Help!!! (And Bring the Thing!)
This is the first thing you do when you realize the patient is crashing-before you grab anything else.
What is call for help?
These acronyms help staff remember the correct steps during a fire emergency.
What is RACE and PASS?
This life-saving action should be started immediately if a patient has no pulse while help is on the way.
What is starting CPR?
This is often the earliest and most subtle sign of malignant hyperthermia.
What is rising end-tidal COâ‚‚?
When MH is suspected, these anesthetic agents must be stopped immediately.
What are volatile inhalational anesthetics and succinylcholine?
This announcement brings extra hands AND usually a crash cart with it.
What is "medical emergency, medical team alert, (location)"?
This item is placed on the sterile field for every surgical case and is used to smother and extinguish a fire.
What is sterile saline or water?
When using an AED on a child, the pads are placed in these areas to avoid overlap and ensure effective defibrillation.
What is one pad on the center of chest and one pad on the back between the shoulder blades?
Despite the name, this sign is late, not early, in malignant hyperthermia.
What is hyperthermia?
In this room, you will find the MH cart, cold IV fluids, ice packs, and regular insulin during MH emergency.
What is Anesthesia Workroom?
This piece of equipment is always available and ready to respond to an emergency?
What is the code cart?
This type of fire extinguisher is found in all operating rooms and is safe for electrical equipment.
What is a COâ‚‚ fire extinguisher?
During adult CPR with an advanced airway in place, this is the correct rate of chest compressions and ventilations.
What is 100-120 continuous chest compressions per minute with 1 ventilation every 6 seconds?
This condition should be suspected when a patient under anesthesia develops unexplained tachycardia and muscle rigidity.
What is malignant hyperthermia?
This medication, used at MGMC, is the ONLY definitive treatment for malignant hyperthermia and must be given immediately.
What is Ryanodex?
This kit is obtained and used for continuous monitoring and frequent blood samples during malignant hyperthermia crisis.
What is the ART Line?
During an airway fire, this critical action must occur immediately before any attempt to extinguish flames to prevent further combustion and patient injury.
What is stopping the flow of oxygen and anesthetic gases?
During CPR, this monitoring value reflects the effectiveness of chest compressions and may suddenly increase with the return of spontaneous circulation.
What is end-tidal COâ‚‚?
This laboratory abnomality seen during malignant hyperthermia crisis places the patient at high risk for lethal cardiac dysrhythmias and requires immediate intervention.
What is hyperkalemia?
To rapidly cool a patient during an MH crisis, ice packs are placed in these areas where large blood vessels are close to the surface.
What is the neck, axillae, and groin?
To reduce rescuer fatigue and improve compression quality during prolonged CPR in the OR, adjusting this before compressions begin is just as important as proper hand placement.
What is the OR bed/table height?
Because alcohol-based skin prep vapors can pool under drapes, this preventive action is critical before activating an ignition source to reduce the risk of a surgical fire.
What is allowing adequate drying time before draping and using electrosurgery?
In a suddenly pulseless patient on the OR table, this immediate action takes priority if the rhythm is shockable, even before securing additional IV access.
What is defibrillation?
This late but definitive sign of malignant hyperthermia results from severe skeletal muscle breakdown and may present as dark, cola-colored urine during the crises.
What is myoglobinuria?
The treatment medication for malignant hyperthermia is administered based on these patient factors and repeated at these time intervals until sypmtoms improve.
What is weight-based dosing, and repeated every 5 minutes?