What was the longest code you have been in?

Whoa, that's long! The longest I've been in was one hour. Well, it started as a Rapid Response, then became a Code. Total time was maybe 75 minutes.

About 1 1/2 hours long. Pt was young (mid 30's) and wife had already lost a child 3 years prior. Unfortunately, it was unsuccessful. Seems the longer the code goes, the least likely for a positive outcome.

3hr, ileus perf.

About an hour and a half. STEMI. Pt didn't make it. I would be interested in knowing if any of the above patients survived a 1 hour+ code. There would have to be anoxic injury involved at that point unless you have tons of proficient people doing chest compressions. The eICU docs in our unit usually chime in over the cameras during a code after an hour and make last-resort suggestions or ask if anyone has thought about pronouncing the patient.

The patient didn't make it. Had a PE and went into PEA. We would get a pulse but keep losing it...maxed out on pressors and at one point we were running an epi drip wide open. The family member didn't want us to stop even though we told that the pt would have a very poor outcome bc of brain anoxia

2.5 hours. Dialysis patient valsalva'd during a BM and collapsed off the toilet, dragged her to the bed and dropped it down, started CPR. She went into every single rhythm, vtach, vfib, torsades, you name it. No pulse after a while. Bad access, blew lots of veins, ended up using the fistula itself. She was over 65. Her adult son was present for the whole thing. She was a full code but after so long he stood there, she was unresponsive, we pushed everything, shocked, everything. He was in tears and said, she is hurting, let her go, so the doctor called it.

Had one last week that went just under 2 hrs. Pt went asystolic after a run of v-tach on monitor. Ended up pushing somewhere in the neighborhood of 10 amps of epi while we tried to get a hold of the family to confirm course of action.

Wow to all of these numbers! Longest for me was prob. 45 min to an hr.

Probably around 90 minutes. Back when I ran EMS actually. 12 year old boy playing in a gravity box filled with corn. They didn't realize he was in there and opened the chute on the bottom to get the corn out, and being it was a GRAVITY box, it pulled him down too. He literally drowned in that corn....

I charted TOD four times on the same patient one day over the course of about 2 hours! :uhoh21:

Five hours and I am not kidding. It was a 12 day old baby that mom found choking in her crib (she had spit up formula). Came to the ER coding. The Neo pulled me down there with her so she would have one of her staff nurses to give a hand. Baby would be stable for 15 minutes, then start coding again. We coded until the Level III transport team got there, and by that time, the baby was not stable enough to transport. As soon as drugs wore off, we had to start compressions and drugs again. The transport team finally talked to the parents about stopping efforts. ER doc didn't want to stop.

I still see that baby's face. She had a t-shirt on that said "I love Daddy." 2nd worst code I have ever been to.