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