Re: Several unresponsive patients at once?! Originally Posted by Jschumaker
I think if you are ACLS certified, the ACLS protocols should be able to be followed in a situation such as this. CPR and ventilation for sure but I would ask your ED leadership about ACLS guidelines in this situation.
In the ER I work at, it is required to be ACLS certified, and in a situation of multiple critical patients arriving at the same time, we are able to give medications per ACLS protocols. I can't imagine having a patient go into a life-threatening dysrhythmia and not give meds, just because a doctor was tied up with another critical patient.
I once asked my PALS instructor why I needed to to learn how to intubate pediatrics patients when I would never be performing this procedure as a nurse. Her response was just what the OP proposed.
Her question was: What if a pediatric patient came in, stopped breathing, cardiac arrested and no doctor was available due to multiple traumas/critically ill patients coming in at once? What if bagging the baby was insufficient, pulse ox dropping, no chest rise or fall?
That would be a very difficult situation.
But, that is when I really understood why ACLS and PALS was so important.
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