"Code blue! Code blue!" I shouted when the cardiac monitor suddenly appeared to be irregular and with no organized electrical activity.
I flattened the bed first and started pumping my patient's chest who just fell unconscious a few seconds ago. I started giving compressions after confirming that he has no pulse.
I was having my hospital duty today in the Intensive Care Unit and the patient I was taking care of has just undergone Coronary Artery Bypass Graft surgery yesterday.
The code team rushed inside the room. I stopped compressing for a second so we could turn the patient on his side and place the cardiac board.
"Ms. Hernandez, run the code." Sabi ng clinical instructor ko.
I have never run a code before but I know the algorithm by heart. So I knew I could do it without being coached.
"Yes, sir." Sabi ko.
Nasa loob na rin si Gia at ang iba ko pang mga ka-grupo. Meron na rin pumasok na resident doctor at pinapanood kami kung paano iha-handle ang case.
Since I was the one running the code, I assigned my group mates to do different tasks. Gia hooked the patient on an ambu-bag connected to the Oxygen tank and Lianne started giving quality compressions.
"The patient is having a ventricular fibrillation." I announced, reading the cardiac monitor. "Lesther, charge to 200 Joules." Sabi ko sa ka-group ko na assigned the defibrillator.
"Charging." Sagot niya. We heard the sound of the defibrillator being charged and was now ready. "Everybody, clear!" Sigaw niya para lumayo sila Gia and Lianne at iba pang mga malapit sa patient para hindi makuryente pag ginamit na ang defibrillator. She placed the biphasic paddles on the patient's chest and delivered the shock. "Shock delivered." She announced at umalis ulit.
Gia continued pumping the ambu-bag and Lianne continued with her chest compressions.
"I'll check the rhythm." Sabi ko at lumapit sa pasyente para pakiramdaman ang pulso nito sa leeg.
"No pulse. Continue compressions. Magpalit na kayo ni Dan, Lianne." Sabi ko dahil mukhang pagod na siya kaka-compress.
"Administer Epinephrine every three minutes." Sabi ko naman kay Rose na assigned sa emergency medications.
"Charge to 250 Joules." Utos ko ulit.
"Ready. Clear!" Sabi niya at umalis ulit kami sa pasyente. "Shock delivered." Sabi niya after ilagay ang defibrillator sa dibdib ng pasyente.
"Continue compressions and administer 300mg of Amiodarone." I said.
Nanonood lang sila Dr. Riego sa amin at ang clinical instructor ko na si Dr. Salazar. Hindi rin sila nakikialam dahil tama naman ang ginagawa namin.
The code went on for another fifteen minutes before the patient had a return of spontaneous circulation.
"Your team did great, Ms. Hernandez. You did so well staying calm." Sabi ni Dr. Salazar.
"Thank you, sir."
"Good job." Sabi ni Dr. Riego bago lumabas ng kwarto.
They all left the room aside from Gia who was sitting next to me beside the bed.
"Pasikat." Bulong ni Lianne bago lumabas ng room.
"Inggitera. 'Di kasi marunong magcode." Sagot naman ni Gia.
Padabog lumabas ng kwarto si Lianne at hindi sinara ang pinto
I bit my lip to hide my grin. Si Lianne kasi ang unang naka-try sa amin mag run ng code pero hindi niya nagawa ng maayos kaya nagalit ang doctor at pinalabas siya ng kwarto para iba na ang magtake over sa code.
BINABASA MO ANG
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