SCCM Resource Library-FHCC Guide for Cardiac Arrest Codes in PUI and COVID-19 Patients

Pdf Summary

The FHCC Guide for Cardiac Arrest Codes in Patients Under Investigation (PUI) and COVID-19 patients, established on April 15, 2020, provides protocols adapted from the American Heart Association's interim guidance. This document aims to ensure effective resuscitation while minimizing the risk to healthcare providers during the COVID-19 pandemic. It outlines specific procedures for managing cardiac arrest in COVID-19 patients, who are at high risk due to conditions like respiratory failure, myocardial injury, and ventricular arrhythmias.<br /><br />Key procedures include strict adherence to PPE protocols to protect rescuers from aerosol-generating procedures. These entail wearing N95 respirators, face shields, head covers, gowns, and gloves. The resuscitation team consists of an airway manager, respiratory therapist, two ICU nurses, and an ICU nurse runner. This team is responsible for managing the airway, delivering ventilation, performing chest compressions, assessing rhythm, and ensuring vascular access.<br /><br />Prevention strategies emphasize early identification of at-risk patients, closely monitoring oxygenation and work of breathing, and potentially moving patients to ICU or negative pressure rooms. Decisions about starting and continuing resuscitation are made by weighing patient prognosis against risks to rescuers, considering the limited availability of resources. <br /><br />Specific guidance is also provided for resuscitation in patients in the prone position, though the effectiveness is not well established.<br /><br />Overall, the guide outlines a structured response for in-hospital cardiac arrests involving COVID-19 patients, focusing on minimizing exposure risks while providing resuscitative care in a choreographed, protocol-driven manner.

Asset Subtitle

Crisis Management, Resuscitation, 2020, 0:10:08

Asset Caption

"This resource covers cardiac arrest codes for PUI and COVID-19 patients.

This is a community developed COVID-19 microlearning resource."

Meta Tag

Content Type Guidelines

Knowledge Area Crisis Management

Knowledge Area Resuscitation

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag COVID-19

Tag Cardiac Arrest

Year 2020

Keywords

Cardiac Arrest

COVID-19

PUI

Resuscitation Protocols

PPE

Aerosol-Generating Procedures

ICU Nurses

Vascular Access

Prone Position

Respiratory Failure

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