Dr. Mark Posted March 24, 2014 Share Posted March 24, 2014 (edited) After being in the ER for 20+ years, you'd think you would have seen everthing. And you would be wrong. This weekend, I was treated to a whole new experience. Now, bear in mind, when you start CPR, you DO. NOT. STOP. Not for anything, until the patient is either revived, or the code is called, and the patient is pronounced. In the last few years, with the development of smaller and smaller microchips, and better, MUCH more powerful batteries, a new type of pacemaker has been developed, called the AICD: The Automatic Implantable Cardiac Defibrillator. It is used in people who have certain types of persistent ventricular cardiac arrythmias. If the person it's in goes into a potentially fatal arrythmia, like ventricular fibrillation or V tach, it pops them with an electric charge, just like in the movies or on TV when you see a "Code", and they put the paddles on someones chest and shock them? Same principle. Well, this weekend, I got to get all up close and personal with one. They brought in a patient who had collapsed, and had one of these devices. the patient went into cardiac arrest, and I was the one who started CPR. I had gotten them intubated, already, so their airway was secure, and the nurses were trying to get the monitors hooked up, get IV's in, get code drugs pushed, all that, so I started chest compressions. Well, if you are doing CPR right, the monitor looks just like ventricular tachycardia. I had gloves on, but the metal band of my wristwatch and the inside of my wrist were in contact with the patients skin, and I was leaning into the bed, with nothing between my thigh and the metal bed rail but scrub pants which are about the thickness of gauze. . Well, the little electronic microchip brain in the AICD looked at the rythmn it was seeing from my chest compressions, and decided that the patient was in V tach, and needed to be shocked. Four times. In quick succession. It was like being hit in the chest with a Louisville slugger by Mark McGwire or Barry Bonds. Four times. The AICD was obviously set on it's highest shock setting, because the patient bounced on the bed when the charge was applied. I did not bounce. I jerked and screamed like a little bitch. The nurses found this to be quite hilarious. Defibrillator: BANG! Me: "What the hell..." Defibrillator: BANG! Me: "SHIT! The damn defibrillator is firing!..get me..." Defibrillator: BANG! Me: "AARGH! FUCK! GET ME A HANDFUL OF GLOVES TO PUT ON THE CHEST!" Defibrillator: BANG! Me: "High-pitched screechy yodeling noises!" The nurses were all laughing so hard, tears were running down their faces. Sometimes, I hate my nurses. Edited March 24, 2014 by Dr. Mark 6 Quote Link to comment Share on other sites More sharing options...
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