1st Responsibilty

If you ask me, the most important thing you need to be able to do when working in the ER as a doctor or a nurse (and to only a slightly lesser extent, as a tech or a respiratory therapist), is to be able to recognize when someone is in cardiac arrest.

Sounds pretty basic, right? Then how can some people who should know better (ie BLS/ACLS trained) not realise that a pt who becomes unresponsive is in fact pulseless and apnoeic!

Come on people, feel for a pulse and check for respirations!

4 Comments

  1. Comment by Officer Cynical:

    The problem for me would be I didn’t know pulseless was a word and I don’t know what apnoeic means. I always just check the person’s carotid and stick my hand under their nostrils. They’re usually just really drunk, though.

    • Comment by LadyHavocRRT:

      Apnoeic is “not breathing”. I always get called for the patient who’s short of breath, but won’t hang up the cell phone so I can give them a treatment.

  2. Comment by Dr. Grumpy:

    Well, I would, but they need to learn to show me their insurance card first.

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