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Code Blue
Code Blue

Code Blue The Emergency Situation

Code Blue

Code Blue or Colors always play an important part in your life at various events, ages and locations. From childhood, we have been learning and playing with all these colors, and till now most of the companies and firms have adapted their fame through various colors. The blue color is found to be the most acceptable color from all others, and that is the reason that it is associated with many professions to assign a professional term. Same is the case with medical sciences which has adopted various colors for announcements to professional staff. “Code Blue” is a term that is announced in an emergency situation in the hospital when a patient has a cardio-pulmonary arrest. This announcement is to aware the team of healthcare providers, known as the  “code team” to quickly reach the emergency department and begin resuscitation. Often a patient in critical condition does not require CPR as he may have collapsed.In such situations, the doctors fake the CPR or give slow compressions just to show the family members that physicians are trying to save the patient whereas, the patient has already collapsed.This is called “Slow code.”In some countries, it is considered unethical. There are different systems for different emergencies in the hospital. The code is specific for cardio-Pulmonary arrest all over the world, but some call the cardiac arrest in infants as code pink.

Country

 

Province Nature of emergency code
Canada British Columbia Cardiac Arrest Blue
Ontario Cardiac Arrest-Adult  Blue
Cardiac Arrest-Infant /Child Code Pink
United States   Cardio-Pulmonary arrest Code Blue

Code blue is successful when the patient is revived from cardiopulmonary arrest. In cardio-pulmonary arrest procedures like Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (BCLS) are required. The team continues these processes till the patient is revived.  It is critical to begin resuscitation as soon as possible.Delay may lead to the death of the patient.For this, it is critical that the code team is well versed with the emergency treatment protocols. For this every two years the health care providers must attend a refresher training of BCLS and ACLS otherwise, they are not allowed to perform the procedures mentioned above.

Team consists of following members

S.No. Designation Department
1 Physician Medicine
2 Physician General Surgery
3 Physician Emergency
4 Physician Pediatrics
5 Nurse ICU
6 Nurse Supervisor
7 Therapist Respiratory

One physician in this team is the team leader, and it is mandatory for everyone to follow his orders. The team lead assesses the situation and gives treatment specific orders which the other members follow.

Key Facts:

  • In hospitals 18% of patients survive from cardiac arrest by using the blue protocols whereas, 36% of pediatric patients survive.
  • If code emergencies happen after 11 pm, the survival rate becomes minuscule i.e. less than  15% as compared to if the emergency occurs in the morning time.
  • Quality of CPR has a significant effect on the survival of patient
  • If proper compressions are not given the recovery rate becomes very small.If the depth of compressions is less or the speed of compressions is slow, then the recovery rate falls by 30%.

 

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