The document provides information about code blue procedures in a hospital setting. It defines a code blue as a medical emergency called when a patient experiences cardiopulmonary arrest. It outlines the roles and responsibilities of the code blue team members who respond. The procedures for initiating a code, performing CPR, documenting the event, and administering appropriate drugs to treat shockable and non-shockable cardiac rhythms are described.

1. CODE BLUE
(Floor room)

2.  DEFINITION
 CODE BLUE CALL
 CODE BLUE TEAM
 BASIC COMPONENT
 DOCUMENTATION
 INITIATION OF CODE BLUE
 CPR
 RULES
 CODE BLUE (ACLS,BLS)
 DRUGS
INDEX

3.  A hospital code used to indicate a patient
requiring immediate resuscitation.
 An emergency condition announced in hospital or
institution in which a patient is in
cardiopulmonary arrest, requiring a team of
provider sometimes called code team.
 To rush to specific location & begin immediate
resuscitation efforts.
DEFINITION

4. Code blue call

5.  To call code blue dial code blue number.
 Any phone in the hospital can be used to call
code blue team.
 It will alert locating and they will page the
code team.
HOW DO YOU CALL CODE BLUE ?

6.  The first responder is not actually a member of a
team but is the person who identifies and
confirms cardiopulmonary arrest.
1-Medical specialist/ ER specialist (Team leader).
2-ICU resident on duty (Airway).
3-Anesthesia resident (Specialist).
Code blue team

7. 4-Resident on duty in charge of the patient
(compressor 1).
5-Medical resident on duty (compressor 2).
6-Nursing supervisor on duty (communicator).
Continue……..

8. 7-ICU nurse (Vascular access).
8-Ward shift incharge.
9-`Bed side nurse (RN 1)---Recorder
10-Ward nurse (RN 2)-----Runner
11-Airway assistance
Continue…….

9. Code blue team

10. Crash cart-
Cardiac monitor
Defibrillator
Emergency medicine
Laryngoscope
AMBU bag
Miscellaneous medical supplies
Cardiac board
Basic component

11. Crash tolly

12. Laryngoscope

13. Cardiac board

14.  Always check the crash cart for these
emergency drugs.(Quantity, expiration date)
before starting you shift.
 By failing to prepare you are preparing to fail
in your role of saving lives
REMEMBER

15.  Code team leader
 Written order
 Code note
 Charge nurse
 All patient data pertaining to the event.
 Medication administered
 Completing the chart
 Nurse note/charging.
Documentation

16. If cardiac arrest in ICU will be
managed by ICU team an code is
not announced
NOTE-

17. 1- The first responder is not CPR certified will call
for help and dial code blue number to initiate
code blue providing the following information
slowly & clearly and repeating the information if
necessary.
 Responder identify the location of the patient.
INITITATION OF CODE BLUE

18. 2- If first responder is BLS certified.
 She/he will start ABCs OR CPR, attached
defibrillator immediately upon arrived of this
equipment and continue CPR until code team
arrives a team leader takes over.
Continue…

19. CPR

20. 1- Announce attention code blue in (area) three
times clearly and bleep the code blue team.
2- The team leader will identify self as leader &
start conducting the procedure systemically
after analyzing the rhythm.
3- Each member of the team will start
performing own role under guidance of the
team leader till told the stop.
The switch board will….

21. 4-Any change in role will be as per direction of
the team leader and all must stay an the scene
till allowed by him/her.
5- The team leader will allow team member to
stand down or return to regular duty.
Continue…..

22. RULE-1
• Calm down & do not panic.
• In case of emergency-
RUN LIKE HELL
REMEMBER-

23. RUN LIKE HELL

24.  Always start with the BCLS.
 The 5 links in adult chain of survival are-
1- Early access
2-Early CPR
3-Rapid defibrillation
4- Effective advanced life support.
5- Integrated post cardiac arrest care.
RULE- 2
Chain of survival

25. .

26. 1- ACLS (Pulseless)
2-BLS(Pulseless)
 Sudden pulse loss & decrease perfusion in vital
organs.
 ACLS
Pulseless shockable rhythm.
There are 2 types of rhythm-
1-VT
2-VF
Code blue

27.  A fast rhythm that originate in one of the
ventricle of the heart this is potentially life
threatening arrhythmia because it may lead to VF
& sudden death.
Ventricular tachycardia

28. VT

29.  A turbulent, disorganized electrical activity of
the heart in such a way that the recorded ECG
deflection continuously change in shape
magnitude and direction.
Ventricular fibrilation

30. VF

31.  Continue CPR
 Record ECG
 Shock (If no rhythm)
 Drugs-
.

32.  Epinephrine (IV)-
 Dose- 1 mg 3-5 min. repeat
 3rd round IV amioderone 300 mg repeat after
few minuet dose will be 150 mg.
 IV mg – 1-2 mg also can be given pulseless VT
shockable rhythm.
Drugs

33.  Pulseless non shockable rhythm.
 Asystole -No rhythm no pulseless
electrical activity.
 CPR-
 Epinephrine 1 mg 3-5 min IV
 Atropine upto 3 mg---- check pulse,if pulse is
there shift the patient in ICU 24-48 hrs.
BLS

34.  6T
 Tension pneumothorax(air within the pleural space).
 Cardiac tamponed (fluid collection in the pericardial cavity)
 Thrombosis (blood clot within the blood vessels)
 pulmonary MI (pulmonary congestion)
 Trauma
 Toxins
What is the cause of shockable rhythm?

35.  6H
 Hypovolemia (loss of body fluid )
 Hypoxia (depletion of oxygen in tissue)
 Acidosis (Decrease of blood PH-7.35-7.45)
 Hyperkalemia(Increased Potassium 3.5-5.5meq/L)
 Hypokalemia
 Hypothermia (Decrease in body temp. 35-38 C)
Continue…..

36. GET LOST