BRR: Difference between revisions
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==Purpose== | ==Purpose== | ||
To identify ALL patients who are treated with therapeutic hypothermia following a [[Witnessed Cardiac Arrest | Cardiac Arrest Witnessed 100-2]] or [[Unwitnessed Cardiac Arrest | Cardiac Arrest Unwitnessed 100-1]]. By identifying all patients that receive this therapy a further audit can be done to identify if therapy was appropriate or not. | To identify ALL patients who are treated with therapeutic hypothermia following a [[Witnessed Cardiac Arrest | Cardiac Arrest Witnessed 100-2]] or [[Unwitnessed Cardiac Arrest | Cardiac Arrest Unwitnessed 100-1]]. By identifying all patients that receive this therapy a further audit can be done to identify if therapy was appropriate or not. | ||
*reviewed with Kendiss Olafson and Dean Bell.--[[User:TOstryzniuk|TOstryzniuk]] 17:58, 26 August 2009 (CDT) | |||
==Code used== | ==Code used== | ||
Revision as of 16:58, 2009 August 26
Purpose
To identify ALL patients who are treated with therapeutic hypothermia following a Cardiac Arrest Witnessed 100-2 or Cardiac Arrest Unwitnessed 100-1. By identifying all patients that receive this therapy a further audit can be done to identify if therapy was appropriate or not.
- reviewed with Kendiss Olafson and Dean Bell.--TOstryzniuk 17:58, 26 August 2009 (CDT)
Code used
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 or Cardiac Arrest Unwitnessed 100-1 in admit or complications diagnosis field then both the following must also be marked:
- ICU Var 2 – “BRR” or “XBR”
- TISS item T6-hypothermia/hyperthermia blanket
- changes made.--TOstryzniuk 17:58, 26 August 2009 (CDT)
Purpose of marking BRR or BRX
By marking BRR or BRX for all patients with the diagnosis of witnessed cardiac arrest (100-2) or unwitnessed cardiac arrest (100-1), 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.