Watch and Learn

Check out this easy way to remember the first steps of a code situation. When your patient isn’t responding you check a pulse and check for breathing. If neither is present, you are the person responsible for calling a code and starting CPR. But what if your mind goes blank and you don’t know what to do next? Watch this video and remember the nemonic TIMR. This can help you move along the first steps of a code and get roles assigned as your peers come to help. Now you’re on your way to a more calm, organized and hopefully successful resuscitation.

Shockable rhythms, in the context of ACLS, are Ventricular Fibrillation (VF), Pulseless Ventricular Tachycardia (VT) and possibly Torsades. Follow the AHA algorithm: start with high-quality CPR to keep blood flowing. After 2 minutes, check the rhythm. If VF or pulseless VT is seen, use the defibrillator to deliver the shock. Make sure everyone is clear before shocking. Resume CPR for 2 minutes, then check the rhythm again. If shockable rhythms are still there, shock again! Give epinephrine every 3-5 minutes and think about amiodarone after the second shock. Watch the video to go slowly step by step through the algorithm.