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How a Crisis Resource Management failure led to a full-blown medical emergency

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Synopsis

How a Crisis Resource Management failure led to a full-blown medical emergency.   It is estimated that 70% of avoidable deaths in healthcare involve a breakdown of the principles of CRM. Crisis resource management, involves seven crucial steps: Know your environment Anticipate and plan Take a leadership role Communicate effectively Call for help early enough Allocate attention wisely, use all information Distribute workload, use all available resources Unfortunately, a failure in adhering to the 7 principles of CRM lead to serious complications for the birth of Tamara & Garry Hills’s son. We hear from Tamara and Garry as they explain the human and systemic factors that ultimately led to a full-blown medical emergency. A lack of situation awareness, combined with poor communication, unfortunately led to Christopher Hills suffering a severe brain injury. This likely occurred during the 17 minutes of terminal Bradycardia. Tamara, Garry and Christopher bravely share their story to inspire healthcare workers