Nursing care for patients with electric shock and cardiac arrest: case study and emergency management.

Abstract

     This case study presents the nursing care management for a 23-year-old Thai male patient who experienced electric shock while repairing a table fan, resulting in cardiac arrest at Singburi Hospital. The patient was admitted to the emergency department unconscious, apneic, and pulseless. The nursing team provided systematic care through the nursing process, encompassing initial assessment, advanced cardiac life support following the American Heart Association (AHA) 2020 guidelines, and continuous post-resuscitation care. Key nursing interventions included the use of an automated chest compression device (LUCAS), endotracheal intubation, medication administration according to AHA 2020 guidelines, targeted temperature management to mitigate brain injury, and prevention of complications from rhabdomyolysis. Furthermore, the care extended to physical rehabilitation, mental health promotion, and discharge planning. As a result of the comprehensive treatment and nursing care, the patient achieved return of spontaneous circulation (ROSC) within 23 minutes, was successfully weaned from mechanical ventilation on the fourth day, and regained consciousness. Efficient and timely nursing interventions were crucial factors in minimizing physical damage and promoting the patient's recovery.