Collaboration Between Nursing, Health Assistance, and Emergency Medical Services During Cardiac Arrest Management
DOI:
https://doi.org/10.22399/ijcesen.4150Keywords:
Collaboration, Nursing, Health Assistance, Emergency Medical Services, Cardiac Arrest ManagementAbstract
Collaboration among nursing staff, health assistance personnel, and emergency medical services (EMS) is crucial in the effective management of cardiac arrest situations. When a cardiac arrest occurs, the immediate response from all healthcare professionals involved can significantly improve patient outcomes. Nurses play an essential role by rapidly assessing the patient’s condition, initiating advanced cardiac life support (ACLS) protocols, and coordinating with EMS while delivering life-saving interventions such as chest compressions and defibrillation. Health assistants, who may be first responders in community settings, provide critical support in these scenarios by performing basic life support (BLS), ensuring that the environment is safe, and aiding in communication between medical teams. Seamless communication and clearly defined roles are paramount during these high-stakes situations, ensuring that every team member contributes effectively and efficiently to the overall care of the patient. The integration of nursing, health assistance, and EMS teams during cardiac arrest management not only enhances the level of care given but also promotes a comprehensive approach to patient safety and recovery. Regular interdisciplinary training and simulation exercises enable all team members to understand each other's expertise, build trust, and refine their response strategies. This collaboration is further strengthened by the use of advanced technology, like automated external defibrillators (AEDs), which can be employed rapidly by anyone trained in their use. Continuous evaluation and feedback mechanisms post-cardiac events are essential for identifying areas of improvement, fostering an environment of shared learning among all stakeholders. Through cooperative efforts, cardiac arrest management becomes a well-coordinated response that can dramatically increase the likelihood of survival for affected patients.
References
1. Curry LA, Spatz E, Cherlin E, Thompson JW, Berg D, Ting HH, et al. What distinguishes top-performing hospitals in acute myocardial infarction mortality rates? A qualitative study. Ann Intern Med. 2011;154:384-390.
2. McNally B, Stokes A, Crouch A, Kellermann AL, Group CS. CARES: Cardiac Arrest Registry to Enhance Survival. Ann Emerg Med. 2009;54:674-683.
3. Patton MQ. Qualitative Research and Evaluation Methods. 3rd. Thousand Oaks, CA: Sage Publications, Inc; 2002.
4. Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, et al. Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122:S676-S684.
5. Mays N, Pope C. Qualitative research in health care. Assessing quality in qualitative research. BMJ. 2000;320:50-52.
6. Krumholz HM, Merrill AR, Schone EM, Schreiner GC, Chen J, Bradley EH, et al. Patterns of hospital performance in acute myocardial infarction and heart failure 30-day mortality and readmission. Circ Cardiovasc Qual Outcomes. 2009;2:407-413.
7. Bradley EH, Curry LA, Ramanadhan S, Rowe L, Nembhard IM, Krumholz HM. Research in action: using positive deviance to improve quality of health care. Implement Sci. 2009;4:25.
8. Nallamothu BK, Bradley EH, Krumholz HM. Time to treatment in primary percutaneous coronary intervention. N Engl J Med. 2007;357:1631-1638.
9. Bradley EH, Herrin J, Wang Y, Barton BA, Webster TR, Mattera JA, et al. Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med. 2006;355:2308-2320.
10. Krumholz HM, Wang Y, Mattera JA, Han LF, Ingber MJ, Roman S, et al. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with an acute myocardial infarction. Circulation. 2006;113:1683-1692.
11. Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004;13(Suppl 1):i85-i90.
12. Bradley EH, Curry LA, Spatz ES, Herrin J, Cherlin EJ, Curtis JP, et al. Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction. Ann Intern Med. 2012;156:618-626.
13. Joynt KE, Harris Y, Orav EJ, Jha AK. Quality of care and patient outcomes in critical access rural hospitals. JAMA. 2011;306:45-52.
14. Glaser B, Strauss A. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago, IL: Aldine Transaction; 1967.
15. Jollis JG, Granger CB, Henry TD, Antman EM, Berger PB, Moyer PH, et al. Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Report From the American Heart Association's Mission: Lifeline. Circ Cardiovasc Qual Outcomes. 2012;5:423-428.
16. Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks, CA: Sage Pubilcations, Inc; 1994.
17. King M, Bruner G. Social desirability bias: a neglected aspect of validity testing. Psychol Mark. 2000;17:79-103.
18. Landman AB, Lee CH, Sasson C, Van Gelder CM, Curry LA. Prehospital electronic patient care report systems: early experiences from emergency medical services agency leaders. PLoS One. 2012;7(3):e32692.
19. Bradley EH, Herrin J, Curry L, Cherlin EJ, Wang Y, Webster TR, et al. Variation in hospital mortality rates for patients with acute myocardial infarction. Am J Cardiol. 2010;106:1108-1112.
20. O'Mahony S, Mazur E, Charney P, Wang Y, Fine J. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. J Gen Intern Med. 2007;22:1073-1079.
21. Baumlin KM, Genes N, Landman A, Shapiro JS, Taylor T, Janiak B. Electronic collaboration: using technology to solve old problems of quality care. Acad Emerg Med. 2010;17:1312-1321.
22. Malterud K. Qualitative research: standards, challenges, and guidelines. Lancet. 2001;358:483-488.
23. Rathore SS, Masoudi FA, Wang Y, Curtis JP, Foody JM, Havranek EP, et al. Socioeconomic status, treatment, and outcomes among elderly patients hospitalized with heart failure: findings from the National Heart Failure Project. Am Heart J. 2006;152:371-378.
24. Sofaer S. Qualitative methods: what are they and why use them? Health Serv Res. 1999;34:1101-1118.
25. McCracken G. The Long Interview. Newbury Park, CA: Sage Publications, Inc; 1988.
26. Capella J, Smith S, Philp A, Putnam T, Gilbert C, Fry W, et al. Teamwork training improves the clinical care of trauma patients. J Surg Educ. 2010;67:439-443.
27. Mays N, Pope C. Rigour and qualitative research. BMJ. 1995;311:109-112.
28. Bradley EH, Curry LA, Ramanadhan S, Rowe L, Nembhard IM, Krumholz HM. Research in action: using positive deviance to improve quality of health care. Implement Sci. 2009;4:25.
29. Hire an EMS coordinator. ED Manag. 1998;10:92-93.
30. Krumholz HM, Curry LA, Bradley EH. Survival after Acute Myocardial Infarction (SAMI) study: The design and implementation of a positive deviance study. Am Heart J. 2011;162:981-987.
31. Landman AB, Rokos IC, Burns K, Van Gelder CM, Fisher RM, Dunford JV, et al. An Open, Interoperable, and Scalable Prehospital Information Technology Network Architecture. Prehosp Emerg Care. 2011;15:149-157.
32. Curry LA, Nembhard IM, Bradley EH. Qualitative and mixed methods provide unique contributions to outcomes research. Circulation. 2009;119:1442-1452.
33. Creswell J, Plano Clark VL. Designing and conducting mixed methods research. Thousand Oaks, CA: Sage Publications, Inc; 2011.
34. Crabtree B, Miller W. Doing Qualitative Research. Newbury Park, CA: Sage Publications, Inc.; 1999.
35. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care. 2004;42:492-498.
36. Peterson ED, Roe MT, Chen AY, Fonarow GC, Lytle BL, Cannon CP, et al. The NCDR ACTION Registry-GWTG: transforming contemporary acute myocardial infarction clinical care. Heart. 2010;96:1798-1802.
37. Paine LA, Baker DR, Rosenstein B, Pronovost PJ. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30:543-550.
38. Pollack CV, Amin A, Talan DA. Emergency Medicine and Hospital Medicine: A Call for Collaboration. J Emerg Med. 2012;43:328-334.
39. Olson DM, Constable M, Britz GW, Lin CB, Zimmer LO, Schwamm LH, et al. A qualitative assessment of practices associated with shorter door-to-needle time for thrombolytic therapy in acute ischemic stroke. J Neurosci Nurs. 2011;43:329-336.
40. Santana C, Curry LA, Nembhard IM, Berg DN, Bradley EH. Behaviors of successful interdisciplinary hospital quality improvement teams. J Hosp Med. 2011;6:501-506.
41. "Hospital compare" gets official rollout by CMS. Qual Lett Healthc Lead. 2005;17:11-12.
42. Acute Myocardial Infarction (AMI) Hospital, 30-day, all cause, risk standardized mortality rate (RSMR) following AMI hospitalization. National Quality Measures Clearinghouse: Agency for Healthcare Research and Quality.
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