"Go ahead, hold the legs."
"Are you nuts?"
"No, I'm not nuts. You need to hold their legs so after the shock they don't bend their legs with all those catheters in them and hurt themselves."
"But you're going to use 360 Joules!"
"Yep, and you won't feel a thing."
"No way."
"Way."
"How can you be so sure?"
"Because those gloves you're wearing do not conduct electricity. Sync on? Good. Everybody clear? (No not you - you keep holding...) Go ahead."
* * * Thump * * *
"Didn't feel a thing, did you?"
"Ah, no, but now my heart is racing..."
-Wes
Reference: Lloyd MS, Heeke B, Walter PF, Langberg JJ. "Hands On Defibrillation. An Analysis of Electrical Current Flow Through Rescuers in Direct Contact With Patients During Biphasic Defibrillation." Circulation. 4 May 2008.
Are they heavy duty rubber gloves or just thin gloves like the latex ones that are in the box? Do you get many volunteers to hold the legs? If I had never seen a cardioversion before, I would be freaked to hold the legs.
ReplyDeleteAnony 12:24 -
ReplyDeleteThe plain ol' latex ones work just fine.
I see your "it's ok to hold onto a patient you're converting" and raise you a nurse (I worked with) that leaned against a scrub table during a cardiac case when they used the internal paddles (her elbow was touching the instrument tray) and got knocked on her ass. She claims to have felt the jolt, fell over then looked up and said "that's the best orgasm I've ever had".
ReplyDeleteShe then went to emerg to get checked out. Urban legend? Don't think so but she made me laugh my ass off even if it is.
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