Airway DoctorTwo minute training

Airway DoctorAirway manoeuvres and adjunctsNasal prongs 15L/minBag Valve Mask (Ambu Bag) + 15L/min +/- ventilate2-person technique Position patient for intubationCheck-in with Airway Assistant and Drug Administrator

ConsiderAdvanced equipment?Bougie use?Cricoid pressure?Drugs?Emergency algorithm

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Two minute training

Airway Assistant

Help squeeze bag as requiredWaveform capnographySuctionPrepare and check airway equipmentCricoid pressureHelp attach ETCO2 and BVMSecure tube/LMA/Cric

Airway Assistantmobilesim mobilesim

Two minute training

Defib Driver

Defib DriverGet resus trolleyAttach pads: anterior/apicalSet dial to ‘Defib’Charge and shock/dump charge every cycleSAFE DEFIBRILLATION: talk to Airway Doctor and Compressors

Continue compressions Oxygen Away Charging Hands off

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Two minute training

Drug Administrator

Drug AdministratorCheck IV access (CVC if available)Take ABG or VBG (if no art line)Check drugs with Drug DispenserGive drugs as directed by Nursing Team Leader and Airway DoctorAnnounce drugs and dosesFlush drugs in with pump set

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Two minute training

Drug Dispenser

Drug DispenserPrime pump set 1L NaClPrepare / label

Adrenaline 1mg x 5Metaraminol 10mg/20mlOther drugs as requested

Check drugs with Drug AdministratorCheck out S8s with RunnerMake up infusions

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Two minute training

Compressor

Compressor100/min, 5cm deepContinuous if ETT or LMA30:2 if bag/maskSwap out every 2 minsBe ready to swap back in with ZERO HANDS-OFF TIMEContinue compressions during chargeListen to the Defib Driver

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Two minute training

ScribeScribe

Announce each 2 minute time intervalEnsure at least the Nursing Team Leader has heard youHelp Nursing Team Leader with algorithmRecord events on U2MA

Things to record:CPRRhythm / shocksDrugs and dosesFluidsProcedures and interventionsImportant decisions and events

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Two minute training

RunnerRunner

Get drugs and equipmentGet ABG/VBG from Drug Administrator, put through machine, give result to Medical Team LeaderMake phone callsSign out S8 drugs with Drug DispenserSwap in to any position if asked

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Two minute training

Medical Team

Leader

Medical Team Leader

Announce that you are Medical Team LeaderAssess team skill mixAllocate doctors to rolesAssess situation4 Hs and 4 TsCall the relevant teamsArrange: imaging/procedures/disposition

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Two minute training

Nursing Team

Leader

Nursing Team Leader

Announce that you are Nursing Team LeaderAssess team skill mixAllocate nurses to rolesAlgorithm (and 4Hs 4Ts)Assess rhythms with Defib Driver before shock/dumpAdequate CPR?

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