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Digital Seminar

Code Blue Training: Life Support Challenges

Paul Langlois, APN, PhD, CCRN, CCNS
2 Hours 10 Minutes
Audio and Video
Oct 17, 2023
Product Code:
Media Type:
Digital Seminar


Cardiac arrest affects over 600,000 people per year in North America alone. Depending on the circumstances of arrest, 20 to 40 percent of adults who survive to hospital care after resuscitation from cardiac arrest are discharged alive, the majority of whom enjoy favorable functional recovery. Advances in cardiopulmonary resuscitation (CPR) and post-cardiac arrest care delivery have improved outcomes over time. 

The most immediate threat to survival during the first minutes to hours is cardiovascular collapse. Interventions to optimize blood pressure and maintain brain and other end-organ perfusion (e.g., boluses of intravenous [IV] fluid, vasopressors, and inotropes) can help prevent secondary injury from hypotension.  Additional short-term goals during the first hours of care include optimizing oxygenation and ventilation and correcting electrolyte abnormalities.  

If the person survives the cardiac arrest, management of the post-cardiac arrest patient is also complex and must address multiple major problems simultaneously: 

  • Initial cardiopulmonary stabilization and prevention of rearrest 
  • Identification and treatment of reversible causes of cardiac arrest 
  • Ongoing stabilization and prevention of brain injury 
  • Early risk stratification 

Immediately following resuscitation from cardiac arrest, the patient can develop severe problems due to medical comorbidities, the underlying cause of arrest, and sequelae of global ischemia-reperfusion injury.  

In this presentation, you will hear about real-world code blue events.  You will learn about the management of both adult- and pediatric-code blue scenarios.  Highlights will include pharmacology, advanced interventions (extracorporeal membrane oxygenation, ECMO; intra-arterial fibrinolytics) and case studies.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Pharmacology Nurse Practitioners

This self-study program offers 60 instructional minutes of pharmacology content which is designed to qualify for 1.0 contact hours toward your pharmacology requirement. 

Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 2.0 contact hours. Expires: 10/17/2026.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 2.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 2.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 2.0 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 10/17/2023. It was last reviewed on 11/7/2023 and is valid until 11/06/2026


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 10/17/2023. It was last reviewed on 11/7/2023 and is valid until 11/06/2026.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Paul Langlois, APN, PhD, CCRN, CCNS's Profile

Paul Langlois, APN, PhD, CCRN, CCNS Related seminars and products

Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU, and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists, and physicians.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely, and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of infectious disease and multi-system organ failure patients.

His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every educational program.  


Speaker Disclosures:
Financial: Paul Langlois has employment relationships with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Langlois is a member of the American Nurses Association and the American Association of Critical Care Nurses.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Visit our FAQ page at or contact us at


  1. Describe three priorities initially in a code blue. 
  2. Discriminate medications used in code blue. 
  3. Identify medication dosing and frequency in code blue. 
  4. State the return of spontaneous circulation outcomes for a patient surviving a code blue. 


Code Blue vs. Rapid Response 

Baseline Equipment for Code Blue 
  • Crash Cart with defibrillator, portable oxygen source, suction equipment 
  • Bedside ultrasound 
  • End-tidal CO2 detector 
Pharmacology – Adult doses and sequences 
  • Oxygen 
  • Epinephrine 
  • Amiodarone 
  • Lidocaine 
  • Atropine 
  • Adenosine 
  • Diltiazem 
  • Sotalol 
  • Procainamide infusion 
  • Dopamine infusion 
  • Norepinephrine infusion 
  • Thrombolytics 
Pharmacology – Pediatric doses and sequences 
  • Oxygen 
  • Epinephine 
  • Amiodarone 
  • Lidocaine 
  • Atropine 
Post-arrest stabilization 
  • Cardiac Catheterization 
  • Targeted Temperature Management 
  • EEG monitoring 
  • Extracorporeal Membrane Oxygenation 
  • Intra-arterial thrombolytics 
Case Studies 

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants


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