stanford medical checklist study · ☐cpr—resume immediately ↻defib→cpr→meds check in the...

Stanford Medical Checklist StudyTraining (Cogaids) v4

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This screen may contain a digital, dynamic cognitive aid. You may use it to answer questions during a

scenario.

No interaction is required with this screen--the cognitive aid will automatically adapt to match the

current medical scenario.

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↑ETCO2, Tachycardia...SIGNS

DDXLight anesthesia Hypoventilation Over-heating

(external)

Thyroid storm Pheochromo-cytoma

Insufflation of CO2

Hypoxemia

SECONDARY

TREAT Anesthetic triggers—discontinue; ↑Gas—10 L/min; TIVA; Hyperventilate—FiO2 100%, O2...

☐Malignant Hyperthermia PEA VT/VF↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS Light anesthesia, Hypo...DDX

T. Stark, 35 yrs, 102.1 kg

Services Help

YouTeam Lead

LarryPharmacist

ChelseaICU Nurse

DannielleRT

Conditions Cardiac Arrest, Shrapnel

Meds Lithium Dioxide

Other Palladium toxicity, alcoholism

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SECONDARY Patient—Monitor in ICU;Dantrolene—1 mg/kg

☐Cool patient☐Hyperkalemia? CaCl2 1g IV☐Labs

☐Hyperventilate—FiO2 100%, O2 high☐Dantrolene—2.5 mg/kg sterile☐Dantrolene—Rapidly administer until patient stable☐Na2CO3—1 to 2 mEq/kg

☑ Anesthetic triggers—discontinue

☐↑Fresh gas—10 L/min Do NOT change machine or circuit

☐TIVA

TREAT

☐Malignant Hyperthermia PEA VT/VF↑ETCO2, Tachycardia...SIGNS Light anesthesia, Hypo...DDX

T. Stark, 35 yrs, 102.1 kg

Services Help

YouTeam Lead

LarryPharmacist

ChelseaICU Nurse

DannielleRT

Conditions Cardiac Arrest, Shrapnel

Meds Lithium Dioxide

Other Palladium toxicity, alcoholism

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☑ Hyperventilate—FiO2 100%, O2 high☑ Dantrolene—2.5 mg/kg sterile☑ Dantrolene—Rapidly administer until patient stable☑ Na2CO3—1 to 2 mEq/kg

☑ Anesthetic triggers—discontinue☑ ↑Fresh gas—10 L/min☑ TIVA

☑ Cool patient

☐Hyperkalemia? CaCl2 1g IV Check blood gas for electrolyte abnormalities; CaCl2 1g, D50 1 Amp (25g Dextrose) + Reg. Insulin 10 units; (monitor glucose), or NaHCO3 1 Amp; No Ca channel blockers

☐Labs

TREAT

☐Malignant Hyperthermia PEA VT/VF↑ETCO2, Tachycardia...SIGNS Light anesthesia, Hypo...DDX

SECONDARY Patient—Monitor in ICU;Dantrolene—1 mg/kg

T. Stark, 35 yrs, 102.1 kg

Services Help

YouTeam Lead

LarryPharmacist

ChelseaICU Nurse

DannielleRT

Conditions Cardiac Arrest, Shrapnel

Meds Lithium Dioxide

Other Palladium toxicity, alcoholism

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In some conditions, this display will be blank.

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Now, this screen will display the software-based, dynamic cognitive aid.

Ready...?

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PEA VT/VFAll Aids search

Asystole

Myocardial Ischemia Anaphylaxis

VTach/VFib

Cardiac Arrest

BradycardiaPEA

Malignant Hyperthermia S. Card, 67 yrs, 64.0 kg

Services Help

YouTeam Lead

ChelseaNurse

Conditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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SECONDARY Consider possible root causes.

TREAT Begin compressions immediately.

↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS

SIGNS

Call for Help?

PEA VT/VF☐Possible Crisis?

Not breathing? No pulse?

Services Help

YouTeam Lead

ChelseaNurse

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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SECONDARY Consider possible root causes.

TREAT Begin compressions immediately.

↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS

SIGNS

Call for Help?

PEA VT/VF☐Possible Crisis?

Not breathing? No pulse?

Services Help

YouTeam Lead

ChelseaNurse

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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SECONDARY Consider possible root causes.

TREAT Begin compressions immediately.

↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS

SIGNS

Call for Help?

PEA VT/VF☐Possible Crisis?

Not breathing? No pulse?

Services Help

YouTeam Lead

ChelseaNurse

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

12

SECONDARY Consider possible root causes.

TREAT Begin compressions immediately.

↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS

SIGNS

Call for Help?

PEA VT/VF☐Possible Crisis?

Not breathing? No pulse?

Services Help

YouTeam Lead

ChelseaNurse

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

13

SECONDARY Consider possible root causes.

TREAT Begin compressions immediately.

↑ETCO2, Tachycardia, Tachypnea, Acidosis, Masseter spasm...SIGNS

SIGNS

Call for Help?

PEA VT/VF☐Possible Crisis?

Not breathing? No pulse?

Services Help

YouTeam Lead

ChelseaNurse

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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CPR

Brady VT/VF☐No pulseFlat Line, No PulseSIGNS

Check rhythm

ETCO2 > 10mmHg? Arterial line diastolic > 20mmHg?

Allow for complete chest recoil

Code Blue

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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Start chest compressions (mid sternum)

CPR

Brady VT/VF☐No pulseFlat Line, No PulseSIGNS

Check rhythm

ETCO2 > 10mmHg? Arterial line diastolic > 20mmHg?

Start chest compressions (mid sternum)

Allow for complete chest recoil

Code Blue

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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CPR

Brady VT/VF☐No pulseFlat Line, No PulseSIGNS

Check rhythm

ETCO2 > 10mmHg? Arterial line diastolic > 20mmHg?

Allow for complete chest recoil

Code Blue

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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Start chest compressions (mid sternum)

CPR

Brady VT/VF☐No pulseFlat Line, No PulseSIGNS

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

Check rhythm

ETCO2 > 10mmHg? Arterial line diastolic > 20mmHg?

Allow for complete chest recoil

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Start chest compressions (mid sternum)

CONSIDER DDX

TREAT☐Defibrillate — # Joules

☐CPR—RESUME IMMEDIATELY

↻DEFIB→CPR→MEDS

CHECK In the OR: Volatile, O2Ventilation—OK?. Always Check: IV...

PEA Asys☐VTach - WideVTachSIGNS

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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CONSIDER DDX

TREAT☐Defibrillate — # Joules

☐CPR—RESUME IMMEDIATELY

↻DEFIB→CPR→MEDS

CHECK In the OR: Volatile, O2Ventilation—OK?. Always Check: IV...

PEA Asys☐VTach - WideVTachSIGNS

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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CONSIDER DDX

TREAT☐Defibrillate — # Joules

☐CPR—RESUME IMMEDIATELY

↻DEFIB→CPR→MEDS

CHECK In the OR: Volatile, O2Ventilation—OK?. Always Check: IV...

PEA Asys☐VTach - WideVTachSIGNS

Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

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TREAT☑ Defibrillate (biphasic machine)

☐CPR —RESUME

↻DEFIB→CPR→MEDS

PEA Asys☐VTach & VFibVTachSIGNS

Services Help Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Cumadin

Other Prior cardiac arrest

CONSIDER DDX

CHECK In the OR: Volatile, O2Ventilation—OK?. Always Check: IV...

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TREAT☑ Defibrillate (biphasic machine)

☐CPR —RESUME

↻DEFIB→CPR→MEDS

PEA Asys☐VTach & VFibVTachSIGNS

Services Help Services Help

YouTeam Lead

KyleDoctor

ChelseaICU Nurse

DannielleRT

S. Card, 67 yrs, 64.0 kgConditions High blood pressure

Meds Coumadin

Other Prior cardiac arrest

CONSIDER DDX

CHECK In the OR: Volatile, O2Ventilation—OK?. Always Check: IV...

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