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HOSPITAL EMERGENCY CODES: Doctor Tells Real Stories

Hey guys, I'm Siobhan

A second year medical resident

Today we are going through a very requested video

And that's emergency codes in the hospital

You guys have heard them overhead, you have been apart of them in some

of my other videos

*Over intercom* Code blue level 1.

Code yellow is being called so that's for a missing person

And the question is what do they all mean and what are they all for?

So let me know in the comments below if you've ever heard

an emergency code like that overhead

Or if it means something slightly different

in the hospital you work at

Across the world, people use these emergency

codes in the hospital

I live in Canada and I'm in the province

of Ontario and across Ontario we have actually standardized

the majority of emergency codes. There may be some

little extra ones that are site specific but for the most part

no matter where you work , you'll know what it means

Okay so let's dive right in

Code orange is an external disaster

So something outside of the hospital is happened

and we expect a whole bunch of patients

to be coming to the hospital. Basically like Grey's Anatomy when

they have all those catastrophes, like a ferry sinking

or a train accident, things like that but instead of going

out into the field, we're getting prepared for the patients to come

And that actually happened last year so here's.. here's

a clip from last year that I never ended up showing you guys

Hey guys, it's Sunday night. It's about 7 o'clock.. umm

I just got an email saying that there's a code orange

in this case.. um.. there's a fire at one of the

nursing homes so

they're asking for all of us to come in

at short notice. Just to come in right now tonight

because we have a whole bunch of patients who are going to be showing up at the hospital

so I'm just getting my stuff ready to

head in and um I just really really hope

that

um.. there aren't too many people who've been injured

Honestly, I was so impressed with everyone at the hospital

there were probably about 30 residents

who came within less than an hour to the hospital

to be able to admit 100 patients

100 patients all at once coming is huge amount of work

so administrators, nurses, doctors everyone pulled together

to find a place to be able to care for and treat these patients

So code black, this is a

suspicious object or it's an actual bomb threat

so really scary .. um..

obviously we don't hear this often, I've never heard, I hope to never hear it ever

but because we're not going to be as familiar

there's actually a protocol that's kept at the nursing desk

so that we can open it up if there is a code black ever

anyway I can never imagine that, it's terrifying

Code blue, now this is a medical

emergency. This is where I jump to action

It's when a patients heart has stopped, so cardiac arrest

or when they've stopped breathing, respiratory arrest

Or it can actually be when people are worried that's about to happen

Or a patients gotten really sick really quickly

and you want more help in the hospital, you call a code blue

So when I'm in the hospital working away, seeing patients

and I hear an announcement and they start saying code

you can just feel everyone kinda pauses for

a second and is waiting and if they say blue

all of a sudden, you snap into action

and this is a real team activity

and a lot of people showing up to these, you've got a respiratory

therapists, anesthesia, nursing, residents, medical students

they all flood in to a room to help

As the senior medical resident so me

I'm the team leader so I stand at the foot of the bed

and you're organizing what everyone's doing

and you're the one giving orders and giving

medications and telling people to do CPR and intubate

and all that. You are the captain of the team

So it's a.. it's a very high stakes time

we're trying to bring someone back to life often.. um

So if you want me to go in depth and really tell you all about

what a code blue is like and what we're doing just

let me know in the comments below, give this video a thumbs up

so that will be the sign to me that you guys want me to make that video

Code silver, another scary code

this means there's an active shooter or someone with a gun or

expect a gun. so again never heard this, never

want to, very scary stuff

Code omega, so okay

not a color and it's not actually code

in all hospitals

but I've been apart of a number of them and

it's basically to let people know that there is so much

blood loss from a person that it's life threatening

and it's a way to get the blood bank, the staff

everyone working together, having good communication

to get a bunch of blood products to that person to try

to save their life. The first time I ever

was part of a code omega was in medical school

And I was on my emerg rotation, down in

the emerg and a young guy had been

in a motorcycle accident and he broke his pelvis

and if you break your pelvis

you can just bleed into your back

it's called the retroperitoneal space, it's this area

in the back that can hold liters and liters of fluid

and what ended up happening is he was bleeding so much

that we pumped 30 units in blood products

into this patient to try to

stabilize him enough to get him to the operating room

and that did happen

it was incredible to see

and the way you get so much blood product in at once

is using something called a level one transfuser

so you pop different bags of blood products

in and they kinda squeeze them down so that

the blood product will get in really quickly and in

a fast transfusion into the person

Code brown.. um.. this is actually a

hazardious spill in the hospital

okay a code brown, if you look this up on urban dictionary

or just like talk about it with people, it would mean

something very different.. um.. so i don't know

it's kinda a funny code or the name of the code is kinda funny, maybe I'm immature

Code red, so this is

fire

um.. unless you actually are in the area

so usually they announce where the code red is located

so unless you're in that area you just close the doors and windows

and you wait for further instruction, so you're not

actually evacuating until you hear

code green and now

I think green for go, so that's when you're actually going to leave

the hospital, you're evactuating at this point

code aqua is a flood

I have heard that one, I don't know where that was or what was going on

but then the code was called off and it didn't really affect my day

so I don't have a story there

Code yellow, so this is a missing person

or missing patient really.. um.. and

this happened to me when I was on call and vloging with you guys and it ended up

triggering a whole bunch of comments and questions

about whether a patient decide to leave the hospital

this would automatically trigger a code yellow so

to answer that

it's not about a patient leaving so much

it's about whether the patient is competent, so can

the person make the decision for themselves, can they

say the pros and the cons and understand the risks

involved with leaving the hospital when their still sick

so if you can tell me very reasonably these are the reasons

I'm going and I don't care if something bad happens to me

well, I can't stop you, you're competent

So at that point, it would be leaving AMA

So against medical advice

and that happens

but just imagine, imagine someone had meningitis

they've got an infection in their brain, they don't know where they are, they're confused

if they left, maybe they run into traffic and get hit by a car

we have to protect these patients who aren't

able to make decisions for themselves because they're too sick

or they are not able to think clearly

for one reason or another and that's when we call a code yellow

because they're not competent, we have to get people to look

for them and for their own safety and if we can't find them

in the hospital we get police involved to actually bring them back

to the hospital, so it's a really big ordeal

Code white, this is a violent person

that could be a patient, that could be a family member

but if people are feeling unsafe in the hospital because of someone's

actions and it's usually in the emergency department

in the psychiatry wing

but it can really happen anywhere and in fact,

this has happened to me a couple of times where I was

physically intimidated or people where yelling at me.. um

and I really felt unsafe, you feel nervous and

we have to be treating everybody, you have

to treat every patient and sometimes

violent is actually a symptom of their disease

or.. um.. their illness, mental or

physical and so you have to treat everyone but

you also have a right to

feel safe in your work place.. um..

all it takes is a code white, security guards come

they look big and burly in their uniforms and

they stand there and sometimes that can show

strength in numbers is enough to calm someone down.. um..

it also gives you backup so that you feel safe

because you should never be harmed at work

So those are the main codes

Thanks so much for watching and if you want to know

really in detail what goes on in a code blue

let me know in the comments below, if you're interested I'll make that video

So if you want to see me vloging in the hospital with a code blue

check this one out and if you want to see

a code yellow, check this one out

Otherwise, I'll be back in the hospital vloging again next week

So don't forget to subscribe if you don't want to miss any of those

I'll chat with you guys next week so bye for now