Crash Cart 101
Codes and more codes
Who's who?
Team Dynamics
You are killing me!
DJ Crash
100
The sealed top drawer in the code cart
What is the medication drawer?
100
I have a significant heart block that requires immediate pacing
What is a complete heart block or third-degree AV block?
100
I am a blue button on the wall; press me to activate this code.
What is Medical Alert Blue Adult?
100
This role should be switched out at regular intervals, preferably every 2-min cycle
What is the chest compressor role?
100
I am a flat line
What is asystole?
100
You call rapid response when your patient has an active experience of this condition
What is seizure?
200
This equipment is found on top of the code cart and must pass daily checks.
What is the Zoll defibrillator?
200
The first drug to give during a code, give the name and its dosage
What is 1 mg of Epinephrine?
200
I am usually positioned at the foot of the bed and should have a clear view of the code
What is the Code Team leader?
200
Everyone should be assigned this during a code and stick to it.
What is a code role?
200
V-fib or V-tach
What is a shockable rhythm?
200
Your patient may be exhibiting signs of this and could be mistaken as stroke
What is hypoglycemia?
300
We come in pairs; put one on the front and the other on the back.
What are AED/defibrillator pads?
300
The acronym for the assessment that would prompt you to activate "Medical Alert Stroke"
What is BEFAST?
Balance, eyes, face, arms, speech, time
300
You call me for help when your patient is in respiratory distress, active chest pain, or before the situation turns to a code
What is Rapid Response?
300
This is where I record all events related to the code
What is the EPIC Code Narrator?
300
I look like this
What is torsades de pointes?
300
Your patient is pulseless, unresponsive, and has no breathing
What is cardiac arrest?
400
The color of lock to put on the code cart after use
What is green?
400
A point-of-care test that should be done to rule out a cause during the initial stroke evaluation
What is blood glucose testing?
400
The names that need to be on the code narrator record
What is all staff present?
400
This is the preferred type of communication during the code
What is closed-loop communication?
400
This item is sometimes used to deactivate a pacemaker or AICD when using electrocautery in the OR.
What is a magnet?
400
Your patient is having jaw pain, chest pain, left arm discomfort, feeling of impending doom
What is an Acute Coronary Syndrome or a Myocardial Infarction?
500
Oftentimes forgotten, this item can be found in the back or side of the cart and provides a hard surface for external chest compression.
What is the backboard?
500
If you are unable to start an IV, this may be the next access you can get before anyone can put in a central line.
What is an IO (intra-osseous) access?
500
Their responsibilities include intubation and airway management
Who are anesthesia and respiratory therapy?
500
You should be saying this prior to delivering a shock
What is "Clear, I'm clear, you're clear, we are clear!"?
500
It is getting longer and longer, and the "p" drops
What is Mobitz Type 1 or second-degree AVB-Wenkebach?
500
This can start 24-48 hours after your patient's last drink, s/s delirium tremens, headaches, nausea, tachycardia, low grade fever, high blood pressure hallucination, seizures
What is Alcohol Withdrawal?
600
This is where you get a new crash cart, the place where used code carts go, or when the lock has been broken.
What is materials management?
600
This condition occurs when the body temperature rises (105'F or 40.6'C) after getting general anesthesia, accompanied by severe muscle contractions, dar brown urine, rapid heart rate, sweating and flushed skin
What is malignant hyperthermia?
600
This person's responsibilities include controlling the traffic, crowd control and providing a bed assignment
Who is the house or nursing supervisor?
600
In the OR, I can give medications during a code.
What is an RN, or anesthesiologist?
600
I look like a sinus rhythm without a pulse
What is pulseless electrical activity (PEA)?
600
Your patient has a Temp of 105 degrees Fahrenheit, or 40.6 degrees centigrade, rigid or painful muscle contractions, brown urine, flushed skin, rapid HR after getting general anesthesia
What is Malignant hyperthermia, or hyperpyrexia?
700
Shocks are delivered starting at this amount of electricity with the biphasic defibrillator
What is 120 joules?
700
I can be helpful when your patient has Malignant hyperthermia
What is dantrolene?
700
I am responsible for initiating BLS by pushing the code button, starting CPR if applicable and giving some information at the bedside when the code team arrives
Who is the bedside or patient's primary nurse?
700
"Clear... I'm clear, you're clear, we're all clear!"
What does one say prior to "shocking" or defibrillating a patient?
700
This rhythm has a rapid rate of >150s and is irregular. What can the patient get to get them out of this rhythm?
What is an amiodarone 300mg bolus?
700
Your patient may exhibit subtle signs (low temperature or fever, malaise, altered mental status, changes in respiratory rate) if not treated immediately results to multi-organ risk
What is Sepsis?