Category Archives: Code Brown

CODE BROWN: COMBATIVE AND BLEEDING

I’ve had combative patients in my ER lots of times. Combative enough to warrant sedation or anaesthesia. And bleeding patients. Serious bleeding. Lots of times. But not the extremes of both at the same time.

Posted in Code Brown, Emergency Medicine, Trauma, Ultrasound | 11 Comments

CODE BROWN: AHHH…THE OLD SCANCRIT SWITCHEROO…

Someone once said that ‘an esophageal intubation is no sin, but there is great sin in not recognizing such a placement‘. What’s that about? I intentionally intubate the esophagus and I demand recognition for it.

Posted in Airway management, Code Brown, Emergency Medicine, Uncategorized | 11 Comments

CODE BROWN: CENTRAL LINE GOES WRONG

This one I got from a colleague of mine at a Scandinavian hospital, and it’s a scary reminder of the dangers of central cannulations. Placement of a large dialysis catheter went wrong – very wrong.

Posted in Code Brown, Intensive Care | 30 Comments

CODE BROWN: CRASHING TRAUMA PATIENT

We all know the rules for damage control resuscitation. Often the lines are clear. But sometimes it’s hard to make that call. We received a MVA trauma: a young man trapped in a wrecked vehicle for hours in the Norwegian … Continue reading

Posted in Code Brown, Trauma | 18 Comments

CODE BROWN: PERICARDIOCENTESIS

This summer a patient was admitted to our mid-tier hospital semi-unconcious with severe hypotension and tachycardia. He had a massive history of heart disease and had been complaining of recurring chest pains for three days before suddenly collapsing at home.

Posted in Cardiology, Cases, Code Brown, Emergency Medicine, Ultrasound | 4 Comments

CODE BROWN: DYSFUNCTIONAL TEAM AMBUSH

I would love to tell you more about the incident I was involved in a while ago. For obvious reasons I can’t.  Me, a flight nurse and two paramedics were casually moving a perfectly stable and reasonably well patient through … Continue reading

Posted in Code Brown, Emergency Medicine, Prehospital Medicine | 4 Comments

CODE BROWN: TENSION PNEUMOTHORAX

We were in the ICU working on a intubated septic patient and had just managed to stabilize his hemodynamics.  Then one of the  nurses noticed how the tidal volumes on the ventilator were decreasing. Blood pressure and sats dropped gently … Continue reading

Posted in Cases, Code Brown, Emergency Medicine, Intensive Care, Prehospital Medicine | 10 Comments