scholarly journals Airborne Isolation Cardiac Arrest: A Simulation Program for Interdisciplinary Code Blue Team Training

MedEdPORTAL ◽  
2022 ◽  
Author(s):  
Alexandra C. Collis ◽  
Andrew P. Wescott ◽  
Sheryl Greco ◽  
Nicole Solvang ◽  
Joshua Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Team Training ◽  
Simulation Program ◽  
Code Blue

Code blue in the MR suite – a drill to rescue a patients with cardiac arrest from the MR scanner

2005 ◽  
Vol 22 (2) ◽  
pp. 257-261 ◽  
Author(s):  
Olaf M. Muehling ◽  
Armin Huber ◽  
Denise Friedrich ◽  
Michael Nabauer ◽  
Maximilian Reiser ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Code Blue

A Standardized Code Blue Team Eliminates Variable Survival from In-hospital Cardiac Arrest

2012 ◽  
Vol 42 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Sultana A. Qureshi ◽  
Terence Ahern ◽  
Ryan O’Shea ◽  
Lorien Hatch ◽  
Sean O. Henderson
Keyword(s):  
Cardiac Arrest ◽  
Code Blue ◽  
Hospital Cardiac Arrest

Abstract 13198: Impact of Targeted Resident Education on Perceptions of Communication and Participation in Cardiac Arrest

Circulation ◽  
2021 ◽  
Vol 144 (Suppl_2) ◽  
Author(s):  
Saahil Jumkhawala ◽  
Maciej Tysarowski ◽  
Hasan Ali ◽  
Majd Hemam ◽  
Anne Sutherland
Keyword(s):  
Cardiac Arrest ◽  
Current Knowledge ◽  
Medical Center ◽  
Tertiary Care ◽  
Training Session ◽  
Participation Rate ◽  
Post Intervention ◽  
Code Blue ◽  
Tertiary Care Medical Center ◽  
Significant Difference

Introduction: Debriefing sessions after in-hospital cardiac arrest have been demonstrated to improve teamwork and survival outcomes. Though recommended in 2020 AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, implementation remains low. Hypothesis: We postulated that a didactic training session provided to code leaders would increase rates of participation of AHA-recommended post-arrest debriefing sessions. Methods: Surveys were distributed to hospital personnel who participate in code blue/ERTs at an academic, tertiary-care medical center. Questions were graded on Likert scale to assess provider-reported perceptions of teamwork, communication, and confidence in conducting and participating in Code Blues. Participants were stratified in groups depending on whether they had previously participated in debriefing sessions. Primary outcomes were quantified using a Likert-type scale ranging from 1 to 5. Surveys were compared to surveys from prior years to assess if the intervention of a code blue didactics lecture delivered to code leaders resulted in any change in overall participation rate in the debriefing protocol. Results: Among 181 participants (61% female), 32% were residents, 54% nurses, 1.7% respiratory therapists. Self-evaluated current knowledge of ACLS protocols was significantly higher in the debriefing group (p = 0.0098), while there were no differences in perceived communication (p=0.76), and confidence in leading (p = 0.2) and participating (p = 0.2). We did not find a statistically significant difference in debriefing participation rate after our intervention (57% pre vs 58% post intervention, p=0.8), even when stratified by hospital role: critical care nurses (50% vs 71%, p=0.3), non-ICU nurses (68% vs 57%, p=0.3) and residents (67% vs 50%, p=0.2). Conclusions: Our study demonstrated that participation in post-code debriefing sessions was associated with a statistically significant increase in knowledge of cardiac arrest protocols. A code blue didactics lecture did not result in a statistically significant increase in post-arrest debriefing participation. Further study to elucidate methods to enhance adoption of this crucial, guideline recommended practice is warranted.

Impact of implementing novel automated code blue activation system on in-hospital cardiac arrest: A single center study

Resuscitation ◽  
2020 ◽  
Vol 157 ◽  
pp. 149-155
Author(s):  
Faheem Ahmed Khan ◽  
Ting Lyu ◽  
Eng Kiang Lee ◽  
Shekhar Dhanvijay ◽  
Amit Kansal ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Single Center ◽  
Code Blue ◽  
Single Center Study ◽  
Activation System ◽  
Hospital Cardiac Arrest ◽  
Center Study

scholarly journals In-Hospital Cardiac Arrest in the Cardiac Catheterization Laboratory: Effective Transition from an ICU- to CCU-Led Resuscitation Team

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Rajat Sharma ◽  
Hilary Bews ◽  
Hardeep Mahal ◽  
Chantal Y. Asselin ◽  
Megan O’Brien ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiac Catheterization ◽  
Tertiary Care ◽  
Pulseless Electrical Activity ◽  
Hospital Length Of Stay ◽  
Health Concern ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Coronary Syndrome ◽  
Code Blue

Objectives. (1) To examine the incidence and outcomes of in-hospital cardiac arrests (IHCAs) in a large unselected patient population who underwent coronary angiography at a single tertiary academic center and (2) to evaluate a transitional change in which the cardiologist is positioned as the cardiopulmonary resuscitation (CPR) leader in the cardiac catheterization laboratory (CCL) at our local tertiary care institution. Background. IHCA is a major public health concern with increased patient morbidity and mortality. A proportion of all IHCAs occurs in the CCL. Although in-hospital resuscitation teams are often led by an Intensive Care Unit- (ICU-) trained physician and house staff, little is known on the role of a cardiologist in this setting. Methods. Between 2012 and 2016, a single-center retrospective cohort study was performed examining 63 adult patients (70 ± 10 years, 60% males) who suffered from a cardiac arrest in the CCL. The ICU-led IHCAs included 19 patients, and the Coronary Care Unit- (CCU-) led IHCAs included 44 patients. Results. Acute coronary syndrome accounted for more than 50% of cardiac arrests in the CCL. Pulseless electrical activity was the most common rhythm requiring chest compression, and cardiogenic shock most frequently initiated a code blue response. No significant differences were observed between the ICU-led and CCU-led cardiac arrests in terms of hospital length of stay and 1-year survival rate. Conclusion. In the evolving field of Critical Care Cardiology, the transition from an ICU-led to a CCU-lead code blue team in the CCL setting may lead to similar short-term and long-term outcomes.

scholarly journals CODE BLUE-19: A Proposed Protocol to Mitigate COVID-19 Transmission in the Emergency Department when Receiving Out-of-hospital Cardiac Arrest Patients

2020 ◽  
Vol 21 (6) ◽  
Author(s):  
David Nguyen ◽  
Nima Sarani ◽  
Kenneth Marshall ◽  
Chad Cannon ◽  
Ryan Jacobsen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Code Blue ◽  
Hospital Cardiac Arrest

Abstract 239: The Effect of an Interdisciplinary Simulation Training Program on Translational Outcomes for In-Hospital Cardiopulmonary Arrests

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
John Hunninghake ◽  
Justin Reis ◽  
Heather Delaney ◽  
Matthew Borgman ◽  
Raquel Trevino ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Training Program ◽  
Hospital Discharge ◽  
Team Training ◽  
Quality Data ◽  
P Value ◽  
Significant Difference ◽  
Event Location ◽  
Cpr Quality ◽  
Hospital Cardiac Arrest

Purpose: High-quality cardiopulmonary resuscitation (CPR) for in-hospital cardiac arrest (IHCA) is the primary component influencing return of circulation (ROSC) and survival to hospital discharge, but few hospitals regularly track these metrics. Other studies have demonstrated significant improvements in survival after IHCA events following implementation of a dedicated code team training program. Therefore, we developed a unique curriculum for a Code Team Training (CTT) course, and evaluated its post-implementation effect on CPR quality and post-IHCA patient outcomes at our institution. Methods: CPR quality data was prospectively collected for quality improvement purposes once our institution had that capability, with 12-months pre-CTT and 21 months post-CTT. Pre-CTT data shaped the elements of the four-hour CTT course that included didactics, small group sessions, and high-fidelity simulation exercises. A total of 456 multi-professional code team members were trained in 22 courses. Data collection included CPR quality and translational outcomes for events where CPR was performed, except the ED. CodeNet® software was used for CPR quality measures, cardiac rhythm, defibrillation metrics, use of continuous waveform capnography, and pauses in compressions. Target metrics for CPR quality were based on 2015 AHA guidelines. Key translational outcomes measures included event location, ROSC, and survival to hospital discharge. Results: CPR quality was obtained from 140 of 230 (61%) in- and out-of-hospital pulseless adult cardiac arrest events over 33 months (50 [36%] before CTT and 90 [64%] following the first course). There was no significant difference between groups in terms of event location within the hospital nor initial event rhythm. A total of 116,908 chest compressions were evaluated. Median compressions in target rate improved from 32% before CTT to 49% after CTT (p<0.05). When accounting for target rate and depth, the median compressions rate improved to 38% post-CTT compared to 31% pre-CTT (p<0.05). While compression depth had a non-statistically significant decline (90.8% pre-CTT and 83.4% post-CTT), mean rate and median rate-in-target improved from 119.99 +/- 15.6 cpm and 32.4% pre-CTT to 113.7 +/- 16.1 cpm and 48.6% post-CTT (p<0.05). The rate of ROSC improved from 60% (30 of 50) to 78% (70 of 90) after implementation of CTT (p=0.003), excluding IHCA in the ED. Index IHCA survival rate for our institution improved from 26% to 33% before and after CTT [p-value NS], which far surpasses the national average (23.8%). Conclusions: After the initiation of a CTT course that targets key code team member personnel, CPR quality significantly improved, which was associated with an increase in ROSC and a trend towards increased survival for in-hospital cardiac arrest patients.

scholarly journals Code Blue Emergencies: A Team Task Analysis and Educational Initiative

2012 ◽  
Vol 3 (1) ◽  
pp. e4-e20 ◽  
Author(s):  
James W. Price ◽  
Oliver Applegarth ◽  
Mark Vu ◽  
John R. Price
Keyword(s):  
Team Performance ◽  
Nursing Staff ◽  
Team Training ◽  
Negative Influence ◽  
Vancouver General Hospital ◽  
Code Blue ◽  
Experience Survey ◽  
Team Functioning ◽  
Operative Recovery ◽  
Resuscitation Team

Introduction: The objective of this study was to identify factors that have a positive or negative influence on resuscitation team performance during emergencies in the operating room (OR) and post-operative recovery unit (PAR) at a major Canadian teaching hospital. This information was then used to implement a team training program for code blue emergencies. Methods: In 2009/10, all OR and PAR nurses and 19 anesthesiologists at Vancouver General Hospital (VGH) were invited to complete an anonymous, 10 minute written questionnaire regarding their code blue experience. Survey questions were devised by 10 recovery room and operation room nurses as well as 5 anesthesiologists representing 4 different hospitals in British Columbia. Three iterations of the survey were reviewed by a pilot group of nurses and anesthesiologists and their feedback was integrated into the final version of the survey. Results: Both nursing staff (n = 49) and anesthesiologists (n = 19) supported code blue training and believed that team training would improve patient outcome. Nurses noted that it was often difficult to identify the leader of the resuscitation team. Both nursing staff and anesthesiologists strongly agreed that too many people attending the code blue with no assigned role hindered team performance. Conclusion: Identifiable leadership and clear communication of roles were identified as keys to resuscitation team functioning. Decreasing the number of people attending code blue emergencies with no specific role, increased access to mock code blue training, and debriefing after crises were all identified as areas requiring improvement. Initial team training exercises have been well received by staff.

Sign in / Sign up

Export Citation Format

Share Document