Presenter Information

Sarah PowerFollow

Start Date

18-8-2017 10:00 AM

End Date

18-8-2017 11:30 AM

Description

Abstract

Background: Worsening physiological symptoms can easily go overlooked or unmanaged. The early detection of clinical signs that precede cardiac arrest can reduce the risk of worsening condition or death. Determining a nursing protocol to recognize pre-arrests symptoms would allow a systematic way to evaluate patients and their health status before adverse events occur.

Objectives: The purpose of an integrative literature review was to identify signs and symptoms that precede cardiac arrest, and to specify a recognition protocol that ameliorates patient care outcomes.

Method: An integrative literature review was conducted undergoing an extensive search to identify acute cardiac arrest and recognition protocol measures. A total of 2 databases were used to acquire relevant sources: PubMed and CINHAL.

Results: Vital signs, EKG rhythms, and age were found to be the most supported precursors to cardiac arrest. Research has determined Modified Early Warning Scores (MEWS) predict clinical deteriorations but are not cardiac arrest specific predictors. MEWS results on cardiac arrest predictability was paradoxical. Further, Rapid Response Teams (RRT) may/may not be effective in preventing cardiac arrest.

Conclusions: This review found three clinical symptoms related to cardiac deterioration. However, there is a need to develop an appropriate prevention protocol to help decrease the risk for cardiac arrest.

Keywords: cardiac deterioration, cardiac arrest, vital sign deterioration, patient deterioration protocol, and nursing protocol implementations.

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Aug 18th, 10:00 AM Aug 18th, 11:30 AM

Identifying the Factors for Acute Cardiac Arrest for Establishing a New Recognition Protocol in Detecting Pre-Arrest Symptoms

Abstract

Background: Worsening physiological symptoms can easily go overlooked or unmanaged. The early detection of clinical signs that precede cardiac arrest can reduce the risk of worsening condition or death. Determining a nursing protocol to recognize pre-arrests symptoms would allow a systematic way to evaluate patients and their health status before adverse events occur.

Objectives: The purpose of an integrative literature review was to identify signs and symptoms that precede cardiac arrest, and to specify a recognition protocol that ameliorates patient care outcomes.

Method: An integrative literature review was conducted undergoing an extensive search to identify acute cardiac arrest and recognition protocol measures. A total of 2 databases were used to acquire relevant sources: PubMed and CINHAL.

Results: Vital signs, EKG rhythms, and age were found to be the most supported precursors to cardiac arrest. Research has determined Modified Early Warning Scores (MEWS) predict clinical deteriorations but are not cardiac arrest specific predictors. MEWS results on cardiac arrest predictability was paradoxical. Further, Rapid Response Teams (RRT) may/may not be effective in preventing cardiac arrest.

Conclusions: This review found three clinical symptoms related to cardiac deterioration. However, there is a need to develop an appropriate prevention protocol to help decrease the risk for cardiac arrest.

Keywords: cardiac deterioration, cardiac arrest, vital sign deterioration, patient deterioration protocol, and nursing protocol implementations.