Updated** - Managing Cardiac Arrest in the era of COVID-19
Channel: Glenn Posner
Date: 13/05/2020

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

This second version of The Ottawa Hospital "Guiding Principles for Code Blue during COVID-19 Pandemic" was created after real-life experience, feedback, and further discussion amongst experts.  Link to the full protocol is here: https://www.dropbox.com/s/tu6ezuf8snj1vrm/Covid19%20Code%20Blue%20v2.5%20April%2028%202020.docx?dl=0

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

with support from:
Dr. Jerry Maniate, VP Education, The Ottawa Hospital
Dr. Janet Corral, Associate Dean, Curricular Affairs, University of Arizona
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Actors:
Ms. Mariko Chartrand, Nurse Educator
Ms. Jennifer Dale-Tam, Nurse Educator
Ms. Kelly McBride, Nurse Educator
Ms. Pamela Tkach, RN, Clinical Informatics Specialist
Dr. Loree Boyle, Internal Medicine
Dr. Christian Vaillancourt, Emergency Medicine
Ms. Kaitlin Endres, Medical Student and Simulation Technician
Dr. Glenn Posner, Medical Director, TOH Simulation Patient Safety Program
Simulation Technician: Stephanie Jones
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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.
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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.