Hazards in Clinical NMR Examinations
Published in Bertil R. R. Persson, Freddy Ståhlberg, Health and Safety of Clinical NMR Examinations, 2019
Bertil R. R. Persson, Freddy Ståhlberg
Another major concern with clinical NMR examinations has been the ability to accommodate nonambulatory patients and to handle emergency situations. A stretcher is required to move nonambulatory patients into the examination room. This stretcher, which has to be nonferromagnetic and match the height of the examination table, can often be offered by the manufacturer of the NMR equipment. To deal with emergency situations it is recommended that all personnel in the NMR department (including technologists, secretaries, physicians, nurses, and physicists) would be trained in cardiopulmonary resuscitation. They must have practiced rapid removal of the patient from the imaging suite on a nonmetallic stretcher so that this procedure would take only moments. A standard crash cart would be placed outside the 0.5-T line. Resuscitation efforts can then proceed in a routine manner.
The Radiologist in the Courtroom Witness Stand Good, Bad, and Indifferent
Published in Michael J. Thali M.D., Mark D. Viner, B. G. Brogdon, Brogdon's Forensic Radiology, 2010
A: The crash cart must have the proper equipment available immediately. It is my understanding that the suc-tion device did not work due to the fact that the personnel who had cleaned the suction device had not reassembled it properly. And so, we have a problem with the personnel not being properly trained and properly reassembling it. So we have a deficiency, in that somebody who was inspecting that crash cart should be testing the suction device and make sure it is working.
Impediments to and impact of checklists on performance of emergency interventions in primary care: an in situ simulation-based randomized controlled trial
Published in Scandinavian Journal of Primary Health Care, 2021
Eric Dryver, Jeanette Knutsson, Ulf Ekelund, Anders Bergenfelz
Three crisis checklists (generic resuscitation, anaphylaxis, cardiac arrest) were developed by nurses and physicians over the course of several meetings (Appendix) (consider adding the word Supplementary for the sake of consistency). The nurses and physicians who developed the checklists all had experience working clinically in acute care settings and running simulated crises in the primary care setting. The generic resuscitation checklist listed emergency interventions to consider in the setting of managing a critically ill patient prior to establishing a diagnosis. It was based on the Swedish Society for Emergency Medicine's generic ABCDE algorithm [21] and adapted to the primary care setting. The anaphylaxis and cardiac arrest checklists were derived from European Resuscitation Guidelines [22,23] and adapted to the primary care setting. The checklists were printed on 70 cm by 105 cm posters. If the group had been randomized to checklist access, the checklist posters were mounted on the walls of the room and the two-sided checklist board was placed on the primary care center's crash cart. In addition, checklists were printed on a two-sided 28 cm by 42 cm rigid board and placed on the primary care center's crash cart.
Should the Clinical Ethicist Document Her Complicity in Intentional Deception?
Published in The American Journal of Bioethics, 2021
To bill for CPR, one must document chest compressions, performed for less than 30 minutes. How much less? By protocol in most hospitals, if the crash cart is opened, the time must be recorded and when any drugs are given must be noted. In the event the patient suffers a non-iatrogenic arrest, honor the decision maker’s demand for CPR. Test the responsiveness of the patient’s cardiopulmonary system to the elements of an ACLS protocol. That may take “much less time than normal.” If so, a “Short Code” would be justified: not necessarily less vigorous but probably less prolonged “than usual.” This suggestion should not be confused with a “Slow Code,”19 or “Show Code,” charades where the Code Team has no “therapeutic intent” to reverse the arrest.
Noninvasive rapid cardiac magnetic resonance for the assessment of cardiomyopathies in low-middle income countries
Published in Expert Review of Cardiovascular Therapy, 2021
Katia Menacho Medina, Andreas Seraphim, Diana Katekaru, Amna Abdel-Gadir, Yuchi Han, Mark Westwood, J Malcolm Walker, James C Moon, Anna S Herrey
- Stress and safety equipment in place: monitoring equipment (blood pressure, ECG and intercom to communicate with the patient) with emergency resuscitation policy in place and crash cart appropriately prepared; regular practice runs.