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DEBRIEFING
AND
CARDIAC ARREST
QUALITY IMPROVEMENT
       David Baumrind, EMT-CC
          David Hiltz, NREMT-P
Baumrind has no conflicts to declare


 Hiltz works for the American Heart Association
and their product is discussed in this presentation
AN
OBVIOUS 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 AN
UNSOLVABLE
PROBLEM!
DEVELOPING A CULTURE OF
      EXCELLENCE
A NECESSARY COMBINATION!
CAN’T WE SOLVE OUR
PROBLEMS WITH TECHNOLOGY?
Structured and Supported Debriefing

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.
DEBRIEFING IS CHEAP!
Structured and Supported Debriefing
Structured elements include three specific debriefing
     phases with related goals, actions, and time
                      estimates.
Structured and Supported Debriefing
   Supported elements include both interpersonal
 support as well as use of protocols, algorithms, and
         best evidence to inform debriefing
               statements/questions.
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!
IMPLEMENTATION

    •Have long term view
   •Patients and patience
•INSTANT GRATIFICATION!
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!
Team leader
 trained in
 Structured
    and
 Supported
Debriefings
PIZZA DIPLOMACY!
NOT PUNATIVE!
ROLE OF FACILITATOR
•PROVIDE SAFE ENVIRONMENT FOR
     SHARING EXPERIENCES

 •DRAW OUT INFORMATION AND
        EXPERIENCES

•CONTENT DIRECTED BY THE CREW

        •NEVER JUDGE!
Gather, Analyze, Summarize
ANECDOTAL EVIDENCE   NUMERICAL DATA
UNTAPPED!
PRACTICE MAKES PERFECT!
INSTRUMENTED
MANIKINS
THROUGH TEAMWORK,
    TRAINING AND EDUCATION,
TRY TO GET AS CLOSE AS POSSIBLE!
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement
The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

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The Use of Structured and Supported Debriefing in Cardiac Arrest Quality Improvement

Editor's Notes

  1. Address minutes
  2. Punative
  3. Hard data and anecdotal