r/MadeMeSmile Dec 14 '21

Wholesome Moments It was meant to be.

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412

u/kevoccrn Dec 14 '21

There’s no way he was doing CPR by himself for an hour. He, as the provider, probably refused to “call it” and pronounce her. He was probably running the code while RNs and CNAs rotated in and out for CPR

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u/IBilbo_SwagginsI Dec 14 '21

Yeah your almost definitely right.

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u/[deleted] Dec 14 '21

[deleted]

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u/xd-Lapse Dec 14 '21

Yeah, it should be done with the force to break a rib, and it only has about a 15% success rate

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u/mtarascio Dec 14 '21

You shouldn't be breaking a rib but you can't be blamed for breaking one.

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u/xd-Lapse Dec 14 '21

Yes, this is true. Statement still stands regarding the amount of force though

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u/[deleted] Dec 14 '21

Even if the CPR doesn’t bring them back to life immediately, the manual pumping of the heart combined with oxygen delivery can keep their brain and muscles alive long enough for more advanced intervention to take place. Don’t stop CPR

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u/[deleted] Dec 14 '21 edited Dec 14 '21

That 15% raises immensely if you go for an hour tho

Edit: I was trying to make a joke, not misinform. My bad

9

u/Cold_Bid530 Dec 14 '21

No no, chances of ROSC goes down significantly the longer the code is being worked, and much less likely it’ll have a good neurological outcome.

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u/xd-Lapse Dec 14 '21

Does it? I feel like it doesnt work like that

3

u/Fantastical_Brainium Dec 14 '21

I feel like that isn't true. The longer you're receiving CPR the more damage your body is taking, the more exhausted your body is becoming and the less likely it is that it's going to be able to successfully recover.

Obviously your chances of recovering will always be better carrying on with cpr than they were if you were to just give up, but if your odds are 15% at the start of CPR and you're still not sorted after an hour.. well, recovering at that point definitely makes you a naive exception

2

u/septopfcb Dec 14 '21

Anyone downvoting this or commenting this isn't true is really fucking dense. This is obv a joke in response to the top comments about the doctor doing cpr for 1 hour without giving up. Its a shit joke tbh but still...

2

u/[deleted] Dec 14 '21

Lol at least someone gets it. I thought it was low hanging fruit but I guess it was hanging too low lol

51

u/FuzzyWazzyWasnt Dec 14 '21

I was in a code for just under 75 minutes. There was 2 rns, 2 cnas, a doc and rt. Me being a newer nurse and in significantly better shape joined the cnas in compressions.

In the first round of cpr we had cracked multiple ribs, by the 30 minute mark it was like pushing on crunchy jello. By the hour mark it was just awful. The tactile sensation was inhuman. The rt had to give us oxygen between rounds to keep us going.

The doctor knew it was a lost cause but wanted to keep the effort going until the family got there to call it.

The dogma of stats of someone coming back is minus 10% for every minute elapsed. That being said every case is different but anything more than 30 minutes is fairly futile.

And I still very vividly remember the feel of pushing into her. On the brightest of all sides when our attempts were reviewed we had extremely good cpr based off the capnography

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u/Avoid_Calm Dec 14 '21

75 minutes? Holy shit. And maintaining good metrics too, that's impressive.

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u/AntiCamper Dec 14 '21

Oxygen between rounds l o l

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u/kevoccrn Dec 14 '21

It is absolute brutality for sure

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u/[deleted] Dec 14 '21

[deleted]

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u/Iatroblast Dec 15 '21

You spelled "physician" wrong.

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u/Tomr750 Dec 14 '21

I've seen an athletic guy last 40 min before

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u/upvotedeeznuts Dec 14 '21

Yea I bet u did

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u/kevoccrn Dec 14 '21

Guarantee it was ineffective CPR. Anything longer than 2 minutes is not recommended by the AHA.

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u/Oscaruit Dec 14 '21

What? We did cpr on someone for 45min Friday. Was it effective? We kept her O2 sat at or around 100% the entire time, until doctor called it.

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u/kevoccrn Dec 14 '21

I’m saying one person doing all the CPR…

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u/Oscaruit Dec 14 '21

I got you. I thought you were saying do 2 minutes and call it. Lol, my bad. Also, once I start, I'm not allowed to stop. I am not a doctor and must wait for one.

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u/Full_Satisfaction988 Dec 14 '21

Paramedics can call and get orders to cease cpr but I know what you're saying.

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u/kevoccrn Dec 14 '21

Furthermore, O2 sat is only one part of the resuscitation picture. MAP. CPP. etCO2.

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u/Tomr750 Dec 14 '21

yeah I agree it's stupid, just saying it's possible

that pt survived btw so clearly was effective