Great session with our pulmonary critical care attendings Dr. Friedenberg and Dr. Gohil. This is our safe environment to practice rapid response/code scenarios and receive feedback which we do monthly. Thanks to everyone who participated!

Clinical Pearls: 

• ABCDEFG: ABCs…don’t ever forget glucose! Make sure to check the fingerstick glucose during codes. It’s quick, easy, and can save lives!
• During a code, no “air orders” and make sure to close the loop
• As the code leader, be concrete with your instructions and delegation of tasks
• Carry your code cards and take a look at the H’s and T’s when you are stuck
• Remember that patients who are altered and unable to protect their airways are not good candidates for BIPAP, these patients often just need intubation
• Post-intubation codes: Remember that sedation, hypotension from decreased preload/positive pressure ventilation, air-trapping from hyperventilation, and ventilator dysynchrony can lead to post-intubation code situations.