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Are you ready for the code page ?

Are you ready for the code page ?. Apranta Deka Bi Ade Jill Grounds. Tip#1. run, take the stairs ! as you run.... keep your mind calm and think of what will be your first action as you walk into the room.

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Are you ready for the code page ?

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  1. Are you ready for the code page? Apranta DekaBi AdeJill Grounds

  2. Tip#1 • run, take the stairs ! • as you run.... keep your mind calm and think of what will be your first action as you walk into the room “I will walk into room, identify myself and ask what happened then check vitals/pulse”

  3. Tip #2 • identify yourself as the code leader • stand at the footend of the bed, take command!

  4. Tip #3 – Tackle the basicsFirst questions to ask… • Who saw what happened? • What are the vitals now? • Do we have a pulse?

  5. Basics - CAB(not ABC)updated ACC guidelines 2010 • Ccirculation(is there a pulse? BP?) • Aairway(position, choking? is anesth here? do we need intubation?) • Bbreathing (someone please bag. sats ok?) • D defibrillator(keep it close)

  6. Tip #4 • Appoint specific people to specifictasks

  7. Tip #5 • talk out loud! • (whatever you are thinking- let everyone hear so they know what is going through your head..... interpret vitals, intial assessment etc etc)

  8. Tip #6 • after 2 mins of CPR, check rhythm

  9. Secondary ABCD • A ?intubate • B ?position of ETT (continue to bag; keep sats >90-95%) • C CPR (access? pressors?) • D ddx (look for reversible causes 5Hs and 5Ts)

  10. Tip #7 • while things are being done, stay calm and think ….. about what caused it?

  11. Eisenberg MS, Mengert TJ.  Cardiac resuscitation.  N Engl J Med. 2001 Apr 26;344(17):1304-13.

  12. Eisenberg MS, Mengert TJ.  Cardiac resuscitation.  N Engl J Med. 2001 Apr 26;344(17):1304-13.

  13. Roles of the Code Leader • Clearly identifies self as Leader; stands at footend facing all monitors • Delegates all tasks; does not do manual tasks • Only person to give orders • Assists with crowd control • Talks aloud • “Calls” the code when over • Debriefs code team with Code Advisor • Writes Code and ICU transfer notes; completes/signs BMC Code Audit Report • Updates patient’s family, attending, PCP, and 1° team

  14. For more resources, visit the Int Medicine Residency Website • http://www.bumc.bu.edu/im-residency/category/leadership-training/

  15. Good luck!

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