Code Blue at the Clinical Learning & Simulation Facility

[bomberfun1]

this woman can barely press anything, why is she even working there, how did she get in? I want the slice of the cake too!!!

[SzWilhelmina733]

good

[DvMagdalen241]

nevermind

[Nguyennuget]

stayin alive stayin alive by the bee gees...that's how I compress at every code blue..oh yeah =]

[Stinkyfart]

@Nguyennuget I saw that on the Today Show.

[stevietoward]

In these scenarios or simulations can the dummy die?

[sezuor]

@stevietoward yep

[likenother616]

If I ran a code like this in my Paramedic program my Instructor would have booted my ass out of the classroom.

[chrissline77]

@likenother616 ..............What are they doing wrong?

[canasta0928]

why would you give 150 mg amiodarone as your first dose it should be 300mg. stop compressions to long to tube. maybe thats how they do it canada

[canasta0928]

why would you give 150 mg amiodarone as your first dose it should be 300mg. stop compressions to long to tube.

[jjovereats]

If I appear to "code" when my heart rhythm is pretty regular (sinus brady, normal or tachy) I want the treatment to be IV feeding.

[tartansam]

VF recognised but lets NOT rush to shock, the only thing that will possibly start the heart again, lets stroll on with IV, bagging and eventually shock lol

[zaxterry]

1 person dosen't want anyone to save his or her life when they pass out or go into cardiac arrest

[Ariaofsol]

Dude, I AM BEING SO SERIOUS RIGHT NOW: THE DUMMY'S VOICE SCARED ME WHEN IT SAID " I am feeling bad, I am feeling bad. I don't feel well"

[ronaldotr1]

Boring........You should see a real CODE BLUE.....the feel of adrenaline is at full strength.

[chrissline77]

@ronaldotr1 ...........epinephrine

[alvicroda]

before intubation, u shouldve hyperventilate the pt..

[bananacake74]

30:2. Basic BLS. 30 CC, 2 breaths. If advance airway is in, then continue CC w/o interruption

[abhing1]

if im dying i don't want any cpr!

[amyjade86]

you do keep compressions and bagging going at the same time. There is no stopping. Or thats what we were told. You only do the 30/5 if your not in a hospital setting. But i agree.. they do seem a bit lost. We just did a sim.. we were much worse lol!

[henndri]

JUST A DOLL, NOT REAL

[mexiarthur]

start a foley, STAT!!!

[1888junkteam]

excellent work!

[kbkind]

this team leader has no idea what he is doing. you don't just keep compressions going and bag when ever you want like he tells the person bagging.

[jidi1226dchang]

first of all, Where are everybody's gloves???

aseptic techniques please...

[flothenurse02]

i think most doctors and nurses at this point when its a code blue are trying to keep the patient alive anyway possible....plus if you are a good doctors and nurse you are already constantly washing you hands anyway

[tobyrat23]

Wow this is soooooooooooo bad. Hahahahhaa. WOW.

[99lennon]

Pity Austraila is a dump in every other way............ the most arrogant people on earth.

[jamieisgayer]

that's nice ;/

[jamieisgayer]

Wow, this goes against all my protocols - thank god I live in Australia with properly trained Paramedics! =) sorry if this offends anyone in other countries who actually know how to handle Vfib...

[imblueangel]

They look like they are in training, I think its good in away because people assume that when they get in the situation they are going to do great, but you don't count on being nervous. I know, I had to learn the hard way with my son, and believe me I was very nervous about all of this and I didn't have medical training. There is so much you guys have to know, I am not surprised that when they start out they are not perfect. No one is.

[jpr032]

i agree with er junkie isnt it 30 compressions to 2 breaths so shouldnt the nurse stop compressions and the guy delivers two breaths just curious plz respond.

[BakerM92]

if youve got a bag on the patient (the guy standing at his head) you can do constant compressions only stopping to intubate or watch their pulse on the monitor.

[elprecipicio]

No BakerM92 - if you are bagging a patient you need to stop every 30 compressions to give 2 breaths. Only after the patient is intubated do you give continuous CPR at 100/min and ventilate every 6-8 second.

[BakerM92]

that is true, im sorry i wasnt more clear with my coment but youre completely right

[rotoedger]

Who actually counts during a code? Real world is different.

[ERjunkieRN]

First off the compression to ventilation ratio is still 30:2 until an advanced airway is placed. Following ACLS guidlines for a pulseless arrest (VF/VT) the epi 1mg can be given IV/IO when the line is established. I agree that the MasterTrainInc is a great video, but make sure it is the one that follows the new guidelines. :)

[cash434]

If you want to see a well managed ACLS Code Blue response, check out the one on MasterTrainInc.

[cash434]

AHA guildlines were not follow at all. Epi is not recommended until after the second shock. Amiodarone 300mg should be administered after the third shock.

[VintageRXL]

I mean for a situation like this...

[ohsleepy1]

not only didn't you use 300 mg amio, you stopped CPR to intubate, and you didn't wait 3 minutes between doses of Epi. Also, never charge the defibrillator in the air. I've seen some BAD things happen and you don't want your code members to end up in the neuro ICU. You don't have to be a pharmacist to know your ACLS drug codes. As an ACLS instructor, nurses/RT's,/EMTs & paramedics are much easier to teach than 4th yr med students who don't have a clue what you're doing.

[VintageRXL]

Hi! im a nursing student and I have a question.. are we suppose to start an IV line for the IV meds or we can just inject it directly to vein?

[nicky1fan]

start an IV line. there are some meds that can be given through ET. but an IV line is a must

[VintageRXL]

ok thanks =D

[humbleman57]

obviously, no pharmacist present at this code training -- initial amiodarone IV bolus is 300mg in P-VT, VFib.

[cash434]

I feel sorry for the medical students who have to endure such poor training. you have know idea what you are doing or how to teach with simulation. You must be proud of this or you wouldn't have posted it on YouTube.

[micger]

We should give 3 stacks of shock if the arrest is monitored! And CPU shouldn't be stop at all even when intubation is done. Intubation should be later. I wouldn't wanna have an arrest in manitoba

[falconaire29]

new AHA protocols calls for one shock between cycles of cpr. 3 stacked are in the old guidelines

[kbkind]

micger does not know the new guidelines. We no longer do stacked shocks. One shock and 2 minutes of cpr. And what is CPU? humbleman57 is right on with the ami dose.

[psychocloud]

Excellently executed.

[1992peter]

NOW, THAT WAS GREAT.

You guys did EXCELENT.

Man.

I have a question.

Where was the crash cart?

I didn't see it.

[canadianboy40]

Behind the lady in blue

[1992peter]

That is some good work there.

Although, I would MAKE sure, that you have a pulse ox monitor on, to measure the patient's oxygen levels.

[kbkind]

pulse ox does you no good for a pt in v-fib. NO pulse.

[lenin99]

Hahaha! I agree with mammoset. XD

[mammoset]

The latest from AHA is 360J for monophasic, 200J for biphasic.