Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nurse 1 > Code Red > Flashcards

Code Red Flashcards

(46 cards)

Start Studying
1
Q

When must a trauma team leader declare a code red?

A

Systolic below 90
Poor response to initial fluid resus
Suspected active haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is contained in a code red pack A?

A

4 units RBC
4 units FFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is contained in a code red pack B?

A

6 units RBC
6 units FFP
2 cryo
1 pool platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When would you request or use a pack B?

A

If the patient is still bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What blood type do you use for a female patient?

A

O neg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of blood do you use for a male patient?

A

O pos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is essential for all blood products?

A

Traceability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who must you inform when units are used from the resus fridge?

A

Blood bank so that stocks can be replaced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should you switch from Group O to a patients blood type?

A

As soon as the cross match result is available

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What type of blood do you use for a paediatric patient?

A

O neg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What blood level do you need to check after 6 units of RBC?

A

Calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What drug do you need to check has been given by Hems?

A

TXA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who can declare a Code Red?

A

A pre hospital doctor (Hems)
Advanced paramedic practitioner (APP)
Consultant in charge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do you prepare a bay for a Code Red?

A

Trauma of pack ordered
Bloods and CT ordered
Computer in bay
Trolley
Theatre lights turned on
2 name bands
Bear hugger available
Monitoring ready
Belmont primed
Ultrasound machine
Anaesthetic equipment
Arterial pressure transducer primed
IV access and venapuncture equipments
Sterile procedures preparation
Transfer kit available

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What drugs may you require for a Code Red?

A

Anaesthetic drugs tray from fridge
Ketamine
Fentanyl
Propofol (big one)
TXA
Calcium chloride 10ml 10% (Hypocalcaemia and hyperkalaemia)
Act rapid and 50ml 50% dextrose (hyperkalaemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the ROTEM analyser used for?

A

To confirm or exclude Acute Traumatic Coagulopathy (ATC) in under 5 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How can normothermia be maintained in Code Red patients?

A

Keep patient covered up
Use Bear Hugger
Trauma mattress
Give blood units through Belmont

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Who should the Nurse 1 notify if the Code Red patient moves to theatres or IR?

A

The transfusion lab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What should Code Red patients have requested prior to leaving for theatre or IR?

20
Q

What is Octaplex used for?

Study These Flashcards
A

Reversal of warfarinised patients and other DOACs

21
Q

Where is Octaplex stored?

Study These Flashcards
A

Code Red cupboard

22
Q

What speciality needs to be discussed with before Olaplex is given to a patient?

23
Q

How much Octaplex should be stocked in resus at any one time?

24
Q

What can you find on the top shelf of the code red cupboard?

Study These Flashcards
A

Adult pelvic splint
Blast bandage
Israeli bandage
Celox gauze
Tourniquet- CAT

25
What can you find on the middle shelf of the code red cupboard?
Coagucheck XS machine - fully charged Test strip bottle Lancets Surgical airway kit - sealed Tuff cut shears
26
What can you find on the bottom shelf of the code red cupboard?
Dental props - S,M,L Epistats
27
What would you find in the small cupboard inside the code red cupboard?
TXA Octaplex Dosing sheet Administration aide memoire Octaplex administration sheet
28
Where do you find the priority card for the lift?
Door of code red cupboard
29
What is TXA?
An anti-fibrinolytic agent that helps to prevent haemorrhage
30
What is damage control surgery?
Surgery involving using limited surgical interventions to control haemorrhage and minimise contamination until the patient has sufficient physiological reserve to undergo definitive interventions. Survival is given precedence over morality
31
What are the ideal blood component ratios?
1 PRBC: 1 FFP : 1 Platelets
32
What is the aim of damage control resuscitation?
Maintain circulating volume, control haemorrhage and correct the triad of death
33
What is damage control resuscitation?
A systemic approach to the management of trauma patients with sever injuries. It starts in ED and carries through to theatres and ITU
34
What are the 5 sites of major trauma?
Chest Abdo Pelvis Long bones External e.g scalp
35
As nurse 1 in resus, how would you prepare for a code red?
Put out 2222 Ensure trauma team complete Assign a primary and Belmont nurse Call for a trauma pack Call transfusion and request pack A and or B as per discussion with TTL Ensure Belmont primed Wristbands and bloods Listen to handover when patient arrives
36
Where do you put the blood labels for used units?
In slot under blood fridge
37
Why do we use invasive pressure monitoring?
Allows continuous accurate blood pressure monitoring for critically unwell patients Allows frequent ABG samples
38
What equipment will you need once an ART line has been placed?
Transducer cable - single Pressure bag 500ml saline Art line giving set primed
39
How do you zero an ART line?
Stop cock close to patient and open to air Press zero on monitor
40
What is the aim of haemostatic resuscitation?
To resuscitate the patient with blood component ratios resembling whole blood, therefore, avoiding acute traumatic coagulopathy with the aim to maintain circulating volume, limit ongoing bleeding and prevent/reverse the triad of death
41
What does damage control resuscitation involve?
Haemostatic resuscitation, permissive hypotension and damage control surgery
42
What can cause acidosis to worsen in a trauma patient?
Administration of large volumes of crystalloids
43
How is acidosis defined?
Arterial pH of less than 7.35 and in trauma is likely secondary to poor tissue perfusion
44
What does the triad of death lead to?
Worsening haemorrhage and eventually death
45
What is the triad of death?
Hypothermia, acidosis and coagulopathy
46
When does acute traumatic coagulopathy occur?
Immediately after massive trauma when shock, hypoperfusion and vascular damage are present

Nurse 1 (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions