EMCrit #230 – Resuscitation Communication - a podcast by Scott D. Weingart, MD FCCM

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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 read this book



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

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Website of Scott D. Weingart, MD FCCM