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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The Clinician Advocate: How Evidence and Anecdote Produce Change
Phoebe Adams, , 2017, The Talks DASsmacc, Advocate, Alcohol, clinician, Emergency Departments, public health, 0
Emergency departments are at the forefront of dealing with the harmful effects of alcohol consumption. ED alcohol-related presentation data...
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Lighting the flame: Critical Care Education
Phoebe Adams, , The Talks DASsmacc, critical care education, 0
This session brings together a panel of educators with a track record of innovation and design in medical education....
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SMACCForce: Bringing Lessons from MERT back home
Phoebe Adams, , The Talks DASsmacc, MERT, smaccFORCE, 0
Bringing Lessons from MERT back home by Claire Park
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SMACCForce: Prehospital Damage Control Resuscitation by Ann Weaver
Phoebe Adams, , SMACCForce 2017, The Talks DASsmacc, prehospital, Resusitation, 0
Prehospital Damage Control Resuscitation by Ann Weaver
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SonoBYTE: Airway Ultrasound by Jacob Avila & Ben Smith
Phoebe Adams, , The Talks DASsmacc, Airway Ultrasound, SonoBYTE, 0
Intubation is one of the most important procedures that we perform. There are many immediate and bedside methods of...
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Whole Body Ultrasound Centered on the Lung: A Holistic Approach by Daniel Lichtenstein
Phoebe Adams, , The Talks DASsmacc, lungs, Ultrasound, 0
Using a 1982 portable unit (ADR-4000), we could define, since 1985, a use of ultrasound devoted to the critically...
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Resuscitation for the Resuscitationist
Phoebe Adams, , The Talks DASsmacc, Resuscitation, 0
Panelist participation in the “Resuscitation for the Resuscitationist” panel session.
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The Future of Out-Of-Hospital Cardiac Arrest
Phoebe Adams, , The Talks DASsmacc, Individualized Skilled Resuscitation Academy, 0
There is a huge variation in our outcomes for cardiac arrest patients. Measuring your results makes it possible for...