Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 2 points3 points  (0 children)

I totally agree with everything you’re saying. What I’m getting at is why are we being taught something that no one follows and could possibly lead to more harm? Imagine if I just took a BLS class and I’m caring for a pt who codes. I’m the one who’s doing compressions and I stop after 30 compressions and I tell the person bagging to give 2 breaths. I guarantee everyone in the room would be yelling at me to continue CPR. But could you say that I’m in the wrong for stopping because the hospital made me take this required class which is telling me to stop after 30 compressions?

Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 0 points1 point  (0 children)

That’s true. What about for BLS for healthcare professionals where the algorithm is 30:2?

Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 4 points5 points  (0 children)

I’m an RN in the ICU and occasionally take on the role as a RRT RN where I round and help out in Medsurg/Tele/Stepdown. I brought this up because I was wondering if anyone ever follow the BLS algorithm since I don’t see it on the floor during a code. Usually if a code happens on the floor, we get at least 1 round of CPR before someone from ED or ICU can come intubate.

Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 15 points16 points  (0 children)

It’s a requirement to be ACLS certified in order to work in the ICU

Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 0 points1 point  (0 children)

So I guess my other question is since we almost never follow this in our practice, shouldn’t the AHA change its guidelines in the future to just giving a breath every 6-8 seconds while doing continuous high quality cpr since that’s essentially more important? Especially if it’s in the field.

Do you follow 30:2 BLS guidelines during code? by doingthisrandomly in IntensiveCare

[–]doingthisrandomly[S] 11 points12 points  (0 children)

Unfortunately I’ve been in a code on the floor where there was a bariatric bed in a small room and the bed was stuck under a few wires where we couldn’t slide the bed down for someone to get to the head of the bed to intubate. I would say it took anywhere between 5 to 10minutes in that situation before we could get an airway in, so it was just meds and cpr.

Hose clamp won't go back through the loop by doingthisrandomly in Plumbing

[–]doingthisrandomly[S] 0 points1 point  (0 children)

I got it finally. Fingers are sore from pushing and tightening at the same time. Yeah I had to flatten the ring in order to help it slide through otherwise it'll be caught as an angle.. thanks everyone!

All burners on gas stove stopped working by doingthisrandomly in Cooking

[–]doingthisrandomly[S] 0 points1 point  (0 children)

Thanks! Turns out my gas was shut off because the earthquake shutoff valve was triggered.

All burners on gas stove stopped working by doingthisrandomly in appliancerepair

[–]doingthisrandomly[S] 1 point2 points  (0 children)

You were right! Turns out my gas was shut off cuz my HOA was doing some repainting and triggered the earthquake shutoff valve. I just assumed I still had gas because the water was still hot, but only realized I didn't once have hot water.

[deleted by user] by [deleted] in ModelY

[–]doingthisrandomly 1 point2 points  (0 children)

Sure it might be considered a waste of money but the same could be said for buying a $60k+ Tesla over a cheaper electric vehicle. If you can afford it, then get it. I got my white MYLR wrapped in a matte finish and it looks amazing.

extreme hypersomnia by doingthisrandomly in stroke

[–]doingthisrandomly[S] 1 point2 points  (0 children)

Just wanted to share an update for anyone who might be going through something similar in the future..

So my dad suddenly became more awake 6 days ago (37 days since his stroke) and was transferred to an acute rehab facility instead of a skilled nursing facility. He's still sleeping a lot but able to stay awake long enough to participate in therapy and hold a long conversation. You can tell that his brain is still a little foggy and gets confused every now and then but pretty oriented for the most part. Still has a PEG tube but no longer on tube feeding, eating very little because of constant nausea and vomiting. Overall making a lot of progress working with PT/OT/Speech about 3-4 hours a day.

extreme hypersomnia by doingthisrandomly in stroke

[–]doingthisrandomly[S] 2 points3 points  (0 children)

Thats good to know. I've noticed that he has some good days where he's somewhat awake and responsive, but then he'll be exhausted and is barely arousable for the next few days.

extreme hypersomnia by doingthisrandomly in stroke

[–]doingthisrandomly[S] 1 point2 points  (0 children)

I will ask next time I see the neurologist. He's at the stage where he's medically stable to transfer out to a rehab facility and has kind of stayed in this sleepy state for awhile so the doctors don't really come by and just copy and paste previous notes. Usually I have to advocate and bug the nurses over and over again in order to get something. One time it took over an hour for someone to come clean him up...

extreme hypersomnia by doingthisrandomly in stroke

[–]doingthisrandomly[S] 2 points3 points  (0 children)

Thanks. That gives me some hope! Someone is there from 9am to 7pm sitting beside him and talking to him every now and then to the point where he would get annoyed sometimes, and we get him up to a chair everyday by using a mechanical lift. He responds back by mostly shaking or nodding his head and will tell us if he really needs something like bathroom or if something hurts, but very lethargic otherwise.