Media annotation on CPR Simulation

Today, it includes ambulance, nursing and other medical organizations. It coordinates all other areas in resuscitation. In 1991, the Advanced Life Support Sub-Committee was founded and the advanced life support guidelines were published in 1993 for the first time (Morley & Walker, 2006). The ARC has since published neonatal guidelines and pediatric advanced life support guidelines. In 2006, it updated guidelines for basic life support (BLS), advanced life support (ALS), pediatric advanced life support (PALS) as well as neonatal basic and advanced life support (NLS). However, it was not associated to survival to hospital discharge in out-of-hospital (OOH) cardiac arrest. Again, Idris (2012) suggests in his article that “the quality of CPR and chest compressions are key factors for survival from cardiac arrest” (p. In the video, the rate of compression seems to be less than 100 per minute, hence reducing the quality of the compressions.

In fact, the compressions are close to 60 per minute, which is extremely low. There are too many interruptions to chest compression. In a case where interruptions occur on the 8th compression and the incoming rescuer only performs 20 more compressions is less than the advised number, hence the mistake. Compression depth is another guideline that the rescuers in the video seem not to abide by. From the video, the chest compression depth seems inadequate. The guidelines require that chest compression depths in adults should be no less than 5 cm. in fact, Rajab et al. (2011), lifting of the hands off the patient is associated with reduced compression depth. Strengths Despite these mistakes and weaknesses, the rescuers in the code blue video have their own strengths.

One of their strengths lies in positioning of the patient. According to Cha et al (2012), the patient in cardiac arrest ought to be placed in a supine position. The rescuer should stand beside his or her bed or kneel beside his or her chest. The ARC guidelines require that the rescuer places the dominant hand over the middle of the patient’s chest. This is the same position that the ARC refers to as the lower half of sternum. In the video, all the rescuers place the heel of their hand in the midline and aligning with sternum’s long axis. According to Shin, Rhee & Kim (2007), doing so concentrates compressive force on the sternum, decreasing the possibilities of fracturing the ribs.

In their study, Shin, Rhee and Kim concluded that for more efficient chest compression during CPR, “compressing the sternum more caudally than the INL could be considered if it is not associated with the risk of increasing internal visceral injuries” (p. However, Rajab et al. (2012) hold that more frequent rotations may lead to detrimental impact caused by chest compression interruptions due to the activities of the changeover. During chest compressions, all the efforts are made to complete the switch within five minutes. This is why the compressors who were performing chest compressions could be heard counting out loud. The rotating compressors were standing on either side of the patient’s bed, hence making it easy for one who was waiting. However, their compressions appeared a little bit shallow.

However, the above-mentioned drawbacks do not imply that rescuers in the code blue video had nothing in terms of achievements to pride themselves with. First, they positioned the patient in the right manner as prescribed by the ARC. Before they could begin the entire process, the team ensure that the patient was in a supine position. They also fetched a backboard and placed it at the back of the patient to reduce wasting compressive force due to the soft bed. In this way, the compressors will help save lots of lives that are lost daily. References Australian Resuscitation Council. Guidelines. Retrieved from https://resus. org. , Shin, H.  J. , Cha, Y.  S. , Kim, H. M. , Quilici, A. P. , Andrade, F. P.  JEMS : A Journal of Emergency Medical Services, 37(9), 4–9.