Running a Code
Oct 25, 2019
Join the EMGuideWire crew as they discuss some tips and pearls on how to skillfully run a medical resuscitation.
Pearls
- Preparation is everything. Get your staff, and get your stuff!
- Call out names, be redundant, and say what you are thinking out loud.
- Don’t go for the tube! Supraglottic airways are quicker and safer!
- High quality compressions are life saving.
- V-tach and V-fib are usually ischemic. PEA is usually non-cardiac.
- PEA? Is it Wide or Narrow? Narrow - think procedural. Wide - think chemical.
- Ultrasound is your friend. RV strain, pericardial tamponade, and pneumothorax can all be quickly found!
- Wide complex (but not V-tach) is hyperkalemia until proven otherwise. Provide Calcium Chloride (not gluconate).
Summarized by Travis Barlock, MD PGY-1