EMSNation Ep. #80 Concepts in BLS Management of a Critical Patient скачать в хорошем качестве

EMSNation Ep. #80 Concepts in BLS Management of a Critical Patient

Visit our website for more podcast episodes on Evidence Based Medicine: http://emsnation.org/ This episode highlights ways that EMS personnel can utilize simulation as a team to improve patient outcomes by optimizing their practice of pit-crew CPR. By debriefing during and after the simulations we can all work together to make our resuscitations as efficient as possible. Allowing frequent switching of compressors every two minutes, keeping hands on the chest as much as possible, assessing and giving feedback on chest compressions are all ways to integrate best practices into your simulation. This simulated scenario also includes a family member who approaches the crew - by simulating this realistic scenario we can better prepare to talk to our patient’s families and keep them in the loop during a resuscitation. In the summary, the physiology of good compressions, roles of pit-crew CPR, and tips to optimize care are also mentioned. Approaching simulation as a team with deliberate practice will help us deliver the best care for our patients out in the field. 0:23 Introduction to Scenario: the importance of team practice with simulation 1:45 Scenario 1: BLS management of a critical patient 2:03 Timeout #1: Optimal compressor rotation and the use of pit crew CPR 4:34 Dealing with bystanders and family presence 8:29 Timeout #2: Interacting with family members: avoiding jargon, the use of body language, and honesty 10:18 Summary of pit crew CPR simulation: deliberate practice, the role of simulation and inter-agency training, the physiology of high-quality CPR, and the roles of pit crew CPR. 16:15 Discussing/using this video Subscribe to iTunes: https://itunes.apple.com/us/podcast/e... Like us on Facebook:   / prehospitalnation   As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth. It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication. Follow us on Twitter:   / ems_nation