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Assuming the "non-responsive" condition was caused by a survivable event (no certainty of that) the expected likelihood that CPR would have been successful was only around 5%.
That depends, Shark. If they had gotten an AED on her quickly, the suddden-cardiac arrest survival rates with trained personnel have been as high as 30% for out-of-hospital arrests.
And what is your point, anyway? Is there a certain level of survival below which you think this failure to follow protocol would be ok somehow?
Considering the victims stated desires should this attendant be charged with 3rd degree manslaughter?
@Regionguy - our local nursing home does not have an AED and by the time the ambulance arrived with one, 6 - 8 minutes would have passed. It's tough to make any type of determination here because we do not know the age of the patient or why they were in a nursing home; i.e. - recuperation vs. final home. In my 15 years of using an AED on ambulance, I have been involved in 2 'saves'.
Be123456, I quite agree that it is tough to make a determination here. As a retired doc, though, I have certainly seen saves in out-of-hospital arrests, including ones that involved relatively late defib. (Why on earth doesn't your local NH have an AED, by the way?) In the situation as described in the article, I think you follow the protocol and the patient's apparent wishes and try anyway.
'Don't even try' is an acceptable option? This is wrong on any level of humanity.
What was the staffing level? One nurse to 75 patients?
Ya know, it's irrelevent whether this person was savable or not, if someone suffers a sudden cardia arrest, has an advanced directive in place as this person did that says do CPR, then the staff has an obligation to do CPR, whether they have an AED on premises or not. And if not, then someone else should be calling 9-1-1 while CPR is in progress. Many nursing facilities do not have AED's, because they don't want their staff to be doing things which they believe may increase their liability. They simply call 9-1-1 and stand by until the ambulance gets there. Inconceivable I know, but it does happen. CNA's are not required to maintain CPR ceritification to remain on the state registry, and the RN would likely be busy putting together the patient's chart to go to the hospital with the resident, which leaves an LPN possibly to be in charge of resuscitative efforts until the ambulance gets there. In any event, its not a good situation for the nursing home resident. They will die without definitive care. It should be a requirement for nursing facilities to renew their facility license to show proof of having staff trained in CPR and AED and have an AED on premisis.
why don’t we as a state look at ways that we can support care centers more--as opposed to finding ways to tear them down--or make them look like places you go to die--and will be abused! many care centers including this one work hard everyday to care for our loved ones, with little funding or reimbursement sources. These professionals work to make sure that those they are cared for--and done so with are treated with respect, dignity and grace--the amount of dedicated skilled care givers that give their lives to work at care centers like this and across the state is remarkable--and sometime things sad happen, but instances like this can happen anywhere from a clinic, hospital etc. to the State Fair. why don’t we as the people of the state, stop funding stadium projects--and start looking at how can we fund the future of care for seniors and those in need? Go out and visit your local care center, have you recently? Offer your support- in volunteerism, financial donation, etc. Let’s stop writing “scare tactic” stories, which could certainly harm the staff, residents, and loved ones of this care center, and celebrate what these places try to do with little financial support--but huge regulations from the state!
This is a sad story, but one we will see a lot more in the near future. Obama himself told a woman whose mother needed a heart operation, but she was nearly 100, that for such people they should just "take a pill" instead of surgery, implying it was because of this woman's age. There will be extreme rationing of care through Obama's death panel guidelines, and unfortunately the elderly will get thw short straw in Obama's takeover of healthcare.
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