Patient Safety in Surgery

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Open Access Review

Ten rules to assess and manage the acutely deteriorating patient: a practical mnemonic

Katherine M Baugher and Amal Mattu*

Author Affiliations

Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA

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Patient Safety in Surgery 2011, 5:29 doi:10.1186/1754-9493-5-29

Published: 15 November 2011

Abstract

The acutely deteriorating patient is a challenge to even the most seasoned provider. The ability to diagnosis the underlying condition quickly and accurately is vital to a successful outcome. We present a review of 10 critical aspects in the management of the crashing patient, based on up-to-date guidelines and organized as an easily remembered mnemonic. The A-A-B-B-C-C-D-D-E-E's of the deteriorating patient address many key pearls and current recommendations to give physicians an added advantage in the moment of crisis.

Keywords:
ABC's; Cardiac arrest; Compressions; Crashing; Defibrillation; Resuscitation