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2022-05-14-codes.md (1060B)


      1 # codes
      2 
      3 Alex Dragnich
      4 
      5 
      6 ## good codes
      7 
      8 - calm
      9 - closed communication
     10 - established roles
     11 - room logistics (number of humans needed == number of humans present, stools, move stuff)
     12 - no ego
     13 
     14 
     15 ## roles
     16 
     17 Essential roles:
     18 
     19 - compressions
     20 - airway
     21 - timekeeper
     22 - code leader
     23 - meds
     24 - pulse (+/- doppler)
     25 - pharmacy
     26 
     27 Sometimes:
     28 
     29 - procedures
     30 - ultrasound
     31 - logistics
     32 
     33 
     34 ## first 30 seconds
     35 
     36 - compressions (assess for quality with whatever tools you have: ETCO2, a-line, tele, visual)
     37 - lock the bedboard
     38 - pads on 
     39 - access (IO!)
     40 - airway
     41 
     42 
     43 ## H's and T's
     44 
     45 - hypothermia
     46 - hypoxia
     47 - hyper/hypoK
     48 - H+
     49 - hypovolemia
     50 - hypoglycemia (bonus)
     51 
     52 - tension
     53 - tamponade
     54 - thrombus (coronary)
     55 - thrombus (pulmonary)
     56 - toxins
     57 
     58 
     59 ## room management
     60 
     61 - loud room: "Volume down in the code room."
     62 - crowded room: "Those without an active role, exit the room."
     63 - things aren't getting done: closed loop communication, "1mg of epi, please confirm when done."
     64 - someone is struggling with a task: redeploy them (e.g. compressions, contact family, etc.)
     65 
     66 
     67 ## after the code
     68 
     69 Debrief.
     70