Nurses General Nursing
Published May 29, 2013
Esme12, ASN, BSN, RN
1 Article; 20,908 Posts
Really?????
Silverdragon102, BSN
1 Article; 39,477 Posts
but of course
clear as mud and just as quick to follow
I saw this and I thought What the HECK???? What a mess!
Christy1019, ASN, RN
879 Posts
For the rhythm not shockable part under VF/VT, why the heck does it take you to ROSC at the bottom? What if they just became asystolic or pea???
akulahawkRN, ADN, RN, EMT-P
3,498 Posts
Then what you're supposed to do is CPR for 2 minutes, look for reversible causes, administer Epi every 3-5 minutes and at the end of every 2 minute cycle, check for a shockable rhythm. Unfortunately the algorithm picture above doesn't have an arrow for non-shockable rhythms that restarts that cycle. That lacking feature makes that part kind of confusing.
No I knew what you're SUPPOSED to do, that was more of a rhetorical question because of how poorly that algorithm was written...
Rhetorical question aside... that algorithm is not just poorly written, it doesn't offer any other suggestions besides epi or amiodarone.
Of course this "new" version is a lot simpler... just that the above algorithm is poorly done.
Double-Helix, BSN, RN
3,377 Posts
If this were my hospital they would shrink that thing down to a nice 2x3 inch card that we could hang on our ID badges.
Not a bad idea, actually. I'd just expand upon that a little bit, perhaps to include post-resuscitation and a couple other algorithms like VT with pulse, SVT, and Bradycardia. That would fit on what, 3-4 cards?
emtb2rn, BSN, RN, EMT-B
2,942 Posts
There should be other cards. That's just the dead guy one.
This actually is the ACLS AHA universal algorithm for ACLS.......this is exactly why I think "care maps" are crazy.
A friend sent me this and I thought what else can be messed up!