Verse 1 Silence hits after the storm we fought, Hands off the chest—check what we got. Monitor changes, something’s new, A rhythm forms… could it be true? “Hold compressions”—I feel the line, Carotid pulse… steady this time. After the chaos, after the loss— We brought them back… we got ROSC. ⸻ Pre-Chorus But this ain’t over, not even close, The fight just changed—we protect the dose. From saving a life to keeping it here, Every next step has to be clear. ⸻ Chorus We got a pulse, but don’t relax, Post-resuscitation’s where it cracks. Slow it down, control the scene, Keep them alive in the space between. From airway, pressure, brain, and breath, We just pulled them back from death. We got a pulse—but I stay locked in, ’Cause this is where the real work begins. ⸻ Verse 2 (Primary Assessment) Back to the start—ABCDE, Reassess everything I see. Mental status, lungs and skin, Heart sounds tell me what’s within. Neck, abdomen, neuro signs, Extremities tell hidden lines. Every detail matters now, I read the patient, not just how. ⸻ Verse 3 (Ventilation & Oxygenation) Slow the breathing—don’t overdrive, Ten a minute keeps them alive. Hyperventilation? That’s a kill, Drop that pressure, make it still. SpO₂ in the zone we need, Ninety-two to ninety-eight is key. EtCO₂ tells me what’s real, Thirty-five to forty-five is the deal. Chest rise steady, airway tight, Protocols guide me through the night. ⸻ Pre-Chorus 2 Numbers matter, but context more, Balance everything we’re fighting for. ⸻ Chorus We got a pulse, but don’t relax, Post-resuscitation’s where it cracks. Slow it down, control the scene, Keep them alive in the space between. From airway, pressure, brain, and breath, We just pulled them back from death. We got a pulse—but I stay locked in, ’Cause this is where the real work begins. ⸻ Verse 4 (Monitoring & Access) Cardiac monitor stays in place, Watch for arrhythmias we might face. Two IV lines—secure and clean, Access ready for anything. Vitals cycling, reassess fast, Don’t assume this moment will last. 12-lead ready before we go, STEMI signs we need to know. ⸻ Verse 5 (10-Minute Time Out) We don’t rush—we hold the ground, Ten-minute pause before we move around. Care continues, eyes stay sharp, Find the cause—play your part. Hs and Ts still in my head, What put them down, what filled that bed? Fix the trigger, stop the fall, Or we’ll be coding again—that’s all. ⸻ Bridge (Blood Pressure & Meds) Pressure low? I bring it up, MAP sixty-five—that’s the mark we trust. Norepinephrine starts to flow, Titrate slow, keep it controlled. Push-dose epi if pressure dips, Ten micrograms—steady the ship. If it keeps falling, start the drip, One to ten—don’t let it slip. Fluids running side by side, Perfusion is what we provide. ⸻ Verse 6 (Complications & Protocols) Arrhythmias might come and go, Most will settle—just monitor flow. If they don’t, we follow through, Protocols guide what we do. Chest pain? STEMI on the screen, Call it early—move the team. Seizing patient? Treat it fast, Protect the brain so it can last. ⸻ Verse 7 (Airway & Sedation) Tube is in, but pain is real, Even silent patients feel. Watch the signs—tachycardia rise, Biting tube or restless eyes. Ketamine’s my go-to now, Ease the pain, don’t let it crowd. Head up slightly, protect the airway, Prevent aspiration along the way. ⸻ Breakdown (Transport Decision) PCI center—that’s the goal, They need a team to fix the whole. Call ahead, give them the time, Stamp that ECG—document the line. If they crash while we’re en route, We stop and work—no risky move. But if ROSC holds, we don’t delay, Load and go without delay. ⸻ Final Chorus We got a pulse, but we stay sharp, Guarding life after the spark. Every breath and every beat, Standing watch in that fragile seat. From near death back into light, We hold the line through the fight. We got a pulse… and I won’t pretend— This isn’t the end… It’s just… the next battle… we have to win.
