Float Nurse

Oh Danny boy, the pipes, the pipes are calling From glen to glen, and down the mountain side The summer's gone, and all the flowers are dying 'Tis you, 'tis you must go and I must bide. Danny Boy A 94 year old admitted with chest pain. 0206:  Called to room because patient was feeling nauseated.  Patient found to be diaphoretic,  nauseated, and anxious.   Holding chest.   Became unresponsive and pulseless.   Code Blue called. 0210:  CPR initiated.   Placed on monitor.   Normal saline started. 0211:  Defibrillated at 200 joules.   Post-shock rhythm ventricular tachycardia.   CPR resumed 0213:   Epinephrine 1mg IV given.   CPR in progress.   Positive pressure ventilations adequate. 0215:  Defribrillated 300 joules.    CPR resumed.    Ventilations becoming more difficult.  Abdomen distended.  Attempted NG insertion ...

Because I could not stop for Death— He kindly stopped for me— The Carriage held but just Ourselves— And Immortality Because I Could Not Stop for Death- Emily Dickinson 1500:  A 50 year old female who collapsed at a local retail store was brought in by EMS.   CPR was initiated at the scene.   She was found to be in pulseless ventricular tachycardia and she was defibrillated twice and received an initial dose of epinephrine.   No family members or friends were available to relate her medical history.   She has no prior hospitalization so no medical previous medical records are available. 1514:  CPR is in progress as EMS wheels her into the trauma room. 1515:  She is transferred from the EMS stretcher to the ER stretcher.  CPR is stopped for an initial rhythm check. Initial rhythm:  AV dissociation 1517: A pulse is present but she has no visible respiratory effort so positive pressure vent...

Again the vision of the white gate returns.  And this time with his hand Maximus pushes open the gate.  In the distance can be seen tall green cedars that line the road leading home.  And beyond the his home can be seen an open field of golden wheat being gently blown by the wind.  As he slowly crosses this sea of wheat, he can see two figures standing in the far off distance and the sound of boyish laughter can be heard.  As the wind blows across this field of wheat it looks like great waves rolling across the face of the sea.   With each wave, his steps become lighter and the cares that once held him are slowly washed away. As he wades through the field of golden wheat his wife and son look up and see him.  Upon recognizing him, his son smiles and runs toward him …now he is home; now he is finally free. “Gladiator” and all related marks and media are TM & c2000 DreamWorks LLC & Universal Studios.  Refractory V...

From the movie Gladiator As Maximus stands unsteadily to his feet, the vision comes to him once again, this time more clearly than before.  His wife and son are there.  As he loses consciousness, he falls to the ground.  From out of the stadium comes Lucilla.  She runs into the arena and drops to his side and calls his name. Maximus’ eyes open and looks up at her and in a whispered voice asks, “Lucius is safe?” Lucilla gives him a reassuring nod.  At peace now, his eyes close and the light slowly fades.  Lucillia, sensing that death is near, urges him to “Go to them.”  With his face calm and at rest, the gladiator takes his last breath.  Ventricular tachycardia 1st shock at 200 J Refractory ventricular tachycardia Epinephrine 1mg IV push given CPR Rhythm 2nd Shock at 300 J Ventricular Fibrillation Vasopression 40 units given CPR Rhythm 3rd shock at 360 J ...

Any man's death diminishes me because I am involved in mankind; and therefore never send to know for whom the bell tolls; it tolls for thee. . . . from Meditation 17 by John Donne This is a code summary strip from a biphasic LifePac 20.   It shows only the electrical interventions that were performed during a cardiac arrest.   As you look at the Preshock/Postshock strips, the left side of the rhythm strip is the rhythm before the defibrillation and the right side shows the rhythm strip is the rhythm after the defibrillation.   The Print 1 and Print 2 strips are random strips that were run during the code. Ventricular fibrillation V-Fib/CPR rhythm strip V-Fib/CPR rhythm strip Refractory V-Fib followed by CPR rhythm Ventricular Fibrillation CPR rhythm V-Fib/CPR rhythm CPR rhythm V-Fib/CPR rhythm strip Asystole