Friday, September 4, 2009

Unimaginable

Yesterday at work i went over to the Pedi ICU to help out and as i walked in, they were coding a 1month old baby boy. It was so sad to watch. His lifeless, little body was laying in the isolet and the nurses were doing compressions and getting the code cart. After about 30mins, they stabilized him. They had an echo-tech come and do a ECG on the baby's heart and in the middle of the scan, they baby starts coding again. The echo-tech said he wasn't 100% sure but it looked like the baby didn't have a tricuspid valve. That is an essential part of the heart and I'm unsure how the baby lived a month without any other problems. The baby was originally brought in for a rule-out sepsis diagnosis, so the docs had no idea that the major problem was his little heart. anyhow, after coding him for the second time for about 20mins, they decided to bring in the defibrillator and shock him. i had never seen them shock a person using the defibrillator, and i had to see them shock the baby. His lifeless little body jumped as they shocked him. One of the nurses comes over and asks me to console the family and explain to them whats going on. That was not easy. I sat them down and explained that the doctors were going to try and shock the baby's heart to get it to start beating again. The parents sat outside of the room watching the doctors work on the baby as i tried to keep them calm. The mother was hysterical, the father was watching with bloodshot, teary eyes trying to comfort his wife. The doctor came out to tell the family that if the next shock was unsuccessful that there wasn't much more they could do. I felt my heart jump up into my throat and tears gather in my eyes. Another 10mins passed and that was it; They had called it, the time of death. The mom lost it. As i helped lead them out into the conference room, the nurses started to clean up the room and the baby so the family could come hold him one last time. The nurses worked diligently with tears in their eyes. I stood there in shock. I walked in the room and help the nurse make a bereavement kit for the family. In the kit we give the family a clay footprint of the baby, a lock of hair, the gown the baby was dressed in and a few other things. I felt numb as i picked up the baby's cold, lifeless little leg and pressed his foot to the clay. After the imprint of his little foot was done, i wrapped him up so the family could come in and say their good byes. It was devastating. I went downstairs for my break and just cried. :( i cant imagine being a mother, carrying a baby for 9months, taking your baby home, bringing your baby back to the hospital and then leaving without him/her. That has to be the most terrible feeling in the world. My heart broke for that family.

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