David Baumrind, EMT-CCDavid Hiltz, NREMT-P

DEBRIEFING ANDCARDIAC ARRESTQUALITY IMPROVEMENT

Hiltz works for the American Heart Association and their product is discussed in this presentation

Baumrind has no conflicts to declare

ANOBVIOUS INFLUENCE

HOUSTON, WE DO HAVE A PROBLEM!

PROBLEMS AT A GLANCE PART 1

PROBLEMS AT A GLANCE PART 2

SURVIVAL TO DISCHARGE

The DISPARITY

BUT NOT ANUNSOLVABLE PROBLEM!

DEVELOPING A CULTURE OF EXCELLENCE

A NECESSARY COMBINATION!

CAN’T WE SOLVE OUR PROBLEMS WITH TECHNOLOGY?

Our Definition!

A provider‐centric process designed to standardize the debriefing process to assist clinicians in thinking about what they did, how they did it, and how they can improve.

Structured and Supported Debriefing

B

DEBRIEFING IS CHEAP!

B

Structured elements include three specific debriefing phases with related goals, actions, and

time estimates.

Structured and Supported Debriefing

B

B

Supported elements include both interpersonal support as well as use of protocols, algorithms, and

best evidence to inform debriefing statements/questions.

Structured and Supported Debriefing

Thoughtful discussion after an attempted resuscitation is important to facilitate the sorting out of events

as well as gaining insight on what happened and why

We often learn better through self‐discovery

and self‐analysis than by other methods!

•Have long term view•Patients and patience•INSTANT GRATIFICATION!

IMPLEMENTATION

BOY, I AM REALLY

LOOKING FORWARD TO

THE DEBRIEFING

ON THIS CASE!

PROVIDERS NEED TO EXPRESS

THEMSELVES AND THEIR FEELINGS…

AND THIS IS A GREAT FORUM FOR

THAT!

B

B

Team leader trained in Structured

and Supported Debriefings

B

PIZZA DIPLOMACY!

B

NOT PUNATIVE!

B

ROLE OF FACILITATOR

•PROVIDE SAFE ENVIRONMENT FOR SHARING EXPERIENCES

•DRAW OUT INFORMATION AND EXPERIENCES

•CONTENT DIRECTED BY THE CREW

•NEVER JUDGE!B

Gather, Analyze, Summarize

B

ANECDOTAL EVIDENCE NUMERICAL DATA

B

UNTAPPED!

B

PRACTICE MAKES PERFECT!

B

INSTRUMENTED MANIKINS

B

THROUGH TEAMWORK, TRAINING AND EDUCATION,

TRY TO GET AS CLOSE AS POSSIBLE!

B

B