CODE BLUE IMPLEMENTATION IN PANDEMIC COVID-19 dr Nizamuddin Ubaidillah Sp.JP FIHA
Udayana Army Hospital
Dustira Army Hospital
Faculty of Medicine Jenderal Ahmad Yani University
Abstract
Pandemic COVID-19 has a bruthless strength which highly emphasize of all dimension in human life. It made a high turnover in all approach to achieve a better way to minimize the catastrophe. In emergency response the approach for cardiopulmonary arrest are highly debate for ethics and better prognosis and the utmost is safety for medical personnel. COVID-19 is caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) is highly contagious. Out of Hospital Cardiac Arrest (OHCA) from French Registry (French National Cardiac Arrest Registry) between march 1st and april 31st 2020 revealed ROSC rate was reduction by six point (ROSC 19.5% vs 25.3%) and D30 survival rate (2.8% vs 6.4%) was halved compared to non COVID 19 period. Health workers are the profession with the highest risk of contracting this disease. There are 3 concern from ILCOR (International Liaison Committee on Resuscitation) regarding systematic review: first, are chest compression and defibrillation generating aerosol- second, all CPR intervention increase infection transmission, and the last what kind of protective equipment was suitable for preventing the infection. The changing approach for CPR in COVID 19 should be warrant for healthcare safety to do a best result for managing the cardiac arrest. Healthcare professional should be pay a close attention to the use of Personal Protective Equipment in dealing cardiac arrest in patient COVID 19
