Review of Code Blue Video Assignment PDF

Running head: REVIEW OF CODE BLUE VIDEO 1
Review of Code Blue Video
Student’s name
Institutional Affiliation

REVIEW OF CODE BLUE VIDEO 2
Review of Code Blue Video
After carrying out a review of the video, “Code Blue”, various areas displaying poor
performance were realized. This assignment shall analyze the video scenario bringing out the
negative and positive issues, discussing them based on the available evidence. The ARC
cardiopulmonary guide for resuscitation applied to all unresponsive students. The procedure
comprises techniques designed to minimize the effects of circulatory arrest and for the assistance
of the patient to regain blood circulation along with the technique of rescue breathing together
with the external health breathing. The nurses did the right thing in beginning the CPE process.
According to the ARC guide, the first step entails beginning the CPS process in the event that the
person is unresponsive and not breathing in a normal manner.
The level of compression to ventilate was too shallow. According to the guide, the nurses
needed to compress-to-ventilate in a ratio of 30:2 for all ages. The procedure must be performed
with Oxygen and airway adjuncts (Leturiondoa M. , et al., 2016). The fourth guide for the ARC
guideline entails helping the person to the ground and positions them to their side. After the CPR
ratio procedure, the nurses correctly apply the pads and attempt to defillbrate (Brown, Gallagher,
Fowler, & Wales, 2014). According to the guide, the nurses needed to call for advanced life
support in case the patient did not respond to their efforts. The nurses needed to check to see
whether there was a risk for cervical spine injury and establish a clear upper airway by the use of
a thrust of the jaw (Boyle, 2017). The guide recommends the combination with manual in-line
stabilization or MILS for the head and neck using all the manpower available in the scene.
The ARC guide provides steps that ought to be followed in case obstruction of the airway
persists despite the effective application of chin lift or the jaw thrust. The nurse ought to apply a
head tilt, small amounts at a time (Lakea, et al., 2017). The nurses needed to ensure the airway is

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open. The nurses followed the procedure because they ensured that the patient was not sitting in
a chair nor putting their head between their knees (Leturiondoa, et al., 2018). ARC guidelines
recommend giving of breaths for the patient in case he remains unresponsive to chest
compressions of any kind. According to Leturiondoa, et al.,(2018), peformance of Capnography
is considered a method for monitoring the rate of ventilation in the event of cardiopulmonary
resuscitation or CPS (McGonigle & Mastrian, 2012). Of all incidences requiring resuscitation,
representing more than 70% of all the cases procedures distorted by the chest compression led to
oscillations.
It was noted that the nurse lacked due professionalism and respect for nursing ethics on
multiple occasions. For example, at the 3rd second, the nurse comes in and finds the patient, Mr.
Smith, unresponsive on the bed (Leturiondoa M. , et al., 2016). She searches for his pulse and
finds that he is not breathing. It can be noted that the level of compression remains inadequate on
multiple occasions. For example, the nurse seeks for the help of another nurse and requests for a
concord (Lakea, et al., 2017). The second nurse requests for code blue in the room. The first
nurse tries to pump air into the chest of the unresponsive patient on the bed (Merrifield, 2016). A
third nurse arrives pushing a table drawer and places a board below the back of the patient. A
fourth nurse arrives and begins to pump air into the mouth of the patient. Three nurses work on
the patient at the same time. Another team of nurses arrives rushing into the room (Cohen, 1996).
The first nurse places plastic simulators on the breasts of the patient. A physician arrives and
orders for concussions. The procedure measures 150 joules. The pressure of the patient is
steadily falling.
Brown et al. (2014) posit that nurses have a responsibility to perform to the public for the
provision of patient-centered, holistic, and safe care. I believe nurses should use the benefit of

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clinical judgment to meet the needs of the patients (Brown, Gallagher, Fowler, & Wales, 2014).
Although she does not agree with the idea of Bacterial infection, she explores the concept of
proper sanitation and abhors overcrowding (Boyle, 2017). I believe nurses should empower
patients by encouraging them to become active partners in the engagement of mutual goal
setting. So strong is her determination that it can almost be termed an obsession. One man
proposed marriage to her and she says she prayed that God should cleanse her heart from being
desired by men. Her commitment was only to her work and nothing more.
The Assumption made in ALS is that tasks like administration of a bag of Oxygen and
compression of the chest are administered (Leturiondoa M. , et al., 2018). The main algorithm of
ALS, which is invoked when actual cardiac arrest has been established, relies on the monitoring
of the electrical activity of the heart on a cardiac monitor. Depending on the type of cardiac
arrhythmia, defibrillation is applied, and medication is administered (McGonigle & Mastrian,
2012). Oxygen is administered and endotracheal intubation may be attempted to secure the
airway. At regular intervals, the effect of the treatment on the heart rhythm, as well as the
presence of cardiac output, is assessed (Leturiondoa M. , et al., 2018). Medication that may be
administered may include adrenaline, amiodarone, atropine, bicarbonate, calcium, potassium and
magnesium. Saline or colloids may be administered to increase the circulating volume.
I would recommend the video to another student for various reasons. Not only is it
informative and entertaining but it also gives an accurate account of historical events (Pruneta, et
al., 2018). The video offers socio-cultural perspectives about the lives of the people of the 1800s
and the role of education in shaping their beliefs. When she returns to London 3 years after her
expedition, she is a hero. She slides into sickness at the age of 40, suffering from what may have
been chronic fatigue syndrome (Boyle, 2017). Although she lives in recluse for the remaining 50

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years of her life, she continues to impose substantial influence on the course of nursing and
public health (Brown, Gallagher, Fowler, & Wales, 2014). She makes conference presentations,
personal persuasions, writes books, and letters.
The overall quality of the analyzed study in the video was poor. In all the instances
demonstrated in the video, only a few instances represented a case of proper emergency response
and behavior. Therefore, effective conclusions cannot be drawn concerning in-hospital care in
the selected patient cohorts (Merrifield, 2016). In the hospital care of sudden cardiac arrest,
cardiopulmonary and early defibrillation is essential. Further, interventions using ALS have not
managed to show an increase in the rate of survival (Leturiondoa M. , et al., 2016). Hypothermia
initiated before arriving in the healthcare facility is a promising kind of treatment even though it
is not an intervention based on evidence (Leturiondoa M. , et al., 2016). Thrombolysis of
myocardial procedure initiated before arrival to the healthcare facility increased the chances of
survival when it is compared to the same procedure initiated in the health care facility. Scientific
evidence points to the benefits of ALS to epileptic patients together with patients that have
respiratory distress.
Because of multiple methodological issues found in studies of trauma, comparing BLS
and ALS care before arrival to the hospital is hard and in some cases, impossible. Various cases
lead to painful episodes when the procedure is performed to patients who have intracranial
pressure (Virginia Saba & McCormick, 2015). Too much pressure in the head cavity is not
healthy for the patient because it might lead to gradual breakdown and work out. In case the help
is offered by a qualified physician and by a HEMS organization, the ALS intervention may prove
beneficial for patients that have multiple blunt injuries. In many other kinds of patients like
patients with cases of drowning or those with cerebrovascular problems there lacks research on

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the level of effectiveness of levels of ALS and BLS before arrival to the hospital (Leturiondoa
M. , et al., 2018). There is need for high quality controlled studies in clinical emergency actions
and solutions. Besides study, there ought to be development of in-hospital care for uniform and
complete documentation and follow up of all the patients by the use of a register founded on real
life data.
Pre-hospital care is an essential part of the process of treatment in many of the acute
diseases and trauma. The treatment is normally aligned into Advanced Life Support (ALS) and
Basic Life Support (BLS) levels of treatment according to the methods used (Leturiondoa M. , et
al., 2018). Advanced Life Support refers to complex pre-hospital care that employs the use of
methods like intubation, medication and use of intravenous fluids. The vehicle used for such
procedures has been either an ambulance or a helicopter (Leturiondoa M. , et al., 2016). The
primary purpose of Basic Life Support is to assist the body of the patient to assume basic
functions until the patient reaches the necessary center for health care and checkup. On the one
hand, ALS has traditionally been implemented by paramedics or physicians (Takahiro Kamada,
Masahiro Kaneko, & Tomioka, 2017). On the other hand, BLS level care is given by emergency
medical technicians or paramedics. In many of the cases, the nurses performing the ALS units
are normally the same as the nurses performing the BLS units.
Concepts connected with ALS and BLS differs and is diverse between countries and
regions around the world. Both types have developed and changed into greater levels of
complexity (Brown, Gallagher, Fowler, & Wales, 2014). Some procedures that were previously
found in ALS are now found in BLS as well. In spite of all the research that has been conducted,
the effectiveness of ALS over BLS has remained questioned over time (Takahiro Kamada,
Masahiro Kaneko, & Tomioka, 2017). Several reports on research about the area of nursing

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study have been published and conclusions have been drawn. Research methods have employed
the use of different target groups and methods leading to controversial results (Leturiondoa M. ,
et al., 2016). The implementation of care before arrival to the hospital depends largely to the
economic, geographical, political, and social factors connected to the systems and health care
facilities. Proper execution of the procedures of resuscitation is essential for patient survival.
In case, the person handling an unresponsive patient he or she must check for breathing
and assess the pulse at the carotid at the same time. The assessment ought to take less than 10
seconds whether the nurse performs a check or the pulse or not. Agonal breathing in the form of
irregular and occasional gasps is typical in the initial stages of cardiac arrest and signifies the
possibility of a cardiac arrest. The same must not be mistaken for a sign of life. Movement of the
limbs and breathing can take place in the course of compression of the chest because of the
improvement of cerebral perfusion. However, the same does not indicate return of spontaneous
circulation. Changes in the color of the skin otherwise referred to, as ‘pallor or cyanosis in
isolation does not pass for diagnosis of cardiac arrest. In the event that the patient is already
attached to monitoring in a critical area, it adds to rather than replaces the assessment for life
signs.

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