We have difficult conversations in critical care. We deal with sick and complex patients who may be at the end of life. The families we talk to may be in a state of shock and acute grief, unable to think clearly and make important decisions. Patient safety incidents and other challenging issues such as organ and tissue donation may further complicate the patient journey. We will follow the story of Leah and the difficult conversations that were needed in caring for her and her family. We will examine some of the key elements that can contribute to successful communication in difficult circumstances. As clinicians, our training in this type of communication may be limited to observing our mentors, and we may feel inadequately prepared. We will investigate how simulation training can be used to improve the quality of communication, increase our skill and comfort level so that we can guide patients and families through complex and challenging situations. We will also investigate how lessons learnt from simulation debriefing can be transferred to the conduct of difficult conversations in real life.
Learning from Sim Part III: Critical Moments in the Intensive Care Unit by Jon Gatward
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Burnout, Blissful Ignorance and Addicted to SMACC – Iain Beardsell interrogates: Peter Brindley
Phoebe Adams, , The Talks DASsmacc, 0
After getting his chance to interrogate SMACC Superstars the people finally get their chance to get their own back...
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How to Fail by Kevin Fong
Phoebe Adams, , The Talks DASsmacc, Failure, 0
Useful advice on how to fail at everything.
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Peter Brindley interrogates: Rinaldo Bellomo
Phoebe Adams, , 2017, The Talks DASsmacc, Kidneys, trials, 0
A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social...
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Sepsis, Brazil, Women in ICU… Who Cares? Peter Brindley interrogates: Flavia Machado
Phoebe Adams, , 2017, The Talks DASsmacc, brazil, Sepsis, women, 0
A no-holes barred series of 6 provocative medical interrogations. We challenge the state of research, social media, pharmacology, social...
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Not all Brains are the Same by David Menon
Phoebe Adams, , The Talks DASsmacc, tbi, traumatic brain injury, 0
The age of patients with TBI is increasing, especially in high income countries, and the median age of patients...
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Management of Status Epilepticus – What SHOULD we be giving? by Brandon Foreman
Phoebe Adams, , The Talks DASsmacc, status epilepticus, 0
Management of Status Epilepticus – What SHOULD we be giving? By Brandon Foreman
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Diagnosing Meningitis – CSF lactate, procalcitonin and fungitell, when to pull the trigger on steroids/abx?
Phoebe Adams, , 2017, The Talks DASsmacc, antibiotics, bacteria, brain, CSF, CT, emergency department, fungitell, lactate, LP, Meningitis, Neuro EM, procalcitonin, steroids, 0
The golden hour of meningitis involves rapid identification, workup, and treatment. In most cases, the diagnosis of meningitis is...
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Neuroimaging Nibble Subtle SAH
Phoebe Adams, , 2017, The Talks DASsmacc, Uncategorized, CT, Subtle Subarachnoid haemorrhage, 0
Neuro Imaging Nibble: Subtle Subarachnoid haemorrhage on CT by Jordan Bonomo