Monday, October 14, 2019

New CPR


CPR, a lot of tries, very little advanced.

Evidenced Based New CPR


Over the years
There have been a lot of changes,
Regarding CPR
With many rearranges,
First, it was the drugs
That were tried and rejected,
When we discovered
Few were cardio-protective.


As a result we said
Back to the drawing board,
Accept one new drug
And leave the rest in accord,
So that meant Amiodarone
Epinephrine and Atropine,
Adenosine as a special
For a certain kind of tachyzine.


Next it was compressions
That slamming on the chest,
Who could be fast enough
And who did it best,
Carefully tested results
Regarding heart chamber pressure,
Without a steady MAP
Joe Bob isn't any fresher.


Lastly, respirations
Not so important any more,
It's all about the hemoglobin
Carrying out its chore,
We can all live without oxygen
Longer that we think,
Because our blood is carrying it
What was already in the sink.


Sure, it has some importance
But what we learned, was better,
Hyperventilation
Was far worse, to the letter,
And that was always a risk
When Barry was working the bag,
He would ventilate like a crazy man
Overcompensate, what a drag.


Labs would be drawn
And an A.B.G.
The p.H. would be 7.7
The Doc would say, "Oh, goodness me",
Knowing that now
We needed to halt all breaths,
Which doesn't look good in the records
When investigating the deaths.


Finally, a solution was discovered
In regards, to delivering breaths,
We could fake out any observers
The ones who are tracking the deaths,
By reverting to the mouth-to-mouth
By appearance, no breath shall it miss,
In reality, Jerry from Respiratory
Has the duty of Emergency Kiss.


Smacking away at those lips
Pretending to blow like a hoover,
Counting out the expected ratio
With the compressor; he's the prime mover,
Carrying on like he's important
An integral player in this event,
Just hoping this silly charade
Will earn him some points of intent.


I have watched the total endeavor
I had ACLS in 1984,
That's a whole bunch of time
I renew soon, it’s a regular chore,
There were a bunch of diversions
And many of them, that did miss,
But who would have ever guessed
It would be Epinephrine and just a kiss.





No comments: