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Most tissues and organs of the body can survive clinical death for considerable periods. Blood circulation can be stopped in the entire body below the heart for at least 30 minutes, with injury to the spinal cord being a limiting factor. [4] Detached limbs may be successfully reattached after 6 hours of no blood circulation at warm temperatures.
[6] [7] Bryan Bledsoe, a physician and outspoken critic of the golden hour and other controversial medical topics, such as critical incident stress management, has said that the peer-reviewed medical literature does not demonstrate any "magical time" for saving critical patients. [8] There are different critical periods for different injuries. [9]
The 30-30-30 rule takes the goal of achieving a 90-minute door-to-balloon time and divides it into three equal time segments. Each STEMI care provider (EMS, the emergency department, and the cardiac cath lab) has 30 minutes to complete its assigned tasks and seamlessly "hand off" the STEMI patient to the next provider. [19]
After defibrillation, chest compressions should be continued for two minutes before another rhythm check. [30] This is based on a compression rate of 100-120 compressions per minute, a compression depth of 5–6 centimeters into the chest, full chest recoil, and a ventilation rate of 10 breath ventilations per minute. [ 30 ]
The CPT code 99292 is used for each additional 30 minutes of care performed after the first 74 minutes. Time for face-to-face discussions with the patient and/or family (if the patient is not able to participate) can be included in the time for critical care services if the discussion is related to a specific treatment, such as the need for ...
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Chest compressions were commenced within 10 minutes; The cardiac arrest duration (collapse to arrival at E&TC [ambiguous]) has been < 60 minutes; The patient is aged between 12 and 70 years; There are no major co-morbidities that would preclude return to independent living; The patient is profoundly hypothermic (<32 °C) due to accidental exposure
Laura-Jane Seaman, 36, died after ‘multiple missed opportunities’ to treat a peritoneal hemorrhage, according to the coroner's report
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