OMG Nilepoc! What a first code!!
I worked for 13 years in an open heart SICU, so saw lots of open chests, always cool (not for the pt of course.)
But, my weirdest code was before working there, in a general ICU. A woman was on the floor, and rec'd a test dose of ACTH, to r/o myasthenia I think, or whatever other weird endocrine dx they use that med to r/o. So, the very first problem is, she should never have been on an unmonitored unit getting this drug!
Next thing you know, her nurse discovers her cyanotic and seizing. She was seizing from hypoxia I'm sure. They coded her, and every time they were ready to transport her to the floor, she would arrest again.
Came up to our unit finally, and we coded her repeatedly, the cardiologist even gave her straight levophed from the vial, well it came in a bristojet then, he had to give it b/c we all refused to push it straight.
Anyway, we pronounce her. Everyopne is quickly exiting the room, and only a resident and myself are left. Jack was checking for heart sounds with his scope, and I was reaching over to turn off the vent. I saw Jack's face literally turn white. I said What is wrong?! He said I hear a heartbeat. I snatched the doppler, put it on her carotid artery, and sure enough, a lsow, staedy whoshing was heard. OMG I said, turned the vent back on, and called another code, yet she was asystole on the monitor. The doc had gone down to the family waiting room to tell the family she was gone.
I run down there, open the door, there are dozens of teary-eyed family members, she had 11 kids!! 45 years old. I motiuoned for the doc to come out immediately. He looked at me like you insensitive b***h! He came out, I told him she had a heartbeat and we re-called the code. He looks at me and says OMG, what do I tell the family?. I'm like, I have no idea, but I wouldn't want to be you right now! He says, how about this, "The cardiologist has re-esatblished a rhythm." I said sopunds good to me, and ran back to rejoin the code.
We finally got a rhythm, however, that poor woman died several months later in a nursing home.
Turns out, I discovered a few months later, we had some bad EKG leads. When the gel dries up, they don't conduct. That is why we kept seeing flat line on the monitor. But, she still had virtually no BP, but even so, I felt horrible. Of course the entire arrest should never have happened in the first place. She should never have rec'd that med on an unmonitored unit.
My friend and I looked at each other after that code, and said, this one wil; be a lawsuit for sure. Sure enough, I was called for a deposition. I never had to go though, b/c my girlfriend was called first, and her account was enough info, that the hospital settled with the family, for pain and suffering, they should have also sued for malpractice, but they were so upset by being told she died and then she didn't, very, very ugly code. Hope I am never in that situation again.
Couple other ugly codes in that unit. A man with burns to the upper areas of the body, was intubated, so much edema, the ETT was forced out, so the doc said. Anyway stupid anesthesiologist decieds another ETT is best, meanwhile we are begging to put in a trach, they never did, and he died w/o ever having an airway! The same day, a woman who was long-suffering post-op in the unit, kept bradying, this was obviously going to be it after a month of suffering, she was a surgical ***** (F'd up beyond all repair), when she finally brady'd, her dtr threw herself on the bed and refused to allow her to be coded. It was perhaps my second code ever, I didn't know what the he!! to do , thank godness someone did, she ran in and pulled the dtr off the bed. We did CPR, but she died. Now remember this was back in the early 80's. Pt'r rights were not realy popular then, and this surgeon refused to make her a no code. Now, with my experience, I probably wouldn't pull that woman off the bed myself!! Lastly, I should add that our morning report started that day with a pt who was DNY going flatline at 7:15, so 3 deaths in one day! One for the books.