Cardiac arrest advice
Hey guys
I’m a junior currently rotating in ICU for the first time since I’ve graduated. And I suck at resusses. My brain goes everywhere and I cannot delegate. I don’t know what to do to get better.
Today: We had a resus for a patient that had status Epilepticus on over the weekend was on a midaz infusion and changed to propofol infusion today and he also had been having a refractory hyperkalaemia over this same weekend with ECG changes as a result. BPs started dropping after the start of propfol to which I asked for a bolus of phenyl or adrenaline (resource limited) and the sister just kept on doing her thing instead of helping me address the BP. Finally got the adrenaline and the HR and sats started dropping dramatically to which we called resus but I was so haywire I couldn’t even think of removing him from the vent and bag masking, asking for a board etc.
I eventually got to the algorithm and was working my way down - he was a v tach and the sisters wouldn’t even amhelp connect the defib. Eventually so shocked and I asked for and gave amiodarone neat to which the sisters started giving me shit for not mixing it with dextrose (but I wasn’t taught that for a resus situation and I couldn’t even refute that bc my mind is so all over?!??)
Eventually we called it after resussing and correcting as we went.
Please can someone help me understand how to be better. I’m in such a slump and I feel so horrible and like no one will ever listen to me bc I’m dumb