Called to a CODE? Here is your guide.


    Called to a CODE? Here is your guide.

    You’re working in Acute 2 slogging away when you hear “ED TEAM 7000” overhead.

    You sprint faster than everyone else and get there first. Congrats! You made it through the maze of Sinai. When you get there, you find a woman who is awake but looks sick. What do you do now? Run her to the ED? Do a full exam? Wait for someone more senior to get there?

    Here are some tips:

    Fist of all – you need to keep everyone calm and bring down the noise level. Often we are called because the care team is frantic and freaked out. Keep noise to a minimum and try to communicate clearly.

    Go back to your ABCs and intervene when necessary.

    Does she have and airway.

    Is she breathing? Is she breathing appropriately? If you’re concerned – give O2!

    Does she have a pulse? Is it strong, weak, thready? If you have a BP cuff, check that.

    Is she altered? Do you need to check a fingerstick?

    If you have gone through these steps and none need immediate intervention, it is time to get back to the ED safely. Stay with the patient, keep everyone calm and guide the stretcher.

    This is not a time to run frantically down the halls and create a new patient.

    If there is something you need when you get to the ED, call ahead and ask for respiratory, a resus bed, or an EKG.

    Keep a sense of calm and check in frequently with the patient and your team.


    • Welcome! This is the website for the Mount Sinai Emergency Ultrasound Division. It serves as an information resource for residents, fellows, medical students and others seeking information about point-of-care ultrasound. There is a lot ofRead more

    • Quadriceps tendon rupture. Xray or not?

      The quadriceps tendon attaches the quadriceps muscle to the patella. Tears most often occur just above the insertion on the patella. They more commonly occur in men (8:1 ratio) and patients report hearing a poppingRead more

    • Mandible Fracture? That’s what a tongue depressor is for…

      So you’re working a Saturday overnight B side shift at Elmhurst. Its 3am and you have a patient in the hallway who looks questionably intoxicated and has been assaulted. Grossly he has no facial orRead more

    • Put down that FOBT

      “The HgB has dropped, have you checked a guaic?” How many times have you checked a FOBT in your workup for anemia? Let’s take a look at what FOBT is supposed to be used for. FOBTRead more

    • A ‘normal’ chest Xray

      What do you see when you take a look at this Chest radiograph? It isn’t immediately noticeable (and was read as normal), and is a good reminder of why you should always check your ownRead more

    • Overshot that INR

      There have been a few cases of supra-therapeutic INR in the Sinai ED recently, and at the request of one of our superstar interns, below you will find a brief set of recommendations regarding SupratherapeuticRead more

    • Ketamine PSA with Desaturation

      During a busy day in the ED, it becomes apparent that the pulling and yanking on your patient’s shoulder has done absolutely nothing to reduce their shoulder. You perform your pre-procedure PSA Checklist, know that thisRead more

    • Sinusitis In Pediatrics?

      You’re working in pediatrics, when a mother comes in stating her 5 year old has sinusitis. He presents with fever, cough, runny nose, and some discomfort over where his frontal sinuses are. Does he haveRead more

    • Ring Removal

      Over the past week, we’ve had a strange uptick in number of patients presenting to the ER with rings stuck on their finger. This is a quick review on the options that you have regardingRead more