- Set the stage/know the field
- Share information as early as possible
- Set initial expectations and plan w/ contingencies
- Plan for “worse than advertised”
2. During Resuscitation
- Establish roles
- Team member flexibility can add to confusion
- Stick to your role until team/leader changes it
- Delegate complex tasks to sub-leadership
- Can use methods such as nurse led codes and well established teams
- Close the loops
- Record and time-keep as you go
- Clear instructions vs “thinking out loud”
- Ask for input
- End with a plan—don’t “disappear”
Pearls and Pitfalls
1. Don’t be a jerk (aka Kindergarten rules)
2. Calm begets calm—control the energy of the room
- Direct instructions to someone, never to the air.
- Correct errors in real-time but address education/systems errors after the crisis
- Avoid punitive/destructive feedback; don’t assign personal blame for system errors. Failures are opportunities for improvement.
Check out more from Harrison Reed on his sites The Contralateral and PA-C Mentality.
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