Mock Code blue 2014 for healthcare providers

mock code blue drill. American heart association basis

1. Mock Code March 19 2014

2. Patient 71 year old male with history of 40 pack year smoking, quit 10 years ago, hypertension, and known history of benign occasional PVCs Presents for routine screening colonoscopy

3. Course Normal progression of case until splenic flexure. Pt coughs and strains against colonoscope advance. 20mg propofol IV administered

4. Course Pt relaxes. Moments later, the pulse oximeter alarms, as no tracing is seen. On ECG, the following is noted:

5. What do you do?

6. What do you do? Send Circulator for help Activate EMS Code Cart / Defibrillator Supine then chest compressions Airway Management Medications

7. V-Fib Arrest CPR – 2 minute cycles 100/min Shock 120-200 biphasic CONTINUOUS CPR

8. V-Fib Arrest CPR Shock Epinephrine Q3-5min Amiodarone – 300mg, then 150mg

9. V-Fib Arrest

10. Case After 3 shocks and 2 rounds of epinephrine, a dose of Amiodarone 300mg is administered & a 4 th shock is given.

11. Course On ECG, the following is noted:

12. Course The intubated patient i s transported to the ER. He is admitted and furnished with an AICD