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  • IN HOSPITAL CARDIAC ARREST – THOUGHTS ON FIRST STEPS

    by Darin Abbey The Case There you are working in the hospital when you and your team are called to attend an in hospital cardiac arrest [IHCA]. On your way to the patients room you think about the importance of getting in the right headspace to “run this code.” You scan your memory for lessons […]

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  • “Here is a checklist….run the code.”

    by Darin Abbey Prior to flight, as the story goes the team in airplane cockpits employ the crew resource management strategy of “the sterile cockpit.” As I understand this practice, once established, the team in the cockpit can only talk about the task ahead which through the use of pre-flight checklists focuses the efforts, decreases […]

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  • O2 ACS and Unlearning

    by Darin Abbey THE CASE There you are in your clinical arena when a patient presents with chest pain. Aspirin is administered, labs are drawn and an ECG is obtained which shows no time sensitive findings. Bedside monitoring is established, the patients vitals are all within normal ranges and after a targeted history and physical […]

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  • CPR: What to Strive For?

    by Darin Abbey I remember when we use to talk about providing CPR to our cardiac arrest patients. Then it became clear that we were not doing it well enough and so the industry started to refer to the need to provide High Quality CPR. Since then we are challenged both by the difficulty in […]

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  • SUPRAGLOTTIC AIRWAY USE IN THE ARRESTED PATIENT: COULD THEY BE CAUSING HARM?

      A big thanks to Darin Abbey, Clinical Nurse Educator at Nanaimo Regional General Hospital ER for bringing this article to our attention. Darin is ACLS instructor who teaches for SkillStat. Supraglottic airways (SGA) have gained popularity in the last decade as a rapid way to secure a patients’ airway in cardiac arrest with minimal interruptions in CPR. These include the Laryngeal […]

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