So there was this really sick dude, right? All intubated up and stuff? And he's like on pressors and jazz? And he's like lying there in the bed. And then he starts throwing frequent big ol' PVCs. And then a few runs of V-tach. So I mosey on over there and put the defibrillator pads on him--just in case. He seems fine for a few minutes, and I go back to my seat.
The ICU doc covering this patient calls me and says, "Can you start a magnesium drip on this guy? His magnesium is really low." So I start the drip, but am running it a little slow, because his pressure is pretty low and I don't want to drop it too bad. I'm sitting back at the desk and I happen to glance over at the monitor and what to my wondering eyes should appear:
I LEAP up, run to the bedside, yelling for a little assistance, check and--no pulse. Then, without even thinking about it, I charge the defibrillator and shock the guy. It was like my hand just flew out there and did it by itself. By the time one of the docs got to me, the guy was back in NSR. The doc said, "Well, looks like you've got this under control. Good job!"
And then I sucked in a big breath because I realized I hadn't been breathing for a little bit there, and then I turned up the magnesium drip a little.