Nurse’s Barriers When Becomes a Member of Code Blue Team

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points

Download Full-text

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

The International Journal of Cardiovascular Imaging ◽

10.1007/s10554-005-9028-9 ◽

2005 ◽

Vol 22 (2) ◽

pp. 257-261 ◽

Cited By ~ 2

Author(s):

Olaf M. Muehling ◽

Armin Huber ◽

Denise Friedrich ◽

Michael Nabauer ◽

Maximilian Reiser ◽

...

Keyword(s):

Cardiac Arrest ◽

Code Blue

Download Full-text

COVID-19 code blue

Nursing Made Incredibly Easy! ◽

10.1097/01.nme.0000694208.21083.38 ◽

2020 ◽

Vol 18 (5) ◽

pp. 12-14

Author(s):

Ruby Chu

Keyword(s):

Code Blue

Download Full-text

Use of the Modified Early Warning Score Decreases Code Blue Events

The Joint Commission Journal on Quality and Patient Safety ◽

10.1016/s1553-7250(09)35084-9 ◽

2009 ◽

Vol 35 (12) ◽

pp. 598-603 ◽

Cited By ~ 17

Author(s):

Janice M. Maupin ◽

Daniel J. Roth ◽

Joni M. Krapes

Keyword(s):

Early Warning ◽

Early Warning Score ◽

Code Blue

Download Full-text

Code blue for primary class children

Resuscitation ◽

10.1016/j.resuscitation.2010.09.132 ◽

2010 ◽

Vol 81 (2) ◽

pp. S31

Author(s):

R. Jadaan ◽

C. Menon

Keyword(s):

Code Blue

Download Full-text

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

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2010.10.023 ◽

2012 ◽

Vol 42 (1) ◽

pp. 74-78 ◽

Cited By ~ 6

Author(s):

Sultana A. Qureshi ◽

Terence Ahern ◽

Ryan O’Shea ◽

Lorien Hatch ◽

Sean O. Henderson

Keyword(s):

Cardiac Arrest ◽

Code Blue ◽

Hospital Cardiac Arrest

Download Full-text

The Presence of an Emergency Airway Response Team and Its Effects on In-Hospital Code Blue

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2007.10.022 ◽

2009 ◽

Vol 36 (2) ◽

pp. 116-120 ◽

Cited By ~ 10

Author(s):

Sean O. Henderson ◽

Christian D. McClung ◽

Chanida Sintuu ◽

Stuart P. Swadron

Keyword(s):

Emergency Airway ◽

Code Blue ◽

Response Team ◽

Airway Response

Download Full-text

CoBRA : COde Blue Retrospective Audit in a Metropolitan Hospital

Internal Medicine Journal ◽

10.1111/imj.15637 ◽

2021 ◽

Author(s):

Robert A Paul ◽

Craig Beaman ◽

David A West ◽

Graeme J Duke

Keyword(s):

Code Blue ◽

Retrospective Audit ◽

Metropolitan Hospital

Download Full-text

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

Circulation ◽

10.1161/circ.144.suppl_2.13198 ◽

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.

Download Full-text

THE BACK SIDE OF PEACEKEEPING OPERATIONS: A GENDER ISSUE

History and modern perspectives ◽

10.33693/2658-4654-2020-2-4-17-23 ◽

2020 ◽

Vol 2 (4) ◽

pp. 17-23

Author(s):

KSENIYA TABARINTSEVA-ROMANOVA ◽

◽

OLGA SILKINA ◽

MAKSIM IGNATENKO

Keyword(s):

Gender Discrimination ◽

Fundamental Rights ◽

Armed Conflicts ◽

Back Side ◽

Peacekeeping Operations ◽

The Past ◽

Code Blue ◽

Un Security Council ◽

Women And Children ◽

Crimes Against Women

The article is devoted to the issue of protecting women during armed conflicts and peacekeeping operations. At the beginning of the work, the authors briefly describe the main regulatory documents of the UN and the UN Security Council, which reflect and enshrine the fundamental rights of women and the measures taken to eliminate gender discrimination and inequality. However, the adopted documents and the proposed recommendations are clearly insufficient to ensure the protection of women of their rights and freedoms. Further, based on the analysis of armed conflicts and the participation of peacekeeping groups in them over the past 20 years, examples of crimes against women and children are given, and a conclusion is made about the violation of women's rights by the peacekeepers themselves. Particular attention is paid to studying the activities of specialized programs and private initiatives, such as Aids-free world and Code Blue for the protection of women and the fight against violence. In the conclusion, it is concluded that it is necessary to form a special independent judicial structure for the investigation and punishment of such crimes.

Download Full-text