8/3/2023 0 Comments Blue note c definitionAsk charge when bed ready and you help transport Where is patient is going? – ICU, cath lab, scanner etc. Can consider asking for 1mg epi with you for transport.Ĭonsider sedation if intubated, esp if paralytics used to intubate (often forgotten) ROSC: Post-Arrest CareMake sure pressors ready – ask for levophed to be hung during code if possible. If shockable rhythm, charge to 200J and shock. Give 1mg epinephrine (consider + vaso 20mg)Ĩ Min:Pulse/rhythm check. Give 300mg amiodarone (for refractory Vfib/Vtach)Ħ Min:Pulse/rhythm check. Give 1mg epinephrine at 2-4 mins (consider 1mg epi + vaso 20 + methylpred 40mg)Ĥ Min:Pulse/rhythm check. Then continue chest compressions right away after shocking and do the pulse/rhythm check at 2min (don’t do it right after you shock! Keep chest compressions going as much as possible!)Ģ Min:Pulse/rhythm check. If shockable rhythm (Vfib/Vtach), charge to 200J and shock. As soon as leads/pads set up, stop compressions to do a rhythm check (don’t wait for 2min the first time around!). Vfib/Vtach Arrest0 Min:Begin chest compressions. Pulse/rhythm check.Give 1mg epinephrine (Give every 3-5minues) PEA Arrest0 Min:Begin chest compressions. I typically didn’t look at Code Cards during the code since distracting, but can hand them to the Code Whisperer or have them in your pocket in case. This is a brief summary, see Code Cards for complete version. It’s just an algorithm! The harder part is the leadership/organization piece above… the meds are pretty easy once you’ve done it a few times. Once decided, continue the round of chest compressions and tell the room that we will continue chest compressions until the next rhythm check and if no pulse at that time we will call it – gives chance for everyone to anticipate ending mentally/emotionally and to make sure no final ideasĬan invite family into room during code or after- if during, ask primary team to stay with them It is a group decision, you definitely don’t decide alone! Ask for end tidal CO2- ideally >20 if good compressions, if 10 rounds, check with the ICU triage fellow/attending quietly first whether you should consider calling it then also ask the room. If trach patient, make sure pt hooked up to oxygen. Time-keeper: _ consider using Code Blue AppĪirway: Identify anesthesia and intubate asap if needed. Place back board/pads: Ask that someone places backboard and leads/pads if not already doneĬPR: 100-120/min- beat of “Staying alive”. Identify your team: announce rolesCode whisperer: _ Stand at the foot of the bed, stay calm but make sure your voice is loud enough Quiet the room – ask directly for people to quiet down if needed and ask extra people to step out if too crowded Does the patient have a pulse? Is he/she full code? Walk into the roomHi my name is _ and I am the code leader. ** Your main job is to coordinate/run the room! You are not alone!** Code Blue Overview (Not for Note Documentation)
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |