CPR question

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 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

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

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.

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...

but wooh, would you really want to go to court on that one???

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.

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....

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.

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.

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.

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.[/quote']

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.