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EMCrit #230 – Resuscitation Communication


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What we have here is a failure to Resus Communicate...

Inspired by Reid, Brindley, Hicks, & Novak
My Favorite Paper on Resus Communication

* by the Brindley

Lecture You Must Watch

* Novak on Combat Aviation Lessons

Resus By Voice

* from flying by voice
* Shared Mental Model
* Resuscitate - Differentiate - Communicate

Tactical Pause (Hick's term)

* Step-Back or SitRep
* aka The Cross-Check- Keep coming back to the global patient picture before diving into any minutiae
* "What am I missing" - team realignment
* Ten-for-Ten1


Close the Loop
from Hargestam et al.

* Set a notification -"Put in an art line and tell me when it is done"

Podium Nurse

* 360 awareness
* Assignment of Tasks (3 Cs: Clear Instructions, Cite Names, Close the Loop)

Sterile Cockpit

* 10,000 feet
* Train the team to acknowledge that phrase
* Central Line Kits / Shock Trauma Hallways

Resuscitese

* from Cliff
* Combat Mitigating Language-Efficient and Unambiguous Communication - Directive, Descriptive, Informative
* Belay that
* Acknowledge or Close-the-Loop
* Say Again
* Read Back
* Tally Ho
* Nato Phonetic and [easyazon_link identifier="076367852X" locale="US" tag="emcrit-20"]read this book[/easyazon_link]

Briefings
PreBrief

* Planning: Mission, Defined Roles, and Set the tone
* Zero Point Survey Self-Team-Environment


Debrief

* Learning happens in the debrief
* Hot Debrief - INFO Model

Additional Info

* Communication Under Pressure
* More Critical Strategies
* LitFL Article

Sai De Silva

What are your thoughts on resuscitation communication? Tell me in the comments section below.
Now on to the Podcast...



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EMCrit FOAM FeedBy Scott D. Weingart, MD FCCM

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