Jump to content

Open Fracture During CPR

Nurses   (3,324 Views | 14 Replies)

1 Follower; 2 Articles; 50,825 Profile Views; 5,682 Posts

During a recent code, during the rhythm check, a small wound was noted on the patient's chest -- it appeared to be an open fracture. The MD said that the patient had had a sternotomy in the past and that the staples had probably abraded through the skin. Either way, it kind of freaked us out.

Has anybody else ever encountered this?

As compressions continued, the concern was for an exposure to the compressors; which risk was mitigated by placing a folded towel over the chest.

Another war story added to the collection.

Share this post


Link to post
Share on other sites

sallyrnrrt is a ADN, RN and specializes in critical care, ER,ICU, CVSURG, CCU.

1 Follower; 2,387 Posts; 26,833 Profile Views

unfortunately it happens, especially in cvicu

Share this post


Link to post
Share on other sites

NotReady4PrimeTime has 25 years experience as a RN and specializes in NICU, PICU, PCVICU and peds oncology.

16 Articles; 7,357 Posts; 71,891 Profile Views

I remember a code on an infant several years ago where the compressor watched the child's skin separate right along her sternotomy scar. It freaked the nurse out and she still talks about it to this day. That was one we didn't win...

Share this post


Link to post
Share on other sites

Emergent has 25 years experience.

7 Followers; 2 Articles; 2,869 Posts; 66,142 Profile Views

So Music, what was the outcome of your code?

Share this post


Link to post
Share on other sites

392 Posts; 6,405 Profile Views

I remember a code on an infant several years ago where the compressor watched the child's skin separate right along her sternotomy scar. It freaked the nurse out and she still talks about it to this day. That was one we didn't win...

That would be traumatizing to observe :(

Share this post


Link to post
Share on other sites

1 Follower; 2 Articles; 5,682 Posts; 50,825 Profile Views

So Music, what was the outcome of your code?
Ultimately, the same as most.

Share this post


Link to post
Share on other sites

1 Follower; 2 Articles; 5,682 Posts; 50,825 Profile Views

That would be traumatizing to observe :(
It was pretty creepy but, thankfully, (a) this wasn't a wee one and (b) it didn't grow (much)

Share this post


Link to post
Share on other sites

AJJKRN has 6+ years experience and specializes in Medical-Surgical/Float Pool/Stepdown.

1,224 Posts; 21,150 Profile Views

Once when I was a float tech I watched a cardiac nurse use a fracture bedpan (the flat part to the patient) to give CPR on a post-op CABG that went into v-fib. Thankfully the patient still had the pacing wires in and a CVICU nurse came to the code with the machine to pace the patient with. Don't think they lived but the sternum didn't "crack"...I really don't know how effective the CPR could have been though but I don't blame the nurse for not wanting to wait too long before someone brought the pacing gadget! I'm guessing since the pacing wires were still in this is why they didn't try defibing with the code cart instead...

Share this post


Link to post
Share on other sites

That Guy has 6 years experience as a BSN, RN, EMT-B and specializes in Emergency/Cath Lab.

3,421 Posts; 33,043 Profile Views

Yup and it prompted us to get a better mechanical compression device.

Share this post


Link to post
Share on other sites

catmom1 is a BSN, RN and specializes in LTC, Psych, Med/Surg.

344 Posts; 10,763 Profile Views

Ultimately, the same as most.

Wow this has been an interesting thread to me. :yes:

Side question: I have always (mentally) translated the OP's name as "song in my heart," is that right? Or is it "music in my ?"

Thanks.

Catmom :paw:

Share this post


Link to post
Share on other sites

1 Follower; 2 Articles; 5,682 Posts; 50,825 Profile Views

Side question: I have always (mentally) translated the OP's name as "song in my heart," is that right? Or is it "music in my ?"
In my mind, it is actually "music" although "song" works as well.

When I first submitted the username, "music" is what I was thinking.

Share this post


Link to post
Share on other sites

Christy1019 has 11 years experience as a ASN, RN and specializes in Emergency/Trauma/Critical Care Nursing.

878 Posts; 18,068 Profile Views

In my mind, it is actually "music" although "song" works as well.

When I first submitted the username, "music" is what I was thinking.

How in the world did you even get those symbols? I have always been jealous?

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.