Bold Voices - April 2014 - (Page 12)

AT THE BEDSIDE Long-Term Survival of Kids After Out-of-Hospital Cardiac Arrest Predictors of long-term child survival after out-of-hospital cardiac arrest include age, witnesses and shockable rhythm. A 12 What will you discover today? An organization as committed to your professional growth as you are. At UCSF Medical Center & UCSF Benioff Children's Hospital, our advanced medical technologies and renowned practitioners are what make us a premier academic medical center and a center for research and excellence. Top ranking by U.S. News & World Report as one of "America's Best Hospitals" affirms our collaborative focus on patient centered care. Clinical Nurse Educator - Adult Critical Care Job ID # 4829 In this full-time position, you will ensure development and coordination of programs, structures, and processes that promote nursing and clinical education and training at UCSF Medical Center. Requires Master's degree in nursing; current CA RN license; current American Heart Association BCLS; 3+ years' clinical experience in Adult Critical Care; experience in teaching and/or training; meeting criterion for appointment in the UCSF School of Nursing; and computer skills including Microsoft Word, Excel, PowerPoint, and Visio applications. We offer a comprehensive benefits package effective on the first day of employment and a location in the heart of San Francisco. Apply online at and for more information, please contact Susan Walczak at EOE Where? Only here. Only you. Who? retrospective, cohort study of children who have outof-hospital cardiac arrest (OHCA) identifies factors that improve the chances of long-term survival after discharge, stressing the importance of resuscitation efforts and functional cognitive status. The study in Pediatric Critical Care Medicine, "Long-Term Outcomes Following Pediatric Out-of-Hospital Cardiac Arrest," and also published in Medscape, examines the predictive qualities of several variables and finds that being at least 5 years old, having a witness to the event, being discharged with a low Pediatric Cerebral Performance Category (PCPC) and having an initial shockable arrest rhythm are associated with higher long-term survival rates. Gender and the time period of the initial event had no impact on survival. The study reviewed the history of 91 survivors (5.4 percent) out of 1,683 children who arrived at a hospital from 1976 to 2007 in King County, Wash., after receiving emergency service for cardiac arrest. The main causes were respiratory (27 percent), primary cardiac etiology (22 percent) and drowning (20 percent); 63 percent received cardiopulmonary resuscitation, and 33 percent presented with a shockable rhythm. Of the initial survivors, 71 (78 percent) lived at least 10 years after hospital discharge. That group had a mean age of 8, their initial arrest was witnessed (83 percent vs. 56 percent, compared with those who subsequently died), initial shockable rhythm (40 percent vs. 10 percent) and a PCPC of one or two (67 percent vs. 0 percent). Because of the high long-term survival rates, the study recommends further research on quality of life. "The overall long-term survival of this pediatric OHCA cohort is substantial and emphasizes the importance of efforts to improve pediatric resuscitation and functional outcome."

Table of Contents for the Digital Edition of Bold Voices - April 2014

Another Angle
President’s Note (Teaser)
NTI2014: You Have to Come! An Unmatched Experience in the Mile High City
AACN Clinical Priorities 2014: Clinical Topics for Bedside Clinicians
NTI Network: Connect Online to Plan Your Week
Step Forward! Vote in AACN’s Election 2014
You May Inherit Atherosclerosis From Your Mummy
Pain, Agitation, Delirium Guidelines Expand Nurses’ Toolkit
Pediatric Flu Deaths Still a Concern, Expanded Vaccinations Advised
Are Senior-Specific EDs Worth the Investment?
‘Stop Sepsis’ Program Reduces Mortality Rate 40 Percent
Better Relationships Between Nurses, Cleaning Staff Can Improve Patient Care
Patient Outcomes Improve With Surgeon-Led Mortality Reviews
Reducing Cross-Contamination from Healthcare Personnel Attire
New Biomarker Could Improve Outlook in Esophageal Cancer
Long-Term Survival of Kids After Out-of-Hospital Cardiac Arrest
Tight Glycemic Control Could Shorten Children’s Hospital Stay
Web-based Patient Portals Improve Self-Management
In Our Journals
Nurse-Patient Communication Enhanced in AACN CSI Academy Projects
Link Between Shingles and Stroke Risk?
In Utero Exposure to Dyslipidemia Heightens High LDL Risk in Offspring
Palliative Care: Conversations Matter
Improving Communication About Chronic Critical Illness
Certification Capsules
April 16: National Healthcare Decisions Day
New Editorial Consults, Other Publishing Events at NTI 2014
AACN Scholarships for August EBP, Research Methods Institutes
Early-Bird Registration Ends April 3
Attend the Chapter Leadership Development Workshop at NTI 2014
Vote Now!
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - April 2014