home     about     submit your story/contact     best of     rss

How do you suppose being coded feels?

I’m not sure. I’m usually the one doing the coding. I can venture some good guesses, though, at what it could be like. So this is what you should be considering if the nice doctor asks you what the code status is on your 89 year old diabetic multiple antibiotic resistant infectious old CVA vascular diseased demented Aunt Esmerelda who hasn’t been out of bed in the better part of 3 years.

Sound harsh? I hope so. Medical science is a beautiful thing, but treatments that were aimed at saving the lives of 40 year old heart attack victims are being used liberally on the above described Poor Unfortunate Soul. I realize that there are a few 89 year olds that are still playing croquet, but truthfully, in most cases, a broken hip will probably do them in at this point.

I do not mean to come off as sounding flippant about death. I take death quite seriously. I see it on a semi-regular basis. Everytime I do, I am completely humbled. Watching the end of a life is a privilege in some ways.

Let’s chat about what happens when you’ve been made a “full code.” That means do everything. Fine! This is what you can look forward to when you arrest.

Let’s start with the most innocuous intervention – an IV. A little catheter that goes into a vein which facilitates the giving of drugs that work really damn fast when mainlined. An IV can be in your arm, or we can go a bit further and stick a big one in your neck to make things go more smoothly. Both are a bit uncomfortable upon insertion, but eventually settle down. The big IV’s come with more risk (collapsed lung, blood infection, air embolus) but we use them allthe time and these complications are relatively rare, especially when compared to the benefits of having a big catheter to push strong meds through to save your life. We give a TON of medicine during a code to coax your heart into starting (epinephrine, aka adrenaline), beating more regularly (lidocaine, amniodarone), or simply beating faster (atropine). We give bicarb to buffer the pH of your blood, because when you code, you do the whole lactic acid buildup thing by making fuel anaerobically. Just like in gym class. We give lots of saline to support blood pressure, calcium to help your heart beat more effectively, and a whole slew of other drugs to keep it that way.

Next up is oxygenation. Your code will fail miserably if you aren’t able to get oxygen to your lungs. This is supremely hard when you have stopped breathing. (Darn you! I was just about to go to lunch!) Immediately, a conforming mask will be put over your mouth and nose and air will be forced into your lungs with an ambu bag. In the meantime, someone is preparing to intubate you; that is, put a tube down your windpipe into your lungs to be hooked up to a ventilator. If you’ve stopped breathing, being intubated will go largely unnoticed by you until you perk up from the extra O’s. Then you will feel gaggy from the tube and will not be able to talk – the tube passes right by your vocal cords, preventing them from vibrating and producing sound. If you do wake up and start thrashing around, you will be sedated provided that your blood pressure can handle it. It usually can’t at that point. :( We are VERY sorry for you, but having just saved your life, perhaps you can afford us the courtesy of not hitting us or extubating yourself. This is also the junction that you may find that you cannot move your hands or arms. This is because someone has read your mind, knows you want that damn tube out, and has put soft cloth restraints on your wrists. Actually, it is because we have all witnessed too-early self-extubations and the poor outcome that follows. Please respect the airway we have just provided for you. Thanks.

From what I’ve heard, being intubated is not a comfortable thing, but you usually get used to having it there and will stop feeling so gaggy after a few hours. Your throat may be sore, but it’s not excrutiating pain. At a vent workshop I attended we were allowed to plug our noses and stick a mouthpiece into, well, our mouths that was hooked up to a vent. We then just tried to let the machine breathe for us. I found this to be a fascinating feeling, seriously.

Now defibrillation. This is the “one, two, three, CLEAR” that you see on TV all the time, with the patient jumping 2 feet off the bed with every shock. In reality, patients really do jerk like that, but maybe not as dramatically. If your cardiac rhythm requires a shock, you won’t feel that either. People (like Dick Cheney) who have automatic defibrillators implanted into their chests, however, enthusiastically state that being shocked HURTS. People who have been in the way after “CLEAR” was called also concur. If you survive your little cardiac arrest, you may have some burns from being defibbed, or you may not. Regardless, the burns typically aren’t more than a nuisance, particularly when compared to the fact that your heart just stopped.

This brings us to the worst part of resuscitation…. chest compressions. Compressions begin immediately during a witnessed code, usually seconds after one is screamed out by the lucky Code Witness and continues while the rest of the team drags the crash cart (or crash trolley for you across-the-pond RN’s) to the room. Compressions work by squeezing the heart between the breastbone and spine. Even done correctly, there is a good chance you’ll have some fractured ribs to greet you on your way back from the light. I have fractured patient’s ribs before whilst doing CPR and it is one sick feeling. Sick sick sick. I hate it. Compressions also really take a lot out of the compressionist. If you code in a teaching hospital, count on having numerous medical residents and interns gallantly offer to take over from the pretty female RN who started them. And here’s a little secret for the new ICU RN’s who are scared to death of coding someone: doing compressions frees you from having to find the medications, calculate doses, start IV’s, gather supplies you barely know the names of, and work the shock machine. Please listen very very carefully for “CLEAR.”

All of this is well and good for the guy who is suffering a massive heart attack at age 40, but can you imagine doing some of this stuff to Poor Unfortunate Soul, age 89? We do it. :(

You can also make yourself a “partial code.” Yep! Mix n match! You can choose to have just drugs and defib, just intubation and compressions, or any combination thereof. Keep in mind, though, that if you choose “drugs only,” you aren’t going to get far. If your heart stops or goes into a rhythm that is not perfusing your body, IV drugs aren’t going to go anywhere… there is no circulation. If you choose “drugs and defib,” same thing… defibbing might get your heart started again, but there will be no chemical stimulus circulated to your heart because you’ve opted out of compressions. Research has shown that defibbing is MUCH more effective when you’ve provided the heart with some chemical stimulation as well. If you choose everything but intubation, you might as well just go home, because there will be no oxygenation.

People, the name of the game is oxygenation. Without oxygen, there is NO CHANCE. Bagging someone through a mask is only so effective. Anyway, I’ve rarely seen a partial code work, but it seems to make those making the decisions feel better when they can tell us to do *something*, but not do the really barbaric stuff. “Drugs and defib only” is actually quite common.

You can change your mind. If you and your family decide to make you a “full code,” you can reverse that decision 4 hours later and be a “no code,” and vice versa. All it entails is telling your nurse, who will then call the doctor to notify him/her and confirm the order. And again, I would like to repeat that “no code” does not mean “do not treat.”

Lastly, there is the “no code, comfort care only” option. This is where everyone has agreed that you aren’t going to bounce back from this illness, and we need to make you comfy and pain free. This is also a topic for a whole other entry, but suffice it to say that we do start continuous infusions of morphine and adjust as necessary to make you as comfortable as possible.

Sorry for the ultra-cheerful topics as of late, but my favorite thing about being a nurse is having the opportunity to teach and explain. I sincerely love it. I hope you can indulge me for awhile. :-)

Post to Twitter


Comments

As a new nurse, it is good to read the words of someone seasoned to this all — I live in fear of my first code on MY patient, and hope that it is a robust 45 yr old, and not someone whoe reminds me of my grandmother. sigh! medical science IS remarkaable, isn’t it?

whoever wrote this ‘story’ about code seems like an arrogant, smartass, who treats serious heart conditions like a big joke. if you spoke to me in this manner, you’d be picking yourself off the floor. if anything, your probably a know nothing resident.

That would be me that authored that “story,” and yes, it was meant to come off as vaguely smartass-ish. This can be considered as “dry” material and I wanted people to be interested in reading it.

Beyond that – Yes. Reality does sound awful when you remove the sugar coating.

Geena,

I’m glad you posted this and I completely disagree with the guy who criticised you for it.

Many people do write in a very arrogant and gung-ho way about resuscitation: the message tends to be “we’re saving your life, who cares if you get hurt a bit in the process”. Most of them are lay first-aiders.

Your post is *not* like that. It shows the caring, human side of a professional RN – for example, your concern when you say “I have fractured patient’s ribs before whilst doing CPR and it is one sick feeling. Sick sick sick. I hate it.”.

Out of interest, roughly how often *do* patients suffer side-effects from CPR (fractured ribs, bruising, etc.)? How often has it happened to you?

Our nursing instructors aren’t the only ones we can learn from. I come to the site to read about how things really are…what I may see when I graduate from nursing school in May as a green RN. :)
Thank you.

Geena,

Reality bites, Thank you for sharing.

A Former Hospital Corpsman First Class, Devil Doc (8404), and Nationally Registered EMT. (In and around medicine for 20 plus years).

Roger

Geena,
I have just discovered your site. I find it very refreshing, especially since I waiver in my desire to continue nursing after 41/2 years. This portrait of a code is oh so true…. The sick feelings… the thoughts that you are torturing this person (the ones with nooo quality of life) for the family’s sake… By the way..QUALITY IS BETTER THAN QUANTITY Thanks for the realistic look on our often unrealistic actions. (i also work in an icu in a teachinf facility)

It is nice to hear from someone who works in the reality of an ICU. As a physician, I have performed numerous codes in both ER, floor and ICU settings. It was interesting for me to see how many ICU nurse colleagues who I had as patients, choose to be DNR’s in their living wills in the case of non-survivable insults. These were young men and women committed to rationale tough choices and I respect them so much.
There must be a national debate on end of life care. It is becoming frankly impossible in this world of complex, muti-disease patients to offer care that is rational and meets the insane expectations of all family members.
Once and for all, the nurses and physicians taking care of your loved one are not dieties. We belive in miracles but have learned to not expect them. Feel free to criticize, however, realize we are doing the best we can regardless of how much you think we make or how little time we spent in family consultation with you. Our emphasis is onyour loved one. The ICU and hospital is not the place for you to work out your personal guilt because you did not visit your loved one at regular intervals. It is also not an arena for psuedointellectual debate between yourself, and “nursing/doctor” relative and members of the hospital staff. I don’t go to your workplace and drive you crazy with demands and challenges to how you do your job. How about showing me the same respect? We are here for your loved one first and foremost and you a distant second. This is the way it must be and thank goodness….if you were in their shoes, you would want the same.

For optimum care in the hospital I suggest the following:

Treat your nurses and doctors with respect and kindness.
Questioning and criticism are fine, but if the answer does not meet with your liking, be patient and try to work in a manner with your healthcare team which fosters caring and support for you or your loved one.
Stop with the threats. Those who threaten litigation actually get worse care, defensive medicine and a quick transfer.
Learn to have a little faith in the healthcare system…believe it or not we all like our jobs yet few of us are really “just in it for the money”. I don’t care how much you make…don’t make it an issue with me.
Talk to your family before they/you get sick about your/their wishes for what they want done in the event you cannot make your own decisions and your life is in jeopardy.
Be greatful for the health you have, try to accept disease for what it is, and be willing to work hard to overcome your illness.
Remember, though your loved one is your only concern the hospital staff has many sick patients which demand our attention. Don’t be offended if a doctor or nurse cannot spend the necessary time with you to fully explain your situation.

I dont think the person writing this is trying to be an arrogant smart ass. I do believe she really does care and that is why she wrote about this. It is really hard for nurses to accept sometimes that a sick person who is dying of cancer or who is really old and on his way out is still a full code. What she wrote is the reality of a code. It is not pretty. It is not unusual to hear medical personnel joke around during a code as well. It is a highly stressful situation and sense of humur can get nurses and doctors through it.

I have been a nurse for 30 years, with experience in hospitals, home health, dialysis, and nursing homes. I have saved the best job for last, and now I am a nurse in hospice. We always educate our patients and families about end of life care. We start with an amazing document called “Five Wishes”. This is a directive for advanced care developed by Aging with Dignity. You can do an internet engine search for “five wishes” and learn more about this directive. It is difficult for patients and families to open and read at first, but once they do it helps to open the door for better communication. The patient sometimes feels more free to share fears, desires, and expectations during the end of life, and the family is more open to hearing what the patient is saying about their wishes. Professionally, it has helped me to better understand death and dying, and how I can help patients and families prepare. This document is not legally recognized in all states, however, it is a means to establish open communication between loved ones.

For Chris, nurses have very dry senses of humor. That is how we deal with those everyday things that other people don’t have to deal with. You know, like putting sunglasses on a body in the back of a hearse.
Yeah, I know. I thought it was funny. I am a Nurse.

I am an ICU nurse also. I have had that discussion with my co-workers. “Why can’t they let grandma go. What do they want her to live another 100 years.” My favorites are “chemical codes” and “temporary intubations.” I actually saw a patient code, ER physician came up and intubated and the family turned around and made the patient a DNR and wanted the tube out almost immediatly. Fun stuff. This was also on a night when all the nurses in the unit were in the weeds. I can relate on so many levels.

Geena,
your story,(very real) is poignantly and humorously ‘penned.’ Thank you for enlightening what I have done at the bedside for 10 years.

Geena,
your story,(very real) is poignantly and humorously ‘penned.’ Thank you for enlightening what I have done at the bedside for 10 years.

Geena,
your story,(very real) is poignantly and humorously ‘penned.’ Thank you for enlightening what I have done at the bedside for 10 years.

Thanks for this great post. You’ve got some really good info in your blog. If you get a chance, you can check out my blog on {medical coding} at http://www.medicalcodingassistance.com

actually oxygenation isn’t everything. New research confirms that compressions are everything. It is being introduced within the new ACls guidelines that we stop over ventilating as we are inducing worsened acidosis.
Still there is nothing worse than falling through the sternum on a compression on an elderly patient..makes you want to vomit.

Hi,
I am really sorry that I can not share the sentiment of the above bloggers. I find sarcasm and black humor are defense mechanism that burnt out critical care nurses employ; when perhap they should invest time in discovering more effective ways to deal with the real issue at hand. i.e. perhaps a little tired of giving the glorified bedbath? Being more caring and compassionate may help some to realize that it is personal choice and patient right to be coded at (82) to infinity, if they should so choose.
If we cannot bear to appearance of the elderly while critically ill and fighting to live forever, perhaps we should find different professions.

I base my comments on a healthy 82 year old male that seeked care for a UTI and at the hands of the hospital and nurses that decide when one should die, allowed him to be hypoxic (hours) to the point of Respiratory arrest, intubation, septic shock and you know the rest. intact skin to eight PU’s, trach to vent etc etc. Now this gentleman is in the bed for 4 months, dying and very sad. Multi drug resistent and infectious. This gentleman is my best friend and my father, Now.. I must make him a DNR. 4 months ago he could probably out run you and I. so what does age have to do with it?
Everything a few nurses thought he was old and decided to ignore him and the signs resp failure and provide suopport. I guess if he had died that day a nurse would not have had to worry about falling in a caved in chest and puking.

I’ve only been a registered nurse for 5 months but as my 1st job being in SICU I’ve seen several codes. They can be brutal and yeah the personnel can be callous but no one starts out that way. We in the health care industry have an insight on codes and what quality of care can be. I’ve thought about it and if I got a shot at comming back and being able to see my family for a little longer, I think I just might. I told my wife to give me two weeks and if I’m still going south then yank that cord with not one but two hands. I now work the graveyard shift and I don’t care if I get yelled at from a doctor I don’t want what happened to the previous post’s family member to be on my hands.

I know the original post was made several years ago, but I see that people are still commenting on it, so I guess I will too. I work at a nursing home and have had the opportunity to be a part of several codes. The nursing home is usually the last stop for the elderly, and many of the residents there are full codes. I had to answer a code today on a man, probably 70 yrs old or so, PEG tube feeder, mentally retarded total care resident. I felt bad that we were unsuccessful at saving his life eventhough we initiated CPR and paramedics arrived on scene within 7 min of the call, but I am also glad that he no longer has to suffer, he did not have any quality of life…I understand what the author of the original post meant

Hi Geena,
I know this blog is a few years old, but I still wish to give you my thanks for writing it. I’m in training to be a med. transcriptionist, and have been bombarded with disconnected tales of people that do not deserve their fate, and of others that do not appreciate the life they have. Sneeking through the narrative is the doctor’s tone of voice, sometimes annoyed, sometimes happy, sometimes frustrated. I find myself responding with dark humor and sarcasm, but it doesn’t mean that I do not care about the patient’s I’m documenting. Thank you for putting an uncomfortable issue into perspective, and for giving me a glimpse at the culture of “modern” medicine.

I loved the whole story. I can’t believe people still comment on this! Very interesting. It is 25 minutes until I leave the hospital (I am a transcriptionist) I am going to forward this to my friend who graduates nursing school on Monday May 14th. Thanks!

I was a nurse for 10+years. I can totally understand the views of each side, but please!! I do not feel that someone should lie comatose, feeding tube patent, looking off into space and be put through CPR just because someone feels that they want to have their loved(?) one living. There are alot of worse things than dying!! On the other hand..One morning when I was off duty…I watched my grandson die right before my eyes…Me being a nurse, they called me in to help with my daughter calling the CPR attempts. God in heaven knows I wanted to say please keep trying…but knowing the outcome I finally helped her to understand that he was really gone..God bless all the nurses..and the Drs in the ER that morning…their tears were flowing…You that do not watch as we try to save people…do not watch as we provide care…Please do not be so quick to comdemn and say what you would do…Each family member should let it be known what they want at a time when they cannot speak for themselves…but as for me…I will choose quality over quanity…Make special memories each day..and there will be no regrets…

I am having serious surgery on Tuesday June 12th and and in the midst of completing a form called “5 Wishes”, it is basically advanced directives. My husband is seriously ill and so I have had to appoint a secondary medical proxy. Although I am only 40 and have an incredible surgeon, I have struggled with how to advise my family and best friend. Your post has given me valuable insight to consider. THANK YOU!

My 70-year-old father is in ICU right now after undergoing emergency surgery to stop internal bleeding. He has CHF, end-stage renal failure and cirrhosis. The doctor has said his chances of survival are slim, but he’s on full code. When it comes down to it and it’s the best decision for him, I would not hesitate to change it to “comfort care only,” unfortunately my siblings do not agree. I don’t see the point of prolonging his life if there is no quality, but I’m in the minority.

Your post is old, but it’s still very pertinent to all of us who are dealing with it, either as medical caregivers or family.

This is what makes us alienated. We have witnessed what others wish to ignore. However, it takes its toll on us and I applaud your post. We are the unsung heroes. God Bless Us.

I have been an oncology nurse for 9 years. I have been in many codes…What you have just read is what happens in a code. Not sometimes, every time. When code status is addressed (or should I say if it’s addressed) by a doc almost never is it in detail. I’m sorry if any of you candy asses that can’t handle the truth but let’s face facts…. It won’t be you in that room while I crack your loved ones ribs. You hear jokes that only others that are in, or have been in codes laugh at. Trust me people, it is to keep us sane and from bawling all day. That said I am one of those nurses that will be completely honest with you and your family. I will stay after my shift and sit with you hold your hand and explain your choices. This does include a blow by blow acct of what really happens in a code. I have done this more times than I know, and honestly only 1 pt remained a full code.
We as a whole treat our animals better than we treat people. I know I wouldn’t put my dog through what I have seen families put their “loved ones” through!

Anyway, my final thought on this is when the time comes…….and it’s me they are calling a code on…. They will pull up my gown to put that central line in my groin, and my groin will scream back my final wishes loud and clear….

The tattoo on the left side… DNR!!!! and on my right DNI!!!!

I will do this for 2 reasons………..

1. I don’t want any confusion on what I want.

2. I want the whole code team to laugh their asses off!!!!! and then tell everyone my story so they can have a laugh that day as well!!!!!

Thank you for this story

GREAT blog and wonderful account of a code…………life is so precious but the afterlife that I believe exists if still more awesome than anything we’ve ever experienced on this worldly plane.
Thank the good Lord that he has blessed some of us with the desire to truly care for and care about our fellow humans.
God Bless all the health care providers here and everywhere fighting for one more day for loved ones, or, fighting for peace and DNR’s for patients and family members.

I really liked the dry sense of humor you brought to your posting. Those of us who have been in medicine for a long time need humor to keep doing this job.I still shudder every time I think of the LOL (little old lady) that was my first code. One push on her chest and I felt the crack crack crack of those three osteoporetic ribs break. In the last 35 years, there have been good codes with good outcomes (mostly otherwise healthy and fairly young people) and lots of bad outcomes. Statistics are not good for surviving a code even after all these years of BLS & ACLS training for hospital staff. The civilian population out there need to be aware of exactly what a code entails, and the futility of giving drugs to a patient who does not have a pulse. The drug needs to get to the heart quickly if it is to have any effect. Giving 3 doses of epi that sits in the arm just so you can say you did “something” is a futile waste of time and money. Nurses today do not have any time to waste. Even with nursing ratios, our patient load is so much sicker than 25 years ago, that some days you can’t get through a 12 hour day and get all your work done on time. With administration pushing us to treat out patients as hotel guests and meet their every whim, it is impossible to finish charting in a timely manner. No nurse likes a code, but sometimes you can’t avoid it, and there is nothing worse then having a patient who is a DNR per their request, going to the great ICU in the SKY, and a family member insists that you have to do something to save them now that they are unresponsive and can’t protest. We recently had a patient in our unit for 3 months who did not want to be resusitated, but her family insisted we had to keep treating her despite 2 codes. We learned they were dependent on her social security check for income, and after she was transfered to a long term vent care facility, they continued to collect and spend her check. Our social worker had to report their fraud to the goverment. Since then, he found out they have never visited their mother, and she is now a DNR (she’s of no use to them any more). It’s crap like this that makes us cynical and wanting a new career. We need occassional levity to keep doing this year after year in more and more trying circumstances.

please do not lighten up those of us who have expereienced the end of life. We have a right to our perceptions.

Thank you so much, Geena. I know *exactly* what you mean, and agree wholeheartedly.

As for Cathy, honey… as trite as it sounds, you just have no idea until you’re in our position, and you’ve been through what we have – hundreds of times. I’m truly sorry about your father, however the human heart and mind can only take so much tragedy (as seen through the eyes of medical professionals). Sometimes, you just have to find the painful or sarcastic humor in a situation to keep the unfairness from overwhelming you. Just because a patient is one of many does not mean that he’s a number to me, or anyone. It may not seem like it, but I care. God, do I care.

I’m headed for major, major surgery next week and have signed all the documents making clear that I’ll be DNR, that means anything. Likely I’ll sail through, but one never knows. I’m old, and if this body says no more, I don’t want anyone standing in my way.

I totally agree with Geena. As a critical care nurse of 27 years, I have made family members “no codes” and have also coded my disabled 45 year old husband. Yes, I discovered him at home, accidently electrocuted while trying to work after a social security denial, started CPR, called 911, lived through hypothermia protocol and now live with a 46 year old brain injured man. He has made remarkable progress, but is not the same as before, and never will be. I also will never be the same. Would I do it again? You bet. Would I have done it to my 89 year old mother? Never in a million years. Cudos to you Geena for bringing a much needed topic to the surface. I wish all my patient’s family members could read it.

I know this is a few years old, but thank you, thank you, THANK you for writing this. Everything you have said is 100% true and appropriate, and the naysayers really have no idea what it is like to work in our environment. By the way, I am a med-surg nurse, and I love the floor, and we deal with this just like ICU RNs do.

i have worked in the nursing area for years…here is a few things that i have to add regarding the “code”

to add to this tidbit…
we may place a tube in your nose that goes into your stomach to suction out stomach contents so you don’t vomit during the cpr or aspirate your own contents into your lungs causing pneumonia and a whole other host of problems…
also please don’t think that you will just wake up from the code and all of the machinery is gone like the tv shows illustrate…this is very rare and should not be expected…
we apologize for the goop, glue, and goo that is on your chest and other areas of your body but that came from the gel used on the defib paddles, electrodes, and other stuff we may have needed to use on you during your incident…
lastly please do not curse us out or threaten us upon regaining consciousness, we did this for you because you specified you wanted it done, we apologize for your pain and discomfort.

who said medicine was pretty anyways? and our own doctors wonder why we make such horrible patients!

Does it ever occur to you that you are part of a franken-medicine system?

Your intubation methods are totally barbaric. There is at least one oxygen therapeutic (Oxycyte) that delivers oxygen to all parts of the body multiple times better than what that ventilator and tube can do with normal blood cells only.

This whole ugliness violates every contract with humanity that is promised to us in the widely trumpeted Hippocratic Oath about doing no harm.

Refusing to torture when ordered may end your ‘career’ but having seen the reality, how do you deal with your insanity.

And yes I’ve seen ER staffers engage in prejudging the patient and engaging in inappropriate treatment. Against old as well as young.

Where is that ‘do unto others’ part of Christianity when you would never allow the code horror to be done unto you?

You are supporting franken-medicine by participating. How can you avoid it.

It’s true the medical industry has created a monster but day in and day out i watch as people begging for us to do everything we can. We only intubate if the pt has consented. And if it is emergent we have not choice because then its a lawsuit waiting to happen. so there you go.

I would suggest that you learn what the reality is in franken medicine. Just google ‘resuscitation refusal override”. You are participating in that monstrous practice.

Consider that the research on sepsis (possibly as a complication of pneumonia with acute respiratory distress) which shows that the patient is better treated with hyperbaric oxygen with interleukin-10. Other research is more specific about protocols for intermittent HBOT to reduce mortality. Curiously the results are better WITHOUT antibiotics. Wonder why these results are not pursued? What would hold this up?

Franken medicine is unopposed. Some results are as old as the 90s, others up to 2006. Including controlling septic shock with interleukin-10. Somethings like IL-10 even might be doable with nutrition. Curiously, nursing nutrition is not favored. Just pharma-franken.

Where’s the pressure for implementation? Most of what I hear and see are self-pitying providers who do not stand up, except at websites.



So, what brought you to the hospital today?

Line and paragraph breaks automatic, e-mail address never displayed, HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

(required)

(required)

Your Progress Note



Author

  • profileI am Gina. I have been a nurse for 15 years, first in med/surg, then CVICU, inpatient dialysis, CCU and now hospice. This blog is about my experiences as a nurse, and the experiences of others in the healthcare system - patients, nurses, doctors, paramedics. We all have stories!

Find Me

Twitter Facebook RSS

Badge Blooms


Nursing


Med Blogs


Other Ways to Leave




Meta