Keepin’ the Beat

It looks like I’ve broken my streak.  I actually had almost 3 months without a Rapid Response or Code Blue on my shift.  It’s no more.  At least we didn’t have to do CPR on this little 40kg bag of skin and bones, just some airway support and off to the ICU.

But it got me thinking.  Thinking led to rooting around in my “book o’ fame” (my morbid collection of EKG strips of “bad things”) which led to me finding a couple of strips related to CPR.  Strange how a mind works.

Evidently, per the post-it note, these had been grabbed during a code last year where I did a TON of CPR.  Remember kids, a bad thing about being a big strong dude is that you get to do a lot of chest compressions.  I’m not dissing the ladies, I’ve seen many a round done by y’all, and you’re fierce, but for some reason whenever there is a code on my floor, yours truly gets roped in to do compressions.  Needless to say I had no need to go to the gym after that code.

My tele tech knows my predilection for interesting tele strips so he printed a couple for me.

First, near the beginning of the code:

CPR is in progress with a rate around 100bpm, stop to check for a rhythm, find VT, resume CPR, then shock.  This is why you resume CPR right after the shock.  That heart ain’t doing nothing.

Second near the end:

We’re still going fairly strong, figure the rate is around 80bpm, then nothing.  We called it about a minute after this strip was run.

In all fairness, they were dead from the get go.  Never once did we get a rhythm stable enough for transport, never a pulse, pupils were fixed pretty much from the beginning.  Morbid?  Probably.

But on to the beat.  They say 100bpm is the speed we need to keep when doing CPR.  It allows for adequate refilling of the ventricles with blood before the next compression.  In the midst of the controlled chaos of a code, keeping that speed can be tough when adrenaline gets the better of us.  So what do you do?  Keep the beat with a song.

We’ve all heard of “Stayin’ Alive” by the Bee Gees as the “perfect” CPR song.  Heck, I have it on my header.  My BLS instructor the last time around had a thing for “She’ll Be Coming Around the Mountain”.  There is the slightly more darker “Another One Bites the Dust” by Queen that fills the 100bpm measure.  Thanks to the American Heart Association, there is a large list of songs that fit the bill of 100bpm.  Some notables include:  “Kickstart my Heart” by Motely Crue (they would know), “Paradise City” by Guns N’ Roses. “Heart Attack Man” by the Beastie Boys and of all things, “Back to Life” by Soul II Soul.  The entire list can be found at Be the Beat, which is a website dedicated to educating kids about CPR, but here’s the playlist.

Will this help me set a new streak?  I doubt it.  As the rule of three shows, I have 2 to go before a new streak can start…

Advertisements