rcpals

Second degree type II. Fixed p-r, then drops a beat.

Several recent studies, document rates between 150 and 200 chest compressions. Survival starts to drop as compression rates get greater than 120. So 100-120 is optimal.

According to multiple studies, there is no improvement in neurologically intact survival to hospital discharge, if you intubate during a code. Many hospitals no longer routinely intubate until the patient gets ROSC or they are having difficulty venti...

Hi Brama, One of the reasons we don't like to push amiodarone, if the patient is alive, is the high rate of hypotension and bradycardia. Generally this is an infusion related issue occuring in up to 25% of patients. Per your scenario, it doesnt seem...

Hey all, Atropine works by blocking areas of the heart that are innervated by the vagus nerve. We know the vagus nerve only connects to the SA and AV node directly. The reason atropine is contraindicated in High level blocks (2nd type II and 3rd/C...

ok, here's a basic method. there are three discinct areas of the heart; atrial, junctional and ventricular. each area has specific markers of origin. the atria. the identifiers are an upright p-wave. generally all atrial beats must have an uprigh...

ok, here's a basic method. there are three discinct areas of the heart; atrial, junctional and ventricular. each area has specific markers of origin. the atria. the identifiers are an upright p-wave. generally all atrial beats must have an uprigh...

Hey Guys, Generally the best way to determine adequate perfusion during compressions is with a A-line. It displays actual pressure numbers and you can see a difference in compressed BP depending on your compression technique. Recently I was pushing...

Hey happy nurse, Very interesting. Is that all preop cabg patients? Could you kindly ask the doc on the specifics off why you use nasal bactroban for afib? I would love to learn a new technique. See if he can give you info on the study/author/jou...

Hi All, This is a cool thread. First let me say I am a totally open to all opinion's. I don't necessarily agree but thats cool. I have laughed at many,many things in code blues. I am not against a little levity in just about any situation. To me...

Hi Hilary, This is how I believe it works. If you have a Ventricular Septal Defect (VSD) / rupture, the high pressure in the LV will push a little (or alot depending on the size of the VSD / Rupture) oxygenated blood into the RV through the VSD. Th...

I would politely ask if you feel other sexual inuendo (SP?) are also acceptable. What about a reference to a large or small phallus? or Breasts. Is that also appropriate . How would legal and administration look at your statement? Would they tell...

The lawyers are the best part and I did read the other posts. In medicine today we have to be as accurate as possible. Picture this, you document PVCs with afib and something went wrong with your pt. The lawyer gets you up on the stand and asks a...

Hi Dinith and thanks for the post. First lets understand one basic thing. The AHA algorythms are community standards and we should be using it on most patients. This is not to say we can't deviate from AHA guidelines and try a new technique or dr...

The reason PAC blood is different than RA blood is this. RA blood just represents the sum of all venous blood returning to the heart. Blood from the pulmonary artery is "mixed Venous". In order to be mixed venous it must go through 2 heart valves ...

Here is a easy one for PEA. Possible causes( the h's and t's), Epinephrine, Atropine. The entire algorithm is in the initials PEA and in the correct order. Bradycardia. Another algorithm to drive everyone insane. Atropine, atropine, transcutan...

Look, its like this. Ventricular ectopy can happen in any rhythm. Premature beats generally happen on regular rhythms. We dont call a ventricular beat in afib a "PVC" It cant be premature in afib because we dont know when to expect the next beat. You...

Personally, I feel the obviously sexual nature of that comment is very inappropriate. I am not a prude or a stiff and do get amused at codes everyonce in a while. In todays age of quick lawsuits, I would advise that rn (male or female) to at least be...

Hey guys this is my first post... This is what the AHA says about A-fib and A-flutter (they both have the EXACT same treatment / algorithm) The first question that must be asked after identification of AF/AF (or any tach, wide or narrow except the a...