Media Annotation: Analysis of Code Blue Simulation Video for CPR Training

MEDIA ANNOTATION

Introduction
The Christiana Care Health System's Code Blue Simulation program offers virtual
training for health practitioner and nurses. The video 1 has been used for the analysis, depicts a
patient room where the patient is seen not responding briefly after his admission as he suffers
massive cardiac arrest. In the current scope of media annotation, the performance of the skill
according to ARC guidelines and strengths as well as weakness of the video will be evaluated.
After reviewing the video is several areas, varied positive and negative issues were identified,
which has been discussed based on the available evidence (Christiana Care, 2011).
Performance as per ARC guidelines
The video depicts a patient not responding 5 minutes post interaction and has suffered
massive cardiac arrest. The nursing leader calls for immediate assistance and takes their own
position in recovering the patient. The ARC Guideline 8 of Cardiopulmonary Resuscitation
(CPR) is applicable in this case as the patient was not breathing and did not respond (Australian
Resuscitation Council, 2019). The Australian and New Zealand Committee on Resuscitation
(ANZCOR) provides, healthcare professionals or rescuers need to immediately initiate CPR in
case the patient is unresponsive. The video actively encourages bystanders to be actively
engaged in CPR. According to Deasy et al (2012), the compression-to-ventilation ratio needs to
be 30:2 for the patient. The defibrillator of 200 was given to the patient to recover the patient.
Analysis of the Video for Quality
The quality of the video was high, which was suitable for training. The video progressed
gradually and each stage was followed by the rescuer in an appropriate manner. All medical
terms and terminologies were adequately depicted in the video. The video depicted all processes
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that need to be followed for CPR. The aim of the entire video was to reduce breaks in the chest
compressions.
The Videos Strengths
The most interesting part of the video is the leadership that is depicted to rescue the
patient. The video provides an appropriate training procedure for patient suffering CPR. The
healthcare staffs immediately responded to get the patient back to normal breathing (ANZICS-
CORE MET dose Investigators, 2012). The most important aspect that is shown in the video is
that the defibrillator is put on the chest until the patient is charged and ready to get shocked. The
focus should be on reducing time off the chest.
Boyde, Padget, Burmeister, and Aitken (2013) journal evaluated cardiac arrest results
post the designing of the Australian Resuscitation Council (ARC) 2006 changed format for
providing simple along with advanced systems in life support. Post application of ARC 2006
guidelines, these factors are important, such as providing an initial shock rhythm, along with
shorter length of resuscitation, and shorter length of time initiating from collapse to the arrival of
the cardiac arrest team (Courtney & McCutcheon, 2010). The paper depicted significant
prognostic factors with no significant changes in the return in spontaneous circulation (ROSC) or
survival to discharge. As the study depicts multiple factor influences which affects clinical
outcomes to post in-hospital cardiac arrest (Deasy et al, 2011). The video also depicts the initial
shock rhythm with shorter length of resuscitation, hence these multiple factors can influence
clinical outcomes to improvise outcomes.
Ehlenbach et al (2009) state that the rate of survival post-in-hospital cardiopulmonary
resuscitation (CPR) improved post application of ICD-9 codes. It states that do-not-resuscitate
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(DNR) was common in the 1980s. However, the frequency of administration of CPR for the
patient, that is unlikely to gain from resuscitation. With an increase in the proportion of in-
patient, deaths are preceded by CPR. The article reflects a higher rate of survival post CRP. The
video depicts the effective management of patient outcome through the management of
outcomes.
Nehme et al (2015) depict the quality of the emergency services in medical care in the
Australian Southeastern state of Victoria. An enhancement in cardiopulmonary resuscitation with
survival outcome for the out-of-hospital patient in cardiac arrest inpatient in Victoria, Australia.
Survival outcomes and bystander CPR in Victoria, CPR can contribute to partly in delays in
implementing an electronic call-taking process. The video has also supported by the patient
outcome
Mader (2009) states that a delay in defibrillation is associated with poor survival rates in-
hospital cardiac arrest. The degree to which hospitals undertake defibrillation response time
though is unknown but remains unknown. In the video, the healthcare staffs appropriately
applied defibrillation and got the patient's heartbeat.
Chan, Nichol, Krumholz, Spertus, and Nallamothu (2009) states that delays to
defibrillations are seen connected with worse rates of survival post after-in-hospital cardiac
arrest. However, the degree with which hospitals apply defibrillation response times affects
patient survival rates (Daly, Speedy & Jackson, 2017). Delayed defibrillation rates vary amongst
hospitals and better defibrillation provides outcomes of improvised patient outcomes. The video
also depicts good response time, within 5 minutes, where the patient recovery team arrived and
tried to recover the patient.
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