1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . .
28,29,30
Ventilate
Compressions
Switch compressors
Check rhythm
Check pulses
Minimizing interruptions to CPR
• Coach team to complete all tasks during breathing break:
Check for pulse
Checking for rhythm (your job)
Switching compressors
Ventilation
• Have compressors count out loud
During compressions 22-29, get people ready for
their jobs.
• For shocking
Recognition of a shockable rhythm usually occurs
during a breathing break
Go ahead and resume compressions
Tell everyone but compressor to stand back
Have defib. charged
Defib. nurse has thumb on button, gives countdown,
shocks when compressor clears
Compressions resume w/o pulse checks
Next pulse/ rhythm check is during next breathing
break
1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . 28,29,30
Ventilate
Compressions
Switch compressors
Check rhythm
Check pulses
Code Team Leader Checklist
• On arrival declare that you are the leader
• Organize CPR team. Minimize breaks in CPR at all
cost. Have compressions counted out loud.
• Do rhythm checks during ventilation breaks- print strip if
you need to review
• Tell team which pathway to use:
>> Shockable or Non-shockable <<
• If shockable pathway inform team that you are going to
defibrillate but keep compressor doing CPR while you
charge the defibrillator. Once charged, clear
compressor and shock. Immediately resume CPR.
• Observe airway team (Anes + RT). Ask for assessment
of ventilation; is mask ventilation working? Intubate if
not. Use End tidal CO2 once intubated.
• Search for treatable causes:
> Obtain TTE: assess filling, contractility, tamponade
> get blood for ABG: Ask for iStat “G8 cartridge. ” This
gives you ABG, Na+, K+, iCa++and Hct
• Invite input from all team members
1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . 28,29,30
Ventilate
Compressions
Switch compressors
Check rhythm
Check pulses
Minimizing interruptions to CPR
• Coach team to complete all tasks during breathing break:
Check for pulse
Checking for rhythm (your job)
Switching compressors
Ventilation
• Have compressors count out loud
During compressions 22-29, get people ready for
their jobs.
• For shocking
Recognition of a shockable rhythm usually occurs
during a breathing break
Go ahead and resume compressions
Tell everyone but compressor to stand back
Have defib. charged
Defib. nurse has thumb on button, gives countdown,
shocks when compressor clears
Compressions resume w/o pulse checks
Next pulse/ rhythm check is during next breathing
break
1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . . . . . . . . 28,29,30 1,2,3 . . . . . . . . . 28,29,30
Ventilate
Compressions
Switch compressors
Check rhythm
Check pulses
Code Team Leader Checklist
• On arrival declare that you are the leader
• Organize CPR team. Minimize breaks in CPR at all
cost. Have compressions counted out loud.
• Do rhythm checks during ventilation breaks- print strip if
you need to review
• Tell team which pathway to use:
>> Shockable or Non-shockable <<
• If shockable pathway inform team that you are going to
defibrillate but keep compressor doing CPR while you
charge the defibrillator. Once charged, clear
compressor and shock. Immediately resume CPR.
• Observe airway team (Anes + RT). Ask for assessment
of ventilation; is mask ventilation working? Intubate if
not. Use End tidal CO2 once intubated.
• Search for treatable causes:
> Obtain TTE: assess filling, contractility, tamponade
> get blood for ABG: Ask for iStat “G8 cartridge. ” This
gives you ABG, Na+, K+, iCa++and Hct
• Invite input from all team members
