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.


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.

2 Responses to “The Thunderbox Papers: Adult Cardio-Resp Arrest Algorithm.”

  1. 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.)

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  • will soon be gone. (3)
    • Zeke said: Are you keeping an archive of this site on the nurse path site?

    • jelly said: Just work a few more hundred Sundays!

    • matgrad said: Bye Ian will miss the site but as you say everything has its day. Good luck for the future.

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    • Rose said: I have read this article and found it very relevant to me and my own experience.Unfortunately a lot of people think that it is quite OK and acceptable to take out their anger and frustration against a sometimes inadequate health system on nursing staff. I also think that gender is an issue as I often feel that female nurses are...

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    • Andy said: Good thinking! At my hospital the Oncology staff are trained/instructed to bleed CVADs before every use regardless, to remove potential clots, discard, flush, then use. Another excuse if you need it ;)

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