The Thunderbox Papers are a set of short pithy one page information sheets.
The idea is that you stick one on your toilet door for one week and commit to learning the information during each visit.
A Thunderbox refers to an old Australian ‘out-house’ or outside toilet. These toilets were often nothing more than a small drafty wooden shed containing a seat over a deep hole in the ground.
Toilet paper consisted of old pages from newspapers or magazines threaded together with string and hung on a hook.
I will post a Thunderbox Paper here every week or so. Stick it in your toilet at work (or home) and use your business time to review or learn.
HERE IS THIS WEEKS THUNDERBOX PAPER
Adult Cardio-Resp Arrest Algorithm.
Remember: to work you must commit to posting the thunderbox papers on your toilet door (you could even consider posting on the toilet door at work) and taking a moment to read over each time you………well, you know. Business.
The goal is to commit each paper to your long-term memory before the end of the week. So repetition is essential (as is business regularity).
Even if its is just a single blood value or suchlike, print it and stick it.
Ian, great initiative with these posters. However I am not sure if stacked shocks for witnessed VT/VF arrests is still advised. At my hospital in NSW, we updated our policy last year and we no longer do stacked shocks. Keep up the good work!!!
Thanks Edward,
The delivery of stacked shocks for the first defibrillation only is consistent with 2010 ILCOR guidelines and other consensus guidelines (such as here).
IMPORTANTLY: this is only in the case of a witnessed, in-hospital cardiac arrest with immediate access to a manual defibrillator (ie emergency department, CCU, cathlab etc.)