SiLab ResusOn callCode blue

Code blue quick reference

Quick references to look up and check when on call — to remember all the good stuff from the code blue teaching session.

01 / Before you start

Zero point survey

Zero point survey diagram. Pre-resuscitation: Self (I'M SAFE; breathe, talk, see, focus), Team (leader identified, roles allocated, briefing), Environment (danger, space, light, noise, crowd control). Resuscitation commenced: Patient (primary survey ABCDE), Update (share mental model), Priorities (team goals and mission trajectory). — Zero point survey, after Reid et al., Clin Exp Emerg Med 2018. More on the CRM page.

02 / ACLS

ACLS, from the AHA

AHA Adult Cardiac Arrest Algorithm (2020): start CPR, give oxygen, attach monitor/defibrillator; check rhythm. Shockable VF/pVT: shock, CPR 2 minutes with IV/IO access, shock, CPR with epinephrine every 3–5 minutes and advanced airway, shock, CPR with amiodarone or lidocaine and treatment of reversible causes. Non-shockable asystole/PEA: epinephrine as soon as possible, CPR 2 minutes, treat reversible causes. Side panels: CPR quality, shock energy, drug doses, advanced airway, ROSC, and reversible causes (Hs and Ts). — Adult Cardiac Arrest Algorithm. © 2020 American Heart Association. Select to enlarge.

AHA Adult Cardiac Arrest Circular Algorithm (2020): start CPR, check rhythm every 2 minutes, shock if VF/pVT, continuous CPR with drug therapy (IV/IO access, epinephrine every 3–5 minutes, amiodarone or lidocaine for refractory VF/pVT), consider advanced airway with waveform capnography, treat reversible causes, and monitor CPR quality until return of spontaneous circulation and post–cardiac arrest care. — Adult Cardiac Arrest Circular Algorithm. © 2020 American Heart Association. Select to enlarge.

These algorithms are from the American Heart Association — please see the original source ↗ for the current versions and full guidelines.