Critical Care Time 9. Cardiac Arrest & Running a Code
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Oct 9, 2023 This podcast discusses the crucial role of the code team leader in a cardiac arrest and the need for them to focus on leading the team. It covers topics like nurse-led codes, optimizing CPR, using point-of-care ultrasound, therapeutic hypothermia, the importance of debriefing, and the role of the code team leader.
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Shared Mental Model
- During a code, build a shared mental model with the team by thinking out loud and actively soliciting input.
- This encourages collaboration and helps identify potential causes.
Vascular Access
- Prioritize rapid vascular access during a code: IO is fastest, then peripheral IV, then existing ports/HD lines.
- Femoral central lines are preferred if needed, potentially combined with an arterial line.
Pseudo-PEA
- Pseudo-PEA represents a severe low-flow state rather than true pulseless electrical activity.
- Consider vasopressors and a brief pause in CPR if suspected.