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There is a mountain of published literature on optimal management for many operating room crises, such as local anaesthetic systemic toxicity or cardiac arrhythmias. But despite this, even expert clinicians frequently omit or delay key actions, with detrimental impacts on patient morbidity and mortality. In the decade since the 2010 Helsinki Declaration on Patient Safety in Anaesthesiology, great strides have been made in the arena of cognitive aids to enable healthcare teams to deliver better care to our patients, during and peri-crisis. One of the first actions of the EBA/ESA Helsinki Declaration Implementation Task Force was to produce and promote a series of Crisis Checklists. Building upon the WHO Surgical Safety Checklist for normal workflow, which was highlighted in Helsinki, multiple groups globally have worked on emergency manuals, including development, simulation testing, clinical implementation studies and training resources.  

Chapter 12: Emergency manuals as cognitive aids: from simulations to clinical implementations and uses (Goldhaber-Fiebert) Ten years of the Helsinki Declaration on patient safety in anaesthesiology, European Journal of Anaesthesiology: July 2020 – Volume 37 – Issue 7 – p 521-610 doi: 10.1097/EJA.0000000000001244 

Leeuwin Press has worked closely with David Borshoff to produce the Anaesthetic Crisis Manual (ACM). 

The ACM has been both endorsed and extensively referenced by the European Society of Anaesthesiology and Intensive Care in the creation of their website based operating room crisis checklists, consistent with the goals of the 2010 Helsinki Declaration for Patient Safety in Anaesthesiology. It was ‘Highly Commended’ in the BMA 2012 Medical Book Awards and is endorsed by the Australian Society of Anaesthetists. 

The ACM is now joined by the Resuscitation Crisis Manual and the Perfusion Crisis Manual 

 

Official Website

 

The ACM  

22 crisis management protocols cover the major scenarios requiring immediate therapeutic intervention to prevent a catastrophic outcome. These include life-threatening cardiac, circulatory, airway, respiratory, metabolic and drug-induced events. 

A crisis prevention section includes a 15-point machine check, and patient parameter checklist to help diagnose rapidly deteriorating events. 

Colour-coding, bulleted and numbered lists enhance memory recall in a stressful situation. 

The tabbed layout enables quick and easy navigation and uses in the midst of a crisis. 

The hard copy version is printed on a premium quality, waterproof & tear-resistant synthetic card that is both durable and easily cleaned. A must for every anaesthesiologist, CRNA, trainee and operating room. 

The ACM has been both endorsed and extensively referenced by the European Society of Anaesthesiology and Intensive Care in the creation of their website based operating room crisis checklists, consistent with the goals of the 2010 Helsinki Declaration for Patient Safety in Anaesthesiology. It was ‘Highly Commended’ in the BMA 2012 Medical Book Awards and is endorsed by the Australian Society of Anaesthetists. 

The ACM V2 includes updated guidelines, additional protocols, a new coloured format and protective plastic covers. At a new hardcopy price of only $45 (eBook is free for Euroanaesthesia delegates), there is good reason to have this patient safety initiative present in all anaesthetising locations as well as in your briefcase. 

 

The RCM 

The Resuscitation Crisis Manual (The RCM), is a collection of the initial critical actions required to temporize life-threatening crises in crashing patients.

Based on the cockpit QRH (quick reference handbook) used in the airline industry and using crew resource management principles developed for aviation safety, the RCM brings tried and tested checklist guidance to the field of Patient Safety.

Using accepted national and international resuscitation guidelines, as well as input from resuscitation and critical care speciality groups, the RCM is presented in a highly functional, robust and fluid-resistant handbook, ideal for the emergency department or intensive care environment. Each protocol has been written by an expert in the field, reassuring the clinician that content is both reliable and current.

Divided into two sections, The RCM consists of Crisis Management Protocols, each providing directives to complete when the diagnosis is known, and a second section outlining Crisis Procedures as well as Procedural Checklists. It provides clear, concise instruction for use by any health professional leading or assisting in crisis management.

A collaboration by Scott Weingart, critical care clinician and internationally renowned medical podcaster (EMcrit) with David Borshoff, anaesthesiologist and author of the popular Anaesthetic Crisis Manual (The ACM), The Resuscitation Crisis Manual will provide excellent support to all involved in resuscitation.

 

The PCM

The Perfusion Crisis Manual (The PCM) is the third in the series by Leeuwin Press. It is a collection of cognitive aids presented in aviation format containing boldface actions to assist the perfusionist in crisis management.

Like The Anaesthetic Crisis Manual (The ACM) and The Resuscitation Manual (The RCM) before it, The PCM consists of emergency protocols as well as procedure checklists to facilitate rapid management of perfusion related crises.

With over 60 years of combined cardiac anaesthesia experience, Paul Sadleir, Stephen Same and David Borshoff have collaborated with expert working perfusionists to create a valuable and potentially life-saving resource for all who work in Cardiopulmonary Bypass (CPB) and Extracorporeal Membrane Oxygenation (ECMO).