1

INTRO TO CODE BLUE

PURPOSE

Experience management of code blues Suggest plans for acute care cases

Practice leadership and teamwork skills Practice early CPR and defibrillation

2
Pengertian

“Suatu tanda atau sinyal yang digunakan oleh

rumah sakit untuk memberitahu bahwa seseorang
membutuhakan tindakan resusitasi, yaitu pasien
yang mengalami henti nafas dan henti jantung”

Ruang lingkup : seluruh lingkungan RS , IGD, rawat

inap, kamar operasi, ruangan intensif, rawat jalan,
tempat pemeriksaan penunjang, dll

3
TIM

Code blue response team atau tim code blue adalah

suatu tim yang dibentuk oleh rumah sakit yang bertugas
merespon kondisi code blue didalam area rumah sakit.

Tim ini terdiri dari DOKTER dan PERAWAT yang

sudah terlatih dalam penanganan
kondisi cardiac respiratory arrest.

4
TIM

LEADER (DOKTER JAGA/PPDS)

Perawat AIRWAY

Perawat BREATHING

Perawat COMPRETION

Perawat DEFIBRILASI

5
INTRO TO CODE BLUE
KASUS-KASUS CODE BLUE

Tension Pneumothorax
| Pulseless VT

ACS | VF

Anaphylaxis | Asystole

Upper GI Bleed | PEA

6
INTRO TO CODE BLUE
KASUS-KASUS Code Blue
Hypovolemia Tension PTX

Hypoxia
Tamponade

Hydrogen ion Toxins

Hyper/hypokalemia Thrombosis (pulmonary)

Hypothermia Thrombosis (coronary)

7
INTRO TO CODE BLUE
PENILAIAN
PRIMARY SURVEY
Assessment Action
ABC Help, O2, IV, Monitor

SECONDARY SURVEY
Assessment Action
Riwayat, TTV, Pemfis Tindakan / treatment

CODE BLUE
Assessment Action
Irama, Nadi CPR/Defib, EPI
INTRO TO CODE BLUE
PRIMARY SURVEY
Primary Survey Assessment Action
Examples Examples
Segera, mengancam Airway: kepatenan, Call for help
jiwa sekresi, obstruksi
O2
Breathing: RR, Sat.
O2, suara napas, Needle
deviasi trakea decompression

Circulation: HR, IV
tekanan darah,
perdarahan, suhu Monitor

Cairan
9
INTRO TO CODE BLUE
SECONDARY SURVEY
Secondary Assessment Action
Survey
Pengkajian sistematis History (SAMPLE) Investigasi
Signs and symptoms
Allergies Diagnosis banding
Medications
PMHx Treatments
Last oral intake
Events prior

TTV

PengkajianHead-to-
toe
10
INTRO TO CODE BLUE
EARLY CPR, EARLY DEFIBRILLATION

11
INTRO TO CODE BLUE
ARREST RHYTHMS

VF
Only 2 “shockable”
(defib) arrest rhythms

Pulseless VT

Asystole Other arrest

rhythms, including
asystole and PEA,
Everything else with NO pulse is
PEA (Pulseless Electrical PEA should NOT be
defib
Activity)
12
INTRO TO CODE BLUE
CODE BLUE ALGORITHMS
Pulseless VT, VF
2min CPR 2min CPR
SHOCK Rhythm/Pulse SHOCKEPI Rhythm/Pulse

Asystole, PEA
2min CPR 2min CPR
Nothing Rhythm/Pulse Nothing EPI Rhythm/Pulse

Shockable (Pulseless VT, VF): try 2 shocks before EPI

Non-shockable (Asystole, PEA): may give EPI early
1:10,000 EPI 1mg IV q4 min
13
INTRO TO CODE BLUE
CODE BLUE EXAMPLE
No response, not breathing
Rhythm Pulse Assessment Action
VT None Pulseless VT Start CPR
arrest 200J shock/defib
2 minutes of CPR
VF None VF arrest Resume CPR
200J shock/defib
1mg epi 1:10,000
IV
2 minutes of CPR
Asystole None Asystole Resume CPR
No shock/defib
2 minutes of CPR
Bradycardia None PEA Resume CPR
No shock/defib
1mg epi 1:10,000
IV
14
2 minutes of CPR
15
16