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)
- --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 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.--TOstryzniuk 21:46, 18 March 2009 (CDT)
Note
- Go here to see: [rolled out change on March 19.09].
- [CHANGE REQUEST LOG 2009 for CCMDB.mdb and for Data cleaner]--TOstryzniuk 16:03, 28 January 2009 (CST).