2nd provider 

Check-in with Team Lead 

ABC’s

• Airway (LMA/SGA often preferred > ETT during cardiac arrest)  

  • Advise team re: correct breath to compression ratio 

    • BVM = 15:2 

    • Advanced airway (LMA/SGA/ETT) = continuous: continuous 

  • Ensure/troubleshoot (if poor chest rise or no end tidal, troubleshoot airway)

• Brief exam statements:

  • “Pupils are ____”

  • “I see (no) evidence of trauma”

  • “Bilateral breath sounds”

    • if e/o tension PTX: perform finger or needle thoracostomy

• Access

  • IO = 1st option fin cardiac arrest 

  • Fem stick, EJ etc for labs

    • Labs: “blood gas w lytes and lactate” (CG8 and CG4)

  • Goal: at least 2 points of access

• Cardiac POCUS:  Consider performing *IF:

  • Comfortable w/ performing (and with ambiguity of results)

  • Requested by Team Lead

  • Limited to < 10 seconds (during pulse/rhythm check) 

• H&Ts safety net:

  • For example: POC glucose, ECMO candidate, ddx: ingestion, trauma, blood gas (?hyperkalemia, hypocalcemia), etc? (list not exhaustive)

• Communication with: PICU, family as appropriate 

Return to Department

• Check in w charge re: priorities

• Briefly review patients of team lead to identify any emergent needs ​