Code Red

EM PGY-2 will handle all code reds on their side. If they need help, they may call the EM PGY-3 for help. EM PGY-1 and EM PGY-3 will both respond to the code red on their side. The EM PGY-3 will then delegate who will be responsible for the patient. If two doctors need to be in the room, a code blue will be called and the third year will lead the resuscitation from there on.

Code Blue

Criteria:

1. Immediate Airway need
2. Hemodynamic compromise (BP<60)
3. Altered mental status (GCS<8)
4. MD, PA, or RN judgment

Faculty (Team A staff)

1. Controls traffic
2. Supervises team leader
3. Obtains medic report with the team leader
4. Confirms accuracy of primary survey
5. Performs or assists with procedures

Team Leader (Senior EM resident)

1. Obtains medic report
2. Directs resuscitation
3. Receives physical exam from MD#1
4. Performs or delegates procedures (intubation, central line, art line, ultrasound)
5. Speaks to consultants and admitting team
6. Dictates resuscitation

MD#1 (Junior EM resident, rotating resident, PA)

1. Performs primary and secondary survey
2. Cricoid pressure (backup to RT)
3. Identifies cardiac rhythm
4. Performs procedures (intubation, central line, art line, ultrasound) as per team leader

Medical student

1. Documents prehospital care, primary survey, procedures, secondary survey, differential diagnosis, diagnostic test results, and disposition on template for team leader to dictate from (not part of permanent chart)

Respiratory Therapy

1. Cricoid pressure
2. Ventilation after airway secure

RN #1 Primary nurse (R side)

1. Inserts IV
2. Administers drugs including RSI
3. Monitors vital signs
4. Assists recorder and signs resuscitation sheet

RN #2 (L side)

1. Manual BP
2. Places patient on monitor
3. Inserts IV
4. Obtains blood
5. Assists with procedures

ERT

1. Ensures ultrasound is in room, turned on and info typed in
2. Exposes patient
3. Records resuscitation