Managing Cardiac Arrest in the era of Covid-19
Channel: Glenn Posner
Date: 11/04/2020

Title: Managing Cardiac Arrest in the era of Covid-19 
Authors: Ms. Jennifer Dale-Tam, Nurse Educator & Dr. Christian Vaillancourt, Emergency Physician, The Ottawa Hospital
Directed by Glenn Posner

Covid-19 Cardiac Arrest working-group:
Dr. Sylvie Aucoin, Anesthesiology
Dr. Loree Boyle, Internal Medicine
Ms. Jennifer Dale-Tam, Nurse Educator
Dr. Michael Hartwick, Critical Care
Dr. Jerry Maniate, Internal Medicine
Dr. George Mastoras, Emergency Medicine
Dr. Hilary Meggison, Critical Care
Dr. Christian Vaillancourt, Emergency Medicine

Dr. Glenn Posner, Medical Director, TOH Simulation Patient Safety Program
Dr. Jerry Maniate, VP Education, The Ottawa Hospital
Dr. Janet Corral, Senior Director of Digital Education Innovation, University of Colorado

Virtual Reality collaboration between TOH and the Department of Medicine at the University of Colorado
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Actors:
Ms. Mariko Chartrand, Nurse Educator
Dr. Bhat Chirag, Emergency Medicine Resident
Ms. Jennifer Dale-Tam, Nurse Educator
Ms. Kelly McBride, Nurse Educator
Ms. Cari Poulin, Nurse Educator
Mr. Kevin Thomas, Manager, uOSSC
Dr. Christian Vaillancourt, Emergency Medicine
Dr. Jim Yang, Emergency Medicine Resident
Guest simulation technician: Dr. Vicki LeBlanc, Director of uOSSC
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Disclaimers: The decision to resuscitate a patient with confirmed or highly suspected Covid-19 infection is a matter of debate.
This video will help us manage patients for whom respiratory failure from Covid-19 pneumonia is not suspected to be the underlying cause of cardiac arrest.
No protocol is perfect, but this is the protocol that has been decided upon at The Ottawa Hospital based on our current interpretation of best practices.
However, one might choose to pass the primary nurse an AED and analyze the rhythm before s/he leaves the room and dons proper PPE prior to CPR.
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Learning Objectives:
Manage cardiac arrest in the context of the COVID-19 Pandemic;
Prioritize health care provider protection;
Minimize aerosolization within resources of the unit & healthcare organization.
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Patient History:
Mr. Jones is a 75 yo male admitted to internal medicine for CHF exacerbation last evening. Was alert, orientated, and only complaining of minimal shortness of breath on rounds 1 hour ago. Medical history includes MI 15 years ago, HTN, diabetes, and occasional admissions for CHF. Medication: ASA, Metoprolol, Statin, Metformin, Lasix. He expressed the wish for resuscitation efforts in case of cardiac arrest, which is documented in his chart.