Nursing times
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The concept of brainstem death is relatively new and has been developed in response to advances in medical treatment such as mechanical ventilation. The idea that it is the same as death of the whole person has been tested in medical research and legally, which has provided evidence to support the withdrawal of advanced medical treatment and for discussion of organ donation.
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The most critical emergency situation seen in cardiac surgical units is the need for chest reopening. While senior nurses often manage cardiac arrest they currently are not trained to open chests, which can be a life-saving action if performed efficiently. This article evaluates a three-day cardiac surgery advanced life support course with protocols to manage critically ill cardiac surgical patients who suffer a cardiac arrest and who need their chest reopening.
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Transfer of critically ill patients within a hospital is often necessary but can be associated with an increased risk of morbidity and mortality. Due to changing roles, nursing staff are commonly finding themselves responsible for transferring patients. This article outlines the issues involved in ensuring patient transfer is undertaken both safely and effectively.