THIS GIRL (OR GUY) IS ON FIRE
RISING ETCO2
WHAT IS THE CODE BLUE EMERGENCY NUMBER?
71234
IS INCAPACITATED TEMPORARY OR PERMANENT?
BOTH.
WHAT DRUG IS USED TO TREAT MH?
TRUE OR FALSE:
THE PROCESSING TECHS ARE ABLE TO HELP BY MAKING PHONE CALLS, GRABBING THE CRASH CART, PLACING PATIENT ON BACKBOARD, DOING CPR, DIRECTING CODE TEAM.
TRUE--THE TECHS ARE VALUABLE AND CAN ASSIST IF NEEDED!
WHAT ARE THE TRIGGERS FOR MH?
ANESTHESIA INHALENTS
SUCCINYLCHOLINE
EXCESSIVE HEAT
VIGOUROUS EXERCISE
WHAT 2 THINGS SHOULD BE DONE IMMEDIATLY TO GET HELP FOR A CODE?
PULL THE BLUE CODE LEVER
CALL 71234 (OPERATOR)
Who determines what team is sent to an emergency, including incapacitated provider?
Operator
WHAT IS THE INITIAL LOADING DOSE OF DANTROLENE?
2.5MG/KG
WHAT IS THE FIRST THING YOU SHOULD DO WHEN MH IS SUSPECTED?
STOP THE PROCEDURE AND THE TRIGGERING AGENT
WILL THE PATIENT IN MH PRESENT WITH MUSCLE WEKNESS OR MUSCLE RIGIDITY?
MUSCLE RIGIDITY
WHAT IS THE ROLE OF THE MD DURING A CODE?
COMPRESSIONS, VENTILATIONS, CALLING CODE, OR GETTING CRASH CART.
A NURSE BECOMES INCAPCITATED IN THE PROCEDURE ROOM. ANESTHESIA WILL NOTIFY CHARGE. WHO COMES INTO HELP?
THE ADMISSION/RECOVERY NURSE.
SHOULD THE PATIENT BE HYPOVENTILATED OR HYPERVENTILIATED?
We are not doing CPR and there is no respiratory distress.
This team is most likely to arrive.
MERT--BUT THIS CAN BE UPGRADED BY MERT TEAM AT ANYTIME
WHAT CLOTTING DISORDER CAN PATIENTS GO INTO AS A RESULT OF MH?
DISSEMINATED INTRAVASCULAR COAGULATION (DIC)
SHOULD WE USE THE AED BEFORE THE CODE TEAM ARRIVES?
ABSOLUTELY!
IF ANESTHESIA IS IN TROUBLE, AND NO OTHER ANESTHESIA IS AVAILABLE. WHAT HAPPENS?
THE PROCEDURE IS ABORTED, GI-MD WILL STAY WITH PATIENT UNTIL THEY ARE FULLY AWAKE.
HOW QUICKLY SHOULD DANTROLENE BE ADMINISTERED?
WITHIN 10MIN.
WHO ARE YOU GOING TO CALL DURING AN MH CRISIS?
CODE (71234), CHARGE (64637)
MH CART (67320)
PHARMACY (68890)
MHAUS HOTLINE (1-800-644-9737)
WHAT ELEMENT IS RESPONSIBLE FOR THE BODYS DEREGULATION IN AN MH CRISIS?
CALCIUM
HOW OFTEN DO WE SWITCH PROVIDERS TO MAINTAIN HIGH QUALITY CPR?
EVERY 2 MINUTES.
IF THE GI-MD IS INCAPACITATED, WHO TAKES OVER THE SCOPE UNTIL ANOTHER MD ARRIVES?
PROCEDURE ROOM NURSE.
DURING A CODE, OF OFTEN ARE ADEQUATE BREATHS PROVIDED?
1 BREATH EVERY 6 SECONDS IF INTUBATED.
2 BREATHS EVERY 30 COMPRESSIONS IF NOT INTUBATED
WORK-FLOW FOR THE CRASH CART IS FROM THE ________ TO THE _______.
BOTTOM TO THE TOP