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