LOC or ABC first? - page 4
by Caffeinated RN 6,308 Views | 39 Comments
I feel like this is a silly question, but it is a topic that recently came up in class (I am just about to finish nursing school), and it is driving me off-the-wall CRAZY! We all know that our ABCs are paramount to our... Read More
- 0Mar 7, '13 by cardiacrocksQuote from Pets to PeopleYea, I know that, hence the fact that I put RARE situation. I know all about the ABC's. Gesh, I am a Registered Nurse not an idiot, gesh.You completely skipped over PULSE/HEART BEAT. If they are breathing you do not then check their BS lol aka BG, you check thier pulse! You know, ABC, not AB then BG. If you check their ABC and they are within normal range and they are unconcious then you could check BG.
If a pt is unconcious, for whatever reason, and they are completely unresponsive, you check airway, then breathing THEN pulse. You give them only rescue breaths if they have a heart beat but no respiration and rescue breaths and chest compressions if they have no resp and no beat.
- 0Mar 7, '13 by FlyingScot[QUOTE=Pets to People;7201806]Quote from FlyingScotReally?!! I didn't know that.Except to the person you start chest compressions on who was really just asleep.
This wouldn't happen unless you skipped C and so didn't check the persons pulse before starting chest compressions :/ It would be pretty important to make sure their heart isn't actually beating before you start pumping on their chest lol
- 1Mar 7, '13 by ♪♫ in my ♥Quote from brithooverOnly with peds, not with adults.If a patient is symptomatic with a HR of less than 60 it is appropriate to start chest compressions. Thought I'd throw that one in there
Only pulseless adults get compressions. Symptomatic bradycardia gets you an ambulance ride, external pacer pads, and probably some atropine...
PALS vs ACLS
- 0Mar 14, '13 by SweetMelissaRNQuote from brithooverI'm pretty sure that's only on infants. Even if a person is symptomatic and has a heartbeat of 30, you don't start compressions unless they are pulse less, at least with adults.If a patient is symptomatic with a HR of less than 60 it is appropriate to start chest compressions. Thought I'd throw that one in there
- 0Mar 14, '13 by ♪♫ in my ♥Quote from SweetMelissaRNIt's for peds in general, not just infants... check out PALS.I'm pretty sure that's only on infants. Even if a person is symptomatic and has a heartbeat of 30, you don't start compressions unless they are pulse less, at least with adults.
The only adults who get compressions are those without a pulse.