Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.28, sa.1, ss.47-51, 2020 (Scopus)
Objective: Code Blue is a universal emergency code, ensuring rapid arrival at the scene of the event and implementation of effective intervention for in-patients requiring emergency medical intervention The aim of our study is to evaluate Code Blue, and its contents applied for pediatric cases in our hospital, draw attention to its implementation and emphasize the importance of its application with respect to patient’s safety. Methods: All Code Blue forms applied for pediatric patients at a Acıbadem Mehmet Ali Aydınlar University, Artakent hospital between January 2017 and August 2019, were evaluated retrospectively. Demographic and medical information of cases, reasons for Code Blue alerts, arrival time of the Code Blue Response Team at the scene, all medical interventions and practices performed at the scene were recorded. Results: During the study period 70 pediatric Code Blue calls were made. Among Code Blue patients, 45 cases (64.3%) were male, 25 cases (35.7%) were female. Mean age of the patients was 38.3±14.2 months. Mean arrival time of the code blue team burst on the scene was 2.02±0.91 minutes. The code blue calls were made most commonly from general pediatric wards (n=36; 51.4%) followed by emergency room (ER) (n=23; 32.9%), pediatric polyclinics (n=7; 10%), hospital entrance (n=2; 2.9%), physical therapy and rehabilitation polyclinic, radiology department (n=1; 1.4% for each). Majority of codes (64.3%) were given during work hours. Physicians-in-charge (35.7%), nurses (50%) and other healthcare personnel (14.3%) activated the Code Blue. A total of 35.7% of patients were intubated, and 27.1% of them required cardiopulmonary resuscitation (CPR). The 64.3% of the patients were hospitalized in the pediatric intensive care unit. The rest of the patients continued to receive medical treatment in their respective wards or in the ER. The 68.4% of patients who had received CPR were discharged. Conclusion: The presence of competent, and experienced specialists in the Code Blue team, giving due importance to in-hospital training, and rapid recognition of cases with cardiopulmonary thanks to training offered increase survival rates of patients. In our study where records of pediatric patient were evaluated separately, it is seen that Code Blue system is implemented in compliance with the standards and successfully, particularly in terms of targeted time interval.