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OR CRISIS CHECKLIST

KAISER VALLEJO OR
Across
Shockable pulseless cardiac arrest
Acute massive bleeding.
Persistent tachycardia with hypotension, ischemic chest pain, altered mental status or shock.
Evidence of fire (smoke, odor, flash) on patient or drapes, or in patient’s airway.
In presence of triggering agents (inhalational anesthetics and succinylcholine): unexpected, unexplained increase in end-tidal CO2, unexplained tachycardia/tachypnea, prolonged masseter muscle spasm after succinylcholine. Hyperthermia is a late sign.
Life-threatening organ dysfunction (qSOFA >2) in the setting of suspected or confirmed infection.
2 unsuccessful intubation attempts by an airway expert.
Down
HR < 50 bpm with hypotension, acutely altered mental status, shock, chest discomfort, or acute heart failure.
Decreased end-tidal CO2, decreased oxygen saturation, hypotension.
Immediate disruption of environment capable of causing catastrophic harm to staff, patient, and collapse of systems.
Altered mental status or neurological or cardiovascular symptoms after local anesthetic injection.
Hypotension, bronchospasm, high peak-airway pressures, decrease or lack of breath sounds, tachycardia, urticaria.
STAT Case with major injuries suspected.
Unexplained drop in blood pressure refractory to initial treatment.
Unexplained oxygen desaturation.