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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Voices in my Head
Phoebe Adams, , 2017, The Talks DASsmacc, Failure, medicine, mindfulness, performance, Resuscitation, Self-compassion, 0
We are all imperfect, this is the human condition. Pursuing a career in resuscitation means that some of our...
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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 “Out for blood”
Phoebe Adams, , The Talks DASsmacc, smaccFORCE, 0
“Out for blood” by Bill Hinckley
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Peter Brindley interrogates: Reuben Strayer
Phoebe Adams, , 2017, The Talks DASsmacc, bellomo, brindley, crowe, interrogates, machado, strayer, weingart, 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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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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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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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.
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A MEETING OF THE TRIBES: INTER-PROFESSIONAL ISSUES IN CRITICAL CARE
Phoebe Adams, , The Talks DASsmacc, critical care, medical, nursing, physiotherapy, social work, 0
“Meeting of the Tribes” brings together clinicians from a broad range of health professions–including medicine, nursing, social work, and...