Tamingthesru
Is There a Doc on Board? Recap and Curated Commentary
Thank you everybody for such excellent commentary and participating in our first ever asynchronous portion of Grand Rounds—it has been a huge success! This post recaps the first post in the "Out on a Limb" Case Series. If you missed the case or the discussion check it out here.
Grand Rounds Summary - July 15
Oral Boards
African Tick Borne Illness
- Rickettsial illnesses (specifically Africae)
- Empiric doxycyline & ID consultation for presumed tickborne illnesses
- Rickettsia africae classically presents 4-7 days post exposure with thromobocytopenia and hyponatremia
Hypothermic cardiac arrest
- Fixing the temperature is the most critical thing
- EKG findings of Osborne waves in hypothermia
The Little Things that Matter
We were fortunate, a couple weeks back, to have Dr. Brian Burns of Sydney HEMS come and speak to us. In his lecture, “When the 1% Makes All the Difference” which you can find here, Dr. Burns hit on a number of excellent points. We sat down and talked with Dr. Burns a bit more extensively over a couple of the themes of his lecture.
In this podcast, we cover some of the plus/minuses of checklists, the importance of high fidelity continuous training practices (simulation, routine case debriefing, intensive induction training), and the role of cognitive factors in running resuscitations.
Should resuscitations run like a jazz quartet or a Formula 1 pit crew? Are checklists simply in the way or do they cognitively unload the team members to improve performance? How do you train cognitive factors in resuscitation?