Evaluation of blue code applications in dokuz Eylul University Medical Faculty Hospital

INTRODUCTION: Code Blue is a code system that aims to increase the success of Cardiopulmonary Resuscitation (CPR) with rapid and effective intervention for inhospital cardiopulmonary arrests all over the world. Each hospital has to create a Code Blue operation suitable for its own facilities. PURPOSE: In this study, it was aimed to investigate the Code Blue applications, the reasons for the call, the quality of the intervention and the mortality rates in Dokuz Eylül University Hospital (DEÜTF). METHOD: Code Blue calls within nine months (July 2019 - March 2020) after ethics committee approval were prospectively reviewed. Demographic data, diagnosis, comorbidities, length of stay in the ward and, if cardiopulmonary arrest developed, characteristics related to CPR applications were recorded. The Blue Code registration form was filled after the intervention and the data were analyzed statistically. RESULTS: Of the 127 calls included in the study, 7 were calls made accidentally, and 60 were calls made in the non-hospitalized patient group and directed to the paramedic team. Code Blue calls were due to cardiac arrest in 23, respiratory arrest in 13, endotracheal intubation in 17 patients with critical general condition, 2 of which were from non-hospitalized patients. The mean time to reach the place where the call came from was 2.76±0.95 minutes. It was determined that 63 of the 67 Code Blue calls directed to the anesthesia team were given from inpatient services and 4 from intensive care units. In the initial rhythm evaluation of the patients who underwent cardiopulmonary resuscitation, rhythms that were not shocked were determined in 33 cases, and rhythms that were shocked in 3 cases. While spontaneous circulation was restored in 15 (41.7%) of the patients who underwent CPR, death occurred in 21 (58.3%) cases. CONCLUSION&DISCUSSION: It is observed that approximately one third of the Code Blue calls are those that comply with the Code Blue definition, while the others are "urgent" medical help calls for patients whose general condition deteriorates. In the absence of separate teams for cardiac arrests and other medical emergencies, this result is expected and therefore separate teams may be considered. Early recognition VIII and prevention of situations that may cause cardiac arrests in our hospital and regular in-house training should be provided for this purpose. KEYWORDS: Blue Code, Cardiopulmonary resuscitation , In hospital cardiac arrest