Post on 21-Jan-2015
description
MAKING THINGS HAPPEN
CLIFF REID
TEAM
ENVIRONMENT
SELF
PATIENT
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LOSS OF CONTROL
CLUSTERF*CK
CHICKENBOMB
MUPPETSHOW
A SHAMBLES
BIT SHABBY
TEAM
ENVIRONMENT
SELF
PATIENT
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Credibility, authority, and being LIKED are powerful persuasion tools
PRINCIPLE:
PRINCIPLE: get control -
ketamine is the most reliable way
128HR
NIBPSpO2RR
80/56--20
PRINCIPLE:
Don’t shortcut SAFETY
ROCKETamine
ROCKETamine
PROCESS-DRIVEN OUTCOME-DRIVEN
FLEXIBILITY
GET CONTROL
GET HIM INTUBATED
MASSIVE TRANSFUSION
TURN OFF THE TAP
OPEN THORACOSTOMY
THORACOTOMY IF ARRESTS
MAKE THESE THINGS HAPPEN USING
ADAPTABILITYINGENUITY
LEADERSHIP
“LET’S KEEP HIM ALIVE”“LET’S DO ATLS”
OXYGENABCDE2 WIDE BORE IV LINES
XRAYS
SECONDARY SURVEY
FINGERS & TUBES ETC
ECG, URINALYSIS, OTHER IMAGING
LAB TESTS
TRADITIONALLY PRACTICED IN SERIES SHOULD BE DONE IN PARALLEL
SUCCESSFUL SIM TEAM COMPLETED GREATER NUMBER OF CRITICAL TASKS
BUT DEVIATED MORE FROM PROTOCOL THAN UNSUCCESSFUL TEAM
DEMONSTRATING ‘GREATER SKILL IN THE INTERVENTION PROCESS’
THE COGNITIVE BASIS OF EFFECTIVE TEAM PERFORMANCE: FEATURES OF FAILURE AND SUCCESS IN
SIMULATED CARDIAC RESUSCITATION.AMIA 2009 SYMPOSIUM PROCEEDINGS:599-603
RESUSCITATION ROOM THERMODYNAMICS
IN ANY RESUSCITATION THERE IS A NATURAL PROGRESSION TOWARDS
DISORDER AND CHAOS WHICH REQUIRES SIGNIFICANT POSITIVE EFFORT TO PREVENT OR REVERSE
= RESUSCITATION ROOM ENTROPY
HOW YOU APPEAR
WHAT YOU DO
WHAT YOU SAY
HOW YOU SAY IT
BE NICE
BE AUTHORITATIVE
STAY PATIENT FOCUSED
ASK FOR HELP
USE THE GROUP
PUSH THE RIGHT BUTTONS
CRAFT YOUR LANGUAGE
BE NICEBE AUTHORITATIVE
STAY PATIENT FOCUSEDASK FOR HELP
USE THE GROUPPUSH THE RIGHT BUTTONSCRAFT YOUR LANGUAGE
TEAM
ENVIRONMENT
SELF
PATIENT
ROCKETamine
OUTCOME-DRIVEN
“LET’S KEEP HIM ALIVE”
SIMULTANEOUS ACTIVITY
RESUSCITATION ROOM THERMODYNAMICS
IN ANY RESUSCITATION THERE IS A NATURAL PROGRESSION TOWARDS
DISORDER AND CHAOS WHICH REQUIRES SIGNIFICANT POSITIVE EFFORT TO PREVENT OR REVERSE
= RESUSCITATION ROOM ENTROPY
HOW YOU APPEAR
WHAT YOU DO
WHAT YOU SAY
HOW YOU SAY IT
BE NICEBE AUTHORITATIVE
STAY PATIENT FOCUSEDASK FOR HELP
USE THE GROUPPUSH THE RIGHT BUTTONSCRAFT YOUR LANGUAGE
MAKEIT
HAPPEN
THANK YOUMONA VALE HOSPITAL
EMERGENCY DEPARTMENT