Too tired to eat Night shifts are dreadful. Even days before starting a week of night-shifts I feel my stomach beginning to turn upside and down. Hungering for sleep in the early morning hours, I'm almost in a dreamstate, car...
A couple of times now I've looked after people in VF with no pulse (obviously...) Yet the patient weakly moans and even moves during CPR. This leads to stopping CPR, frantically feeling for a pulse which isn't there , noting the mointor is still VF then recommencing CPR. (And defibrillating of course)
Is this movement (presumably representing perfusion of the brain) related to non palpable cardiac output (which I didn't think VF could produce) or to the CPR?
@james connolly: could be As long as you have your leads right, each 2 minutes check for rhythm.If potentially perfusing, then check for pulse.If V.F, don't check pulse (we tend to fail the candidate who does this in ACLS course). BTW: there could be a concious V.F if the patient has LVAD