CPR question - page 3
by Sand_Dollar 5,697 Views | 28 Comments
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 song Staying Alive going through... Read More
- 1Feb 3, '13 by woohQuote from morteThat's true of EVERYTHING. The other lawyer then gets an expert to say, "THEY WERE DEAD."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....
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.
- 0Feb 13, '13 by limaRNQuote from woohThe 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.Considering the patient was DEAD before compressions were started...
- 1Feb 13, '13 by limaRNQuote from andi.wHeart 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.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.
- 0Feb 15, '13 by aCRNAhopefulQuote from andi.wThats 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 senseI 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.
- 0Feb 19, '13 by Lovelymo79Quote from Do-overI have not only seen docs doing compressions, but they have raised the legs up also when BP was low. And the ones that had performed compressions, they also were the surgeon who did the surgery. No residents here!I have never seen a physician do chest compressions... but I admittedly don't get out much. I'd rather they give orders and stuff. Maybe start a central line.
- 1Feb 19, '13 by Lovelymo79Quote from DodongoWe just got those. Very cool machines. Pun intendedWe 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.