BRR: Difference between revisions

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'''Cardiac Arrest Cooling Protocol''' for ICU patients.
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.
*BRR - stands for "Brrrr" as in shivering or cold.


*If the cooling protocol is started on a patient who has had a cardiac arrested, the code '''BRR''' must be marked in [[ICU Var 2]].
*If ICU Var 2 is marked '''BRR''' then TISS item [[TISS Neurological | T6]] must also be marked.


*If ADMIT or COMPLICATION diagnosis is Cardiac Arrest-witnessed (100-2) '''AND''' the cooling protocol is applied '''THEN''' both of the following items must be marked:
*[[ICU Var 2]] BRR '''AND''' TISS item [[TISS Neurological | T6-hypothermia]]


==Cardiac Arrest Cooling Protocol==
*Target temp: 32°C to 34°C for 12 to 24 hours.
*Target temp: 32°C to 34°C for 12 to 24 hours.


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Taken from the Hypothermia Protocol:
Taken from the Hypothermia Protocol:
*Cooling is indicated if ALL of the following are checked:   
*Cooling is indicated if ALL of the following are checked:   
**Witnessed Arrest
**Witnessed Arrest (Dx code: 100-2)
**Initial rhythm ventricular fibrillation/tachycardia
**Initial rhythm ventricular fibrillation/tachycardia(Dx code: 131-4, or 131-1)
**Time to ACLS <15 minutes
**Time to ACLS <15 minutes
**Total ACLS time <60 minutes
**Total ACLS time <60 minutes

Revision as of 15:37, 2009 March 16

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.


  • If ADMIT or COMPLICATION diagnosis is Cardiac Arrest-witnessed (100-2) AND the cooling protocol is applied THEN both of the following items must be marked:
  • ICU Var 2 BRR AND TISS item T6-hypothermia


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:
    • Witnessed Arrest (Dx code: 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 GCS < or = 9
    • Systolic BP currently over 90 mmHg (pressors allowed)
    • < 8 hours elapsed since Return of Spontaneous Circulation (ROSC)

--LKolesar 13:54, 22 January 2009 (CST) --TOstryzniuk 20:37, 26 January 2009 (CST)


Possible Value: BRR if the protocol was applied.

TOstryzniuk 16:19, 22 July 2008 (CDT)

Data Integrity Rules

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