BRR

BRR is a ICU Var 2 tag that we use in our database for ICU patients who have been placed on the Cardiac Arrest Cooling Protocol

• BRR - stands for "Brrrr" as in shivering or cold.

Possible values

• BRR - mean cooling protocol applied for cardiac arrest (started August 2004).
• XBR - means no cooling protocol applied for cardiac arrest (Added March 19.09)

Cardiac Arrest Cooling Protocol

• Target temp: 32°C to 34°C for 12 to 24 hours.

• Code is not to be applied when a cooling protocol is used to normalize temperature for non-arrested patients.

Taken from the Hypothermia Protocol:

• Cooling is indicated if all of the following are checked:
  • Cardiac Arrest Witnessed 100-2
  • Initial rhythm ventricular fibrillation/tachycardia(Dx code: 131-4, or 131-1)
  • Time to ACLS <15 minutes
  • Total ACLS time <60 minutes
  • Persistent Glasgow Coma Scale < or = 9
  • Systolic BP currently over 90 mmHg (pressors allowed)
  • < 8 hours elapsed since Return of Spontaneous Circulation (ROSC)

Data Integrity Rules

• If Cardiac Arrest Witnessed 100-2 in admit or complications diagnosis field then the following must also be marked:
  • ICU Var 2 – “BRR” or “XBR”

AND

• • TISS item T6-hypothermia/hyperthermia blanket

Purpose

By marking BRR or BRX for all patients with the diagnosis of witnessed cardiac arrest (100-2), collectors will have verified at the time of collection that they did not miss marking that a patient was placed on the cooling protocol. This will eliminate the query that gets send back to collectors to double check this item.--TOstryzniuk 21:46, 18 March 2009 (CDT)

Note

• check Category:Development Documentation to see if this has been rolled out yet. Ttenbergen 23:48, 4 May 2009 (CDT)