BRR

Cardiac Arrest Cooling Protocol for ICU patients.

• 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 T6 must also be marked.

• 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
  • Initial rhythm ventricular fibrillation/tachycardia
  • 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

• SUGGESTION for updated version of CCMDB: look here:Suggestion for Catching missed BRR in ACCESS.--TOstryzniuk 16:03, 28 January 2009 (CST)