- Joined
- Dec 27, 2005
- Messages
- 89
- Reaction score
- 19
Got called to cathlab today for cardiac arrest during surgery. One of the things the cardiologist wanted was "5 mg stacked epi" given intracardiac. I have had docs want to give epinephrine this route before when they were in surgery but not 5 mg. Has anyone else been asked to do this?
One of the ED docs went with me and he'd never heard of "stacked epi" before. When I got back to the ED I asked another doc and he said that it's code for " I'm the cardiologist and will do whatever the hell I want". He said it is actually an old school practice from about 20 years ago and has been abandoned long ago too because it wasn't helping in the long term. He thought the "stacked" meant back to back.
Just wondering if anyone else gets 5 mg or 3 mg Epinephrine dose orders in a code? We ended up just giving 1 mg because nobody thought he really wanted 5 mg at once. Got the guy back and he is in ICU but just wondering about anyone elses experience. Thanks.
One of the ED docs went with me and he'd never heard of "stacked epi" before. When I got back to the ED I asked another doc and he said that it's code for " I'm the cardiologist and will do whatever the hell I want". He said it is actually an old school practice from about 20 years ago and has been abandoned long ago too because it wasn't helping in the long term. He thought the "stacked" meant back to back.
Just wondering if anyone else gets 5 mg or 3 mg Epinephrine dose orders in a code? We ended up just giving 1 mg because nobody thought he really wanted 5 mg at once. Got the guy back and he is in ICU but just wondering about anyone elses experience. Thanks.