CPR question - page 2

Hi there! I am a student and was on the CVCU last week. I saw my first code and noticed the doctor doing compressions was going at least twice as fast as I thought we were supposed to (had the... Read More

  1. Visit  Dodongo} profile page
    0
    We 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.
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  3. Visit  umcRN} profile page
    0
    Quote from Dodongo
    We 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.
    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
  4. Visit  Dodongo} profile page
    0
    Quote from umcRN
    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
    Oh, we have the blanketrol for sure. Same thing really. The arcticsun blankets just stick to the patient's skin.
  5. Visit  limaRN} profile page
    0
    Quote from dah doh
    Probably just adrenaline. One of our doctors does CPR so hard that the patient flies off the bed with each recoil!
    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.
  6. Visit  wooh} profile page
    4
    Quote from limaRN
    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.
    Considering the patient was DEAD before compressions were started...
  7. Visit  morte} profile page
    0
    but wooh, would you really want to go to court on that one???
  8. Visit  wooh} profile page
    5
    Quote from morte
    but wooh, would you really want to go to court on that one???
    Would love to. It would be entertaining watching an attorney try to convince a jury that the doc killed a dead person.
  9. Visit  morte} profile page
    0
    you need to remember that juries are not medical persons..If the lawyer can get an "expert" to say the person would have been saved by appropriate care....
  10. Visit  wooh} profile page
    1
    Quote from morte
    you need to remember that juries are not medical persons..If the lawyer can get an "expert" to say the person would have been saved by appropriate care....
    That's true of EVERYTHING. The other lawyer then gets an expert to say, "THEY WERE DEAD."

    I'm not going to practice in fear of a lawyer being able to find an expert that will say anything. An expert can go and tell a jury I gave a toddler liver failure from one dose of tylenol. I'm still going to give tylenol the next time I go to work.
    Altra likes this.
  11. Visit  andi.w} profile page
    0
    I work in open heart recovery. We had a post-op valve code one evening and the surgeon advised us to do compressions at a rate that kept the patient's systolic BP in the 70s per the arterial line. However, I don't quite remember the exact rationale for this.
  12. Visit  limaRN} profile page
    0
    Quote from wooh
    Considering the patient was DEAD before compressions were started...
    The pt recovered from the code and later passed of internal injuries I believe... I definitely see where you're coming from as the pt is definitely dead without the compressions but having the pt come up off the bed may be a bit excessive.
  13. Visit  limaRN} profile page
    1
    Quote from andi.w
    I work in open heart recovery. We had a post-op valve code one evening and the surgeon advised us to do compressions at a rate that kept the patient's systolic BP in the 70s per the arterial line. However, I don't quite remember the exact rationale for this.
    Heart Surgeons tend to have a way of ignoring other systems in the body... I'm guessing it has something to do with not wanting to cause trauma to the valve, surgical incisions etc. but a sbp of 70 and the compressions that are providing it are likely not adequate for cerebral perfusion.
    Altra likes this.
  14. Visit  aCRNAhopeful} profile page
    0
    Quote from andi.w
    I work in open heart recovery. We had a post-op valve code one evening and the surgeon advised us to do compressions at a rate that kept the patient's systolic BP in the 70s per the arterial line. However, I don't quite remember the exact rationale for this.
    Thats because there isn't one. The patients brain is literally dying rapidly during a code so trying to limit the blood pressure and perfusion is just silly. I can see not being over the top aggressive with compressions but anything else doesnt make sense


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