Lecture 1: Introduction

Question 1

are my intentions honorable?

Answer 1

• are you doing what’s best for the patient
• respect the patients wishes (right to die)
• are you being selfish
• taking the person how they are regardless of judgement and character

Question 2

John Hinds rules of resuscitation

Answer 2

• 1. patient is the center of everything -> every decision you make it surrounding the patient
• 2. make your intentions honorable
• 3. never let a wanker get you down -> haters!

Question 3

being an excellent resuscitationist

Answer 3

• being an excellent resuscitationist is about human factors*
• how you control yourself*
• how you deliver bad news
• how to have empathy and understanding
• listening and being present
• being positive
• emotions are contagious
• controlling information
• how you respond to your team, those around you, staff, and the patients loved ones*
• you must find the middle ground between clinical acumen and patient/customer service**

Question 4

stress

Answer 4

• resuscitation, emergency medicine, and critical care are all very stressful
• being awesome, when it counts…IS STRESSFUL
• you need to be ready at a moments notice
• hours of sheer boredom intertwined by minutes of sheer terror
• you never doubt if you made a difference in someone’s life
• you will selectively be in the wrong place, at the wrong time, with the worst circumstances
• can you manage that?

Question 5

warrior vs resuscitationist

Answer 5

• finding a path through chaos
• being a leader
• take a leadership role in the midst of stress
• can you be the calm that your team, that the PATIENT needs, and demands?*

Question 6

Iowa

Answer 6

• 50% of hospitals are not staffed by a emergency physician
• 30% of hospitals have 1 ventilators
• not everywhere has resources and people