As i mentioned in my last post, I took that ACLS class where we learn exactly how and when to perform CPR, when and what drugs to give during a cardiac arrest, or another sort of arrythmia.
Well, Friday I did something for the first time and i hope i never have to do it again.
I had to perform CPR on one of our patients in our wellness program. He was in the program across the room from the ones being monitored in cardiac rehab. My coworker was teaching a strength training class and all of a sudden we hear "we need help we need help!" and i look across the room and 2 of my coworkers are holding a patient up in a chair. He had clutched his chest and passed out, losing control of his bladder in the process. I immediately jog across the room and press the CODE BLUE (read: get more freaking help!) button. A bunch of us went back to the patient and placed him on a stretcher. We were feeling for a pulse and i felt nothing in his wrist. He was completely unconscious. We get our code cart over to him and our respiratory therapist was bagging him and giving him oxygen. We were struggling to get him placed on the monitor so we could see his heart rhythm. By that time we established that we did not feel a pulse and he was not breathing. He was gray and sweaty. Our nurse practicioner climbed on top of the stetcher and began doing chest compressions. I relieved her after 2 minutes (learned this from class) and being doing chest compressions. Hard and fast hard and fast. We are told to do chest compressions to the rhythm of The BeeGees song "Stayin Alive". So finally we are able to get him on the monitor and see that his heart rate is very very low, about 30 bmp. He has a internal cardiac defibrillator with a built in pacemaker. So his rhythm is paced and very slow. We are still doing chest compressions and giving him oxygen via bag. One of my coworkers relieve me and she starts doing chest compressions.
All of a sudden he starts flailing around. He has regained consciousness and is wondering wtf is going on. We calm him down and check a blood pressure. His BP was fine, a little high actually. The code team had arrived and get him carted off to the emergency room.
I did not know he had a built in defibrillator until after the fact. But the nurse practicioner said she felt and saw him "jump" a bit, meaning his ICD was shocking him.
I was shaking the whole time i was doing chest compressions. I am SOOOO thankful that he had a built in defibrillator or he would be having one put in!
Surviving sudden cardiac death. Wow.