Life Support Responses at

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Life Support Responses at

• University of Colorado Hospital

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Code Team

• A large team response to a life threatening
  change in patient condition.
• ACLS trained team from Int Med, Critical Care and
  Anesthesia
• As well at RT, Pharmacy, EKG who else should be
  here??
• Essential for emergent airway management
• Second Year Medical Residents responsible to run
  the code.
• Available to all inpatients all outpatients
  are 911 response
• Resuscitation Committee reviews
• All code activity
• Policy and Practice here at UCH and Nationally
• Data and Trend review here at UCH and Nationally

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Medical Emergency Team (MET)

• The Medical Emergency Team here at UCH is a
  service provided by the Critical Care and
  Respiratory Therapy Departments to partner with
  primary staff to assess and manage a patient who
  demonstrates instability criteria

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Goals of the MET

• Convene a team for
• Early and rapid intervention
• Rescuing patients
• Prevention of cardiac arrests
• Diminish need for transfer to ICU
• Implement plan and terminate MET within 1 hour

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Stroke Alert ResponseTime is tissue

• Call for
• Any change or alteration in neuro status
• Any inpatient suspected stroke (outpatients are a
  911 response)
• Convenes a team of MDs and PAs
• Goal
• To expedite imaging
• To intervene with TPA within 3 hour window if
  needed
• To accelerate transfer to higher level of care as
  indicated
• May also access MET
• For neuro assessment
• for critical care coverage if indicated

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So, Who ya gonna Call?

• If patient unresponsive call a Code
• (even w/ VS present)
• If patient needs an airway managed call a Code
  (even w/ VS present)
• Any change in neuro status call a Stroke Alert
• Anything else call the MET
• Code MET Stroke
• 85555 85490 86388