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Coda Change

Aug 31, 2018

Doctors are usually the ones who rule the resuscitation. They are the ones in charge, the boss, the person giving all the instructions. By design, doctors rule the resus. But what if they didn’t? In order to optimise teams to be seamlessly effective at resuscitation, we need to change the way that resuscitation is done. We need to challenge healthcare to embrace a new model. Ashley Liebig proposes five key concepts for effective resuscitation: 1. Ergonomics should rule the resus. Where are all the people standing? Where is the clock in the room? Where is everything placed? 2. Nurse-led codes should rule the resus. Let nurses run the codes, this is what they are trained to do and it is what they are doing up until the time that the Doctor arrives in the room. For physicians this means cognitive offloading, allowing space to think about the important things and to consider the differential diagnosis. 3. Assigned roles should rule the resus. The importance of assigned roles means that everyone knows what their job is and what is expected of them. 4. Communication should rule the resus. If you are unpleasant to work with, you’ve already changed the scenario. People will arrive at your resuscitation unfocused. Change this. 5. Briefing should rule the resus. Briefing, albeit difficult to coordinate, is important and means that everyone is on the same page. What if in just a few short hours we could take all that we have learned about resuscitation from FOAMed and apply it? What if we could turn an average community hospital ED into a high functioning team?

From DAS SMACC, Ashley Liebig delivers an inspiring talk on reinventing resuscitation teams.

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