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Related Concept Videos

Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

282
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
282
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

609
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
609
Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

550
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
550
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

203
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
203
Cardiopulmonary Resuscitation III: AED Use01:23

Cardiopulmonary Resuscitation III: AED Use

497
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
497
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

264
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
264

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Updated: Jan 10, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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Implementation Challenges in Emergency Cardiovascular Care.

Amanda J O'Halloran1, Jessica C Fowler1

  • 1Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.

Critical Care Clinics
|November 19, 2025
PubMed
Summary
This summary is machine-generated.

High-quality cardiopulmonary resuscitation improves cardiac arrest outcomes. Implementation science can bridge the gap between guidelines and practice in emergency cardiovascular care.

Keywords:
Cardiac arrestCardiopulmonary resuscitationImplementation scienceSystems of care

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Area of Science:

  • Emergency medicine
  • Public health
  • Implementation science

Background:

  • Cardiac arrest presents a significant public health challenge with high morbidity and mortality.
  • High-quality cardiopulmonary resuscitation can improve patient outcomes.
  • Translating established guidelines into clinical practice remains a persistent challenge.

Purpose of the Study:

  • To highlight the underutilization of implementation science in emergency cardiovascular care.
  • To advocate for the application of implementation science principles to address practice gaps.

Main Methods:

  • This study reviews the principles of implementation science.
  • It examines the complexities of implementing evidence-based practices in emergency settings.

Main Results:

  • Gaps persist in the translation of cardiopulmonary resuscitation guidelines into practice.
  • Implementation science offers a framework for addressing these complex sociotechnical challenges.

Conclusions:

  • Implementation science is crucial for improving the uptake of evidence-based practices in emergency cardiovascular care.
  • Systematic application of implementation science can enhance the effectiveness of cardiac arrest response.