" This study found that a simple, external cooling protocol could be implemented easily "overnight in any system already treating post-resuscitation patients" and had an 89% success rate in reaching optimal temperature -- however, only 27 patients made up the study (Busch 2006: 1277).
A more recent, 2009 study by Castren (2009) "Scandinavian clinical practice guidelines for therapeutic hypothermia and post-resuscitation care after cardiac arrest" found the TH technique ineffective because even experienced physicians were unaware of "optimal target temperature, duration of cooling and rewarming time" and were only able "to predict the clinical outcome correctly in only 52% of the patients" (Castren 2009: 280). Supporters of the therapy admit that a lack of knowledge and training has made widespread implementation of TH problematic. In one Canadian study by Kenneday, J. et al. (2010),"The use of induced hypothermia after cardiac arrest: a survey of Canadian emergency physicians," only one half of Canadian physicians were found to have used TH in practice. Poor training rather than ineffectiveness of the technique was blamed.
Controversy regarding the effectiveness of TH in regarding brain injuries is even more controversial. A study by Marion, et al. (1997) "Treatment of Traumatic Brain Injury with moderate hypothermia" of 82 patients concluded, based upon neurological recovery rates of 82 patients with similar injuries that hypothermia may limits metabolic processes that can exacerbate TBI. But a 2010 study of stroke patients by Hemmen, "Intravenous thrombolysis plus hypothermia for acute treatment of ischemic stroke (ICTuS-L)" found little improvement.
Conclusion: Nursing strategy recommendations and importance of using a theoretical model
The larger studies of TH tend to be less conclusive regarding the technique's effectiveness. This should not be surprising, given that, because of the limited available test population, a tightly-controlled experimental study can be difficult to conduct. The absence of comparative longitudinal data and very large population studies of patients with or without TH treatment may also be partially due to a lack of physician training in the technique and thus its lack of implementation. To date, the most sweeping review of the data has been that of Sayre (2010) who found neither help...
Traumatic Brain Injury in Children Traumatic brain injury (TBI) has been one of the primary public health problems under health concerns over several decades. Health statistics reveal that this problem has been common among the male adolescents, as well as the young adults under the age bracket of 15 to 24 years. Similarly, this disorder is common among the elderly people of both sexes under the age of 75 and above.
patients diagnosed with TBI cope better with counseling and outreach programs when dealing with new or abnormal behaviors? Traumatic brain injury (TBI) may result in social and emotional defects (such as delayed word recall) that result in frustrating and embarrassing moments for the victim. Of all counseling and intervention programs, rehabilitation therapy (CRT) is the one that is commonly used and, therefore, this literature review will conduct a meta-analytic search
The soldiers who informed that their injury didn't include any altered mental status or the loss of consciousness worked as the reference group for all of the analyses (2008). Mild TBI was significantly correlated with psychiatric symptoms -- especially PTSD, and the correlation maintained its significance after combat experiences had been controlled for (Hoge et al. 2008). Over 40% of soldiers with injuries linked with loss of consciousness met the
Anthropologist working with the VA Definitions / Interests / Key Problems and Issues Previous Work Performed by Anthropologists in this Area The Employment Situation, Current Salaries and Opportunities for Advancement Bibliography of the most important books, chapters and articles Relevant professional organizations, ethics statements and newsletters Names / locations of PAs and others working in the content area locally and elsewhere. Relevant Laws and Regulations Relevant international / domestic organizations, private and public Other helpful information you think about
condition known as Post-traumatic Amnesia. This condition occurs when an individual suffers an acute brain damaging injury. Automobile crashes are said to be the most common origin of such injuries, and thus, the fundamental source of this disorder, in young adults. The condition persists for a few minutes or hours after the accident, or may go on for as long as weeks, months or years. Post-traumatic amnesia is accompanied
Traumatic Brain Injury Pathophysiology Traumatic brain injury, continues to remain an enigma and treatment is elusive, causing death and disability across the globe. Luckily, significant progress has been made in helping improve short-term outcome in victims facing a severe brain injury. Unfortunately, it is still not possible to get back the victims to their normative level of brain functioning. Injuries to the brains caused by forceful impact may cause tissue distortion. Clinically,
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