The Principles of Medical care in the Emergency Medicine Unit Based on Clinical Points and Cardiopulmonary Resuscitation

Abstract

The present study investigated the principles of medical care in the emergency medicine unit, relying on clinical points and cardiopulmonary resuscitation. Resuscitation operation maintains the blood flow to the important organs of the body (including the brain). In the current study, the issue was investigated by reviewing more than 80 articles and considering key words such as: "Medical care", "Emergency Medicine Unit", "Clinical Points and Cardiopulmonary Resuscitation". The chain of rescue defined by the American Heart Association (AHA) includes: Recognition of cardiac arrest and activation of 115, rapid initiation of cardiac massage, bringing of an AED shock device, rapid transport by EMS to the emergency room, continuing advanced resuscitation in the hospital. The goal of CPR is to restart the heart and maintain circulation and oxygenation until advanced medical help arrives. The results of a recent study showed that there is no need to breathe in the resuscitation of adults and cardiac massage is strongly recommended. The American Heart Association strongly recommends hands-only CPR and the massage should continue until the emergency personnel arrive and bring the AED device to the bedside. Cardiopulmonary or CPR is a method to save the life of people who have lost the power to react or breathe or are not breathing normally. The number of successful cases of cardiopulmonary resuscitation is one of the important indicators of hospital emergencies. So that this amount is high, it is a sign of emergency success. Many cases of cardiopulmonary arrest can be reversed by performing rapid and correct cardiopulmonary resuscitation. On the other hand, even though nearly forty years have passed since the beginning of this process, the survival rate of people is not ideal and the death rate after cardio-pulmonary arrest is still high compared to other cases. In developed countries, the survival rate of cardiac arrest that occurs in the hospital and outside it is less than 30% and less than 10%, respectively. The survival rate due to out-of-hospital cardiac arrest varies from 2% to 26%. Reports on the success rate of cardiopulmonary resuscitation are varied and vary widely. 2 to 0.27% in in-hospital cardiac arrests and 0.2 to 10% in out-of-hospital cardiac arrests have been reported.