Natalie | Nurse Mentor
Region: US
Monday 20 April 2026 21:28:18 GMT
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Glow With 2 Sis :
I appreciate your efforts in educational content but let’s be real for a second. I’ve worked in over 20 hospitals coast to coast and have been an ICU nurse for 15 years and I have NEVER seen an attending, anesthesiologist, or RT tell anyone to pause compressions for a 30:2 BVM ratio in the ICU especially when within 5 minutes you already have a full team at bedside. RT takes the bag, anesthesia is focused on intubation, and compressions NEVER stop. That 30:2 scenario is for your lone responder in the field or your simulation lab, not a real ICU code at 3am. Textbook knowledge gives you the foundation but we also need content that teaches the controlled chaos of a real world code because that is what actually prepares nurses and clinicians to save lives. Teach the algorithm AND the trenches.
2026-04-21 20:27:33
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🌺Melissa🌺 :
Im in nursing school and we are being taught to not stop compressions for bagging it is recommended to continue compression because it was found that interruptions kill perfusion
2026-04-21 01:07:53
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Natalie | Nurse Mentor :
To clarify, this was a pediatric arrest related to respiratory failure and bradycardia, not an adult cardiac arrest, sorry for any confusion
2026-04-21 05:29:07
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mamabear08050212 :
you don’t stop compressions to deliver breaths, you continue compressions until pulse check.
2026-04-21 01:24:51
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gogiago :
You didn't do anything wrong. According to AHA's ACLS guidelines for adult cardiac arrest of a patient with a non-advanced airway. 1st, Immediately start CPR. 2nd, 30 compressions followed by 2 BMV ventilations with continued CPR. See how circulating is more important than ventilating (in adults)?
2026-04-21 02:11:44
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Jrich_bitch :
In the ER, the only time we pause compressions is for pulse check
2026-04-21 20:44:02
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nursetofloat :
Code debriefings are so important, to be supportive of each other and have the opportunity to work through your feelings.
2026-04-20 23:38:24
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matilda :
I got yelled out by the ICU doc during my last code for stopping to allow breaths even though there wasn’t an advanced airway…I’m now realizing he forgot we were on a medical floor, therefore the pt isn’t intubated
2026-04-21 11:36:50
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E :
Also don’t forget backboard or to put the bed in CPR mode. So many codes I walk into they’re pushing the patient into the mattress resulting in poor quality compressions
2026-04-21 19:18:33
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Lucille Garcia :
I’m a rapid response RN the first thing I do is push code button the ask someone to grab crash cart get a ambu bag I place an LMA and start compressions give first dose of epi. Yes I’ve done this when I was called on respiratory failure patient by this time the code team has arrived. I have a back pack with everything I need
2026-04-22 08:40:30
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Thunderchicken :
I‘m confused…what’s a bradycardic arrest? Like, they were severely bradycsrdic? I thought you do atropine or pacing?
2026-04-21 04:39:23
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Stormy V⛈ :
I just did acls we definitely stopped to bag 30:2 ratio
2026-04-21 04:52:30
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BelieveNUrself :
Ma’am, you did fine because you initiated CPR don’t beat yourself up about that
2026-04-21 19:20:24
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H O :
Research shows it doesn’t make a huge difference
2026-04-20 23:09:33
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Alessia :
Peds are different
2026-04-21 15:23:02
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FeralFireSnake :
It’s a recognized issue which is why so many hospitals have been making inpatient nurses go through the training more often. Things get jumbled when adrenaline is high.
2026-04-21 12:17:22
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wheresmycheese :
Excellent teaching points
2026-04-21 11:50:33
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Gravii Tea :
If you did CPR right away then they still have oxygen left. Compressions are more important. They also said compressions also health with respiratory cause you’re pushing the lungs to slight exhale/inhale.
2026-04-21 05:19:14
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Danielle :
They have 10 minutes of oxygenated blood in their body so compressions are priority
2026-04-21 04:31:02
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Stephanie O’Neal :
Thank you for sharing this ❤️
2026-04-21 20:24:47
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Tiktok :
Thank you for sharing!
2026-04-20 22:53:10
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Oliver Best :
Ty for sharing
2026-04-21 04:04:03
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JwS1970 :
Nah your attending needs to take a refresher and a big step back.
2026-04-23 13:27:10
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shoujosei07 :
It’s really interesting to hear this after in Sims last week(1st semester btw so very bare-bones skill-wise), we had a Code Blue and our instructor had us continue compressions until we decided to switch out and while that was occurring, having one person deliver one breath every six seconds, no interruptions to compressions besides coordinated switch-off. Haven’t been in the program long enough to know the ins-and-outs of ACLS to know what’s “Evidence based practice”.
2026-04-23 06:26:33
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AlesAndBlackSails :
You don’t need to pause even if they have any T tube bag away. If it’s a synchronous, it’s a synchronous get that air in them. Get that air moving.
2026-05-01 22:05:50
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