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Podcast: ERCAST
Episode:

75. Hot Debriefing
Category: Religion & Spirituality
Duration: 00:38:07
Publish Date: 2022-04-03 09:30:17
Description:

Finding time to debrief challenging or difficult cases can feel nearly impossible amidst the tumult and task saturation of medical practice. The reality, however, is that it’s a necessity, not a nicety.  In this episode, emergency physician Stuart Rose and rescue specialist Ashley Liebig discuss two different approaches to immediate debriefs: INFO and the hot offload.  

 

Guest Bios: 

Stuart Rose is an emergency physician practicing in Calgary, Canada and lead author of the seminal debriefing paper, Charge nurse facilitated clinical debriefing in the emergency department. 

Ashley Liebig is a HEMS Flight Nurse and Helicopter Rescue Specialist with Austin Travis County STAR Flight. Prior to her flight and rescue career, Ashley served in the US Army as a combat medic with the 101st Airborne Division. She is known around the world as a teacher of managing the stress response

 

We Discuss

  • Finding time to debrief challenging cases can feel nearly impossible in the task saturated ED environment. Employing a structured approach makes debriefs much less intimidating and more likely to happen. 
  • The ED charge nurse is optimally suited to organize the debriefing and to lead the conversation.
  • According to the  INFO tool, debriefings should be Immediate, Not for personal assessment, Fast/facilitated feedback, and provide an Opportunity for questions.
  • The ‘basic assumption’ sets the tone for the conversation:  everyone caring for the patient is intelligent, capable, and wants to do their best and improve.
  • The Hot Offload following intense of stressful situations.
  • The idea behind debriefing emotion before logic.

 

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