Re: Running strips to confirm asystole

[Guest guest]

Had a code at a place in Fayetteville we nicknamed " Elder Sludge " , three

staff members in the room, apneic patient was on a NRB at 15lpm, only

one was doing anything, and she was kneeling beside the patient,

squeezing the reservoir bag, and looked at us and said, " Can someone

else bag for me? "

We obliged...

Mike

'Tater Salad' Hatfield EMT-P

" Si hoc legere scis nimium eruditiones habes. "

EMStock 2005, it's never to early to plan!!!

www.emstock.com

www.temsf.org

Re: Re: Running strips to confirm asystole

>

>

> Actually, the term is " dead ringer. "

>

>

>

> >>> ewalsh@... 12/9/2004 7:18:06 AM >>>

>

> The saying saved by the bell comes from England where they would bury

people

> thought to be dead. A thin rope was provided attached to a bell. If

the

> person cam eback they would ring the bell.

>

> Re: Running strips to confirm asystole

>

>

> >

> >

> >

> >

> > >> How did anybody ever get pronounced dead in the thousands of

> years

> > preceeding this invention (ECG monitor)?...Dead is dead, and you

> > don't need a strip to show it. <<

> >

> > Before Gene was born, there were many documented cases of patients

> > who were " dead " but somehow became alive again before, during, or

> > after burial. Perhaps " dead " is sometimes " almost dead. "

> >

> >

> > >> If your patient is in asystole, then perhaps you ought to work

> > that patient. According to ACLS, asystole is a workable rhythm.

<<

> >

> > Gene, I hate to argue with you (wait...No I don't), but the AHA

does

> > NOT consider asystole to be a workable rhythm.

> >

> > The major learning points for the asystole case (page 111 of the

> > current ACLS Provider Manual) states you should be able to

> " recognize

> > that asystole usually represents a confirmation of death rather

than

> > a rhythm to be treated. "

> >

> > The asystole algorithm itself states (at the bottom of box 1 -

page

> > 112) that care providers should evaluate for " evidence that

> personnel

> > should not attempt resuscitation. "

> >

> > For the record, I DO support the concept of not applying the ECG

> > monitor to patients with obvious signs of irreversible death.

But,

> > keep it real my brother.

> >

> > Love,

> > Kenny Navarro

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

--- My personal favorite is going to the NH on a full arrest and

dispatch informs you that CPR is in progress. We arrive and the NH

employees are doing abdominal thrust and squeezing the bag on a NON

REBREATHER @ 2lpm.

In texasems-

l , " Jonathon's Mail " <goldstar517@c...> wrote:

> i thought that NH was only allowed to use O2 at 2lpm.

> RE: Re: Running strips to confirm asystole

>

>

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>

>

> My favorite: Arriving at the NH in response to a SOB call.

> The patient is laying on the floor, in full arrest, no CPR in

> progress, with a nasal cannula in his mouth " to blow air into

> his lungs " !

>

> My other favorite: Arriving at the NH in response to a

> cardiac arrest call. The patient is in bed and truly looks

> dead as we enter the room, no CPR in progress. Surprise,

> surprise--he has an easily palpable pulse. The next thing we

> hear is the head nurse (as she runs down the hall)

> yelling " Get him out of here! "

>

> Maxine Pate

>

> ---- Original message ----

> >Date: Fri, 10 Dec 2004 09:39:17 -0600

> >From: " Mike Reynolds " <mreynolds@c...>

> >

> > One of my favorites it to arrive at the nursing home

> > on a cardiac arrest

> > and find the nurses actually doing compressions

> > BUT... with a nasal

> > cannula on the patient turned up to 25 liters.

> >

> > Mike Reynolds

> >

>

>

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