April 27, 2006, 11:27 pm

My Bad

Crawling
Well, she was pretty stupid!

And so was I.

I let my PALS (Pediatric Advanced Life Support) certification lapse by one freakin’ month so I have to take the entire two day course.

Blah, blah, blah.

Except now they tell us that sometime in June the American Heart Association is going to announce drastic changes in their CPR recommendations.

So everything I am (re)learning now will be obsolete.

Rumor has it they will change compression ratios!

Rumor has it they will no longer recommend stacked shocks for defib!

And my friend, Lidocaine, is being pushed even farther down the lifesaving algorithm!

Oh the horror! The Horror!

The moral of the story: don’t let your certification lapse. Then you can do a four hour recertification instead of two eight-hour days of monotonous repetition.

Personal opinion? I think the AHA does this on purpose so that once every so many years everyone has to take the two day course and buy the new book.

Cha-ching!

6 Comments

  • Noel
    Noel

    April 28, 2006 at 5:18 am

    30 and 2. BTW, the course is a cinch compared to trying to reprogram the AEDs on our rigs. If this is a plot, than the defib manufacturers are in cahoots with AHA.

    I’m just glad I’m only an EMT-B.


  • Patrick
    Patrick

    April 28, 2006 at 6:46 am

    I’m sure you know the problem with the AHA. It’s trying to get several hundred cardiologists to agree on something. You can’t get two ED docs to agree! So it ends up being a concensus, and is generally full of crap. The worst bit to come out of AHA ever was the idea to start pacing adults at max mA, then dial down. I could pace a pound of flank steak at 130 mA, have it jumping around the counter, and it would have neither a pulse or the ability to determine one.

    As for defib, no stacked shocks for monophasic. Follow manufacturer’s recommendations for biphasic, but no more stacking. For vf, one shock and immediate CPR for 2 minutes. Then stop CPR, check the rhythm and pulse. CPR is king, if you aren’t doing CPR you will go straight to heck.


  • Jenn
    Jenn

    April 28, 2006 at 6:51 am

    Didn’t they JUST revise things? I let my ACLS lapse…Go directly to the AHA, do not pass go, do not collect 3 amps of epi.


  • TC
    TC

    April 28, 2006 at 1:11 pm

    Of all the doctor’s groups I’ve encountered, cardiology groups always seem to be the ones getting “divorced” from their partners. In one hospital, two guys from the same group even got into a fist fight (and had to be treated in our ED, tee hee). so I can’t imagine a whole group of them coming to a consensus. The new anti-arrhythmic is probably even more expensive that amiodorone, if that’s possible. The best advice I ever got about CPR was from an old medic during my first, health-care provider training. He said “don’t worry, they’re already dead.” Flippant, yes, but when I’m really freaking out sometimes that helps me.


  • difficult patient
    difficult patient

    April 28, 2006 at 5:31 pm

    Hmmmmmm, I already let my insurance license lapse . . .my bad too! I better watch the other ones before they lapse as well–ugh!


  • Denise RN
    Denise RN

    April 28, 2006 at 5:51 pm

    It seems like I got a month’s extension a few years ago – of course that was because the course was full, but I would think it’s worth a try. The two days is deadly, as you obviously know. And you can still use lidocaine if you must, but whatever you do, don’t mix it with amiorodone!


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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