CPR question - Page 2
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Jan 31 by KAR813@umc - I'm very intrigued with the cooling of the coding ped pt. I understand it from a hyperthermia situation and for spinal cord injuries from my first career as an athletic trainer, but never thought of applying it in other situations. I'm going to keep an eye out when I start my program in June at a major teaching hospital and see / ask about it. -
Jan 31 by dah dohWe have a hypothermia protocol for witnessed pre-hospital cardiac arrest with return of spontaneous circulation after resuscitation. Although our Intensivists have done the protocol on in hospital arrest as well.tewdles likes this. -
Jan 31 by umcRNQuote from KAR813Our hospital is currently conducting a study for therapeutic hypothermia after cardiac arrest. Any patient who receives greater than 2 minutes of chest compressions is eligible All patients have their heads cooled during resuscitation, post resuscitation they are randomized into a control group or study group. Control group is kept normothermic 36-37 degrees. Hypothermia group is cooled to 33 degrees. Cooling lasts three days and a variety of labs are drawn on both groups at set time intervals.@umc - I'm very intrigued with the cooling of the coding ped pt. I understand it from a hyperthermia situation and for spinal cord injuries from my first career as an athletic trainer, but never thought of applying it in other situations. I'm going to keep an eye out when I start my program in June at a major teaching hospital and see / ask about it.
The study is similar to what is done for neonates who are cooled for hypoxic birth injury, something my hospital also does in the NICU.
As of right now I can't really comment on the outcomes. I have seen it go either way for both groups but I've only worked in this particular unit for two years. -
Jan 31 by DodongoWe use the ArcticSun machine to initiate and carry out our hypothermia protocol. We do it for most all of our cardiac arrests. It's quite nice. It uses a core temp probe and circulates cold water through blankets on the skin and then cold saline infusing. The machine adjusts everything to keep the temp at goal and the cooling and rewarming controlled and gradual. - Feb 1 by umcRNQuote from DodongoWe use something quite similar, I don't know the brand name, blanketrol? I think. Anyways, rectal probe and a cooling blanket they lay on that circulates the water and keeps their temp regulatedWe use the ArcticSun machine to initiate and carry out our hypothermia protocol. We do it for most all of our cardiac arrests. It's quite nice. It uses a core temp probe and circulates cold water through blankets on the skin and then cold saline infusing. The machine adjusts everything to keep the temp at goal and the cooling and rewarming controlled and gradual.
- Feb 1 by DodongoQuote from umcRNOh, we have the blanketrol for sure. Same thing really. The arcticsun blankets just stick to the patient's skin.We use something quite similar, I don't know the brand name, blanketrol? I think. Anyways, rectal probe and a cooling blanket they lay on that circulates the water and keeps their temp regulated
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Feb 2 by limaRNQuote from dah dohYikes. Careful there.. I heard of a situation where a new resident with a lot of adrenaline did compressions so hard that it caused massive internal injuries and bleeding and was the likely cause of pts death.Probably just adrenaline. One of our doctors does CPR so hard that the patient flies off the bed with each recoil! -
Feb 3 by woohQuote from limaRNConsidering the patient was DEAD before compressions were started...Yikes. Careful there.. I heard of a situation where a new resident with a lot of adrenaline did compressions so hard that it caused massive internal injuries and bleeding and was the likely cause of pts death. -
- Feb 3 by woohQuote from morteWould love to. It would be entertaining watching an attorney try to convince a jury that the doc killed a dead person.but wooh, would you really want to go to court on that one???
