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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How to Fail… Part Two by Martin Bromiley
Phoebe Adams, , The Talks DASsmacc, Failure, 0
Failure is something even the very best regularly experience, in safety critical roles that failure can lead to death...
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Righting the Wrongs of Research
Phoebe Adams, , 2017, The Talks DASsmacc, Bayesian adaptive trials, big data, critical care, critical care research, ICU research, randomised controlled trials, research methods, response adaptive randomization, 0
Mortality measured at a particular time point (landmark mortality) is often regarded as the gold standard outcome for randomised...
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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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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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The Everywoman’s Guide to Resuscitating the Post Cardiac Surgery Patient
Phoebe Adams, , The Talks DASsmacc, Cardiac Surgery, critical care, Resuscitation, sternotomy, 0
The arrested heart surgery patient is a unique beast in surgery and critical care. Dr Nikki Stamp will discuss...
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Doctors Don’t Rule the Resus by Ashley Liebig
Phoebe Adams, , The Talks DASsmacc, Resuscitation, 0
What if in just a few short hours we could take all that we have learned about resuscitation from...
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Finding the Needle in the Haystack: Paediatric Cardiac Disease by Michele Domico
Phoebe Adams, , The Talks DASsmacc, Paediatric Cardiac Disease, 0
There are several pediatric cardiac disease processes that get misdiagnosed because they present with other symptoms. No child comes...
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In Honour of the Clot (Consider the Lobster)
Phoebe Adams, , 2017, The Talks DASsmacc, Coagulation, Dinosaurs, Evolution, Fibrinogen, haemorrhage, Lobsters, thrombolysis, tPA, 0
A talk about David Foster Wallace, evolution, and what do when the thrombolysis bisque hits the fan.