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In this episode we speak with Chris Hicks, Canadian emergency physician and trauma team leader who is a master of teaching the cognitive skills of resuscitation. Chris shares several protocols from his hospital regarding code blue and intubation in the era of COVID-19 including: the pre-brief process, communication during a code in PPE, preparing for a code (when you have time), what to do when there’s a surprise arrest and the team isn’t in PPE, how to effectively use an airway checklist, and how to find your anchor when you’re stressed.
Many of us “pregame” and have psychological skills that prepare us for whatever stressors we may encounter during a shift. Similarly, we have scripts for most of the things we do in EM. Our script for the process of resuscitating patients does not work in the COVID-19 era.
When resuscitating COVID-19 patients who are code blue, an organized structure and consistency are essential. Here are some recommendations:
What happens in the scenario where there’s an unanticipated arrest and you feel there’s no time to prepare?
We are cautioned against using the BVM as it is considered highly aerosolized. Where does that happen in the circuit?
Another cognitive offloading tool is a detailed protected airway checklist.
During one of Chris' first intubations, he found himself unusually stressed while he was waiting for the paralytic to take effect.
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In this episode we speak with Chris Hicks, Canadian emergency physician and trauma team leader who is a master of teaching the cognitive skills of resuscitation. Chris shares several protocols from his hospital regarding code blue and intubation in the era of COVID-19 including: the pre-brief process, communication during a code in PPE, preparing for a code (when you have time), what to do when there’s a surprise arrest and the team isn’t in PPE, how to effectively use an airway checklist, and how to find your anchor when you’re stressed.
Many of us “pregame” and have psychological skills that prepare us for whatever stressors we may encounter during a shift. Similarly, we have scripts for most of the things we do in EM. Our script for the process of resuscitating patients does not work in the COVID-19 era.
When resuscitating COVID-19 patients who are code blue, an organized structure and consistency are essential. Here are some recommendations:
What happens in the scenario where there’s an unanticipated arrest and you feel there’s no time to prepare?
We are cautioned against using the BVM as it is considered highly aerosolized. Where does that happen in the circuit?
Another cognitive offloading tool is a detailed protected airway checklist.
During one of Chris' first intubations, he found himself unusually stressed while he was waiting for the paralytic to take effect.
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