Weird Code

Specialties Emergency

Published

Hi everybody

I had a weird code the other night and was curious if anyone has ever had the same thing happen. Or if anyone else wants to share another weird code story.

Ambulance calls in with a 30ish male, code blue, meth OD, been down for twenty minutes, asystole the whole time. Pt. comes in and we run the code for another thirty minutes. Monitor still showed asystole after the last epi circulated.

Our ER doctor comes in and gives the order to stop. Staff confirmed no pulse via monitor and stethoscope for a full minute. ER doctor is ready to call it when the pt. takes a breath. Pt. is intubated and we can see the condensation in the tube. Doctor gives the order to continue the code. After about two minutes of this we stop again. Pt. again breathes on his own. This time, there were four in a minute period, very shallow respirations. There was barely any chest rise, but there was condensation in the tube. He is still pulseless. Pt. stops breathing and is called five minutes later.

I talked with the ER doctor later on that night, and he thought it was just a string of agonal respirations and nothing more.

Pt. was intubated by EMS while on scene. It was the five lead that showed flatline. Sorry, I can't remember what other drugs we pushed. I'm trying to find the chart.

Yeah, maybe this wasn't the weirdest code 'ever' but it did freak the staff out for the night! Okay, anyone else have a story?

Specializes in MICU, neuro, orthotrauma.
Pt. was intubated by EMS while on scene. It was the five lead that showed flatline. Sorry, I can't remember what other drugs we pushed. I'm trying to find the chart.

Yeah, maybe this wasn't the weirdest code 'ever' but it did freak the staff out for the night! Okay, anyone else have a story?

Yes! I do. I posted about it a number of months ago when it happened. A woman who was full code despite end stage cancer (family couldnt let go) was being monitored by tele. Showing normal sinus but was found unresponsive and not breathing. Code was called, worked her for about 20 minutes, she remained without pulse or respirations (and funky monitor rhythms at this point) so death was called and five minutoes later when the tech and nurse went to bag her, she took a breath as they were preparing her body. Code was recalled and resident argued with the attending that we should continue because "she was breathing", attending shrugged his shoulders and let her run it for a few more minutes and then he finally called it.

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