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:
  • 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)

Data Integrity Rules

• If Cardiac Arrest Witnessed 100-2 in ADMIT or COMPLICATION DX slot then the following must also be marked:
  • ICU Var 2 – “BRR” or “XBR”

AND

• • TISS item T6-hypothermia/hyperthermia blanket

By marking BRR or BRX for all with DX of 100-2, collectors will have verified at the time of collection that they did not miss marking Var 2, and this will reduce the query's that gets send back for double checking.--TOstryzniuk 21:46, 18 March 2009 (CDT)

Template:Discussion

• the above is a SUGGESTION for updated version of CCMDB: look here:Suggestion for Catching missed BRR in ACCESS.--TOstryzniuk 16:03, 28 January 2009 (CST).
  • Not sure where it went from the above mentioned link, but rule is now here. Tina you can take this discussion out of here when you have dealt with it on the request for change log. I think you have in the new version but it has not been tested. --TOstryzniuk 16:37, 19 March 2009 (CDT)