Team Dynamics

Question 1

What is Chest Compression Fraction?

Answer 1

The chest compression fraction is the proportion of time that chest compressions are performed during the cardiac arrest. A fraction of at least 60% is recommended, and a goal of 80% is often achievable with good teamwork.

Question 2

Positions for 6-Person High-Performance Teams

Answer 2

TACARM
1. Airway; opens and maintains airway,
ventilation
2. Compressor; assesses pt, alternates with
AED monitor/defibrillator, on pt side, 5
cycles or 2”
3. AED monitor/defibrillator, on other side,
operates AED
THESE ARE THE TRIANGLE, no team
member leaves the triangle except to
protect his safety
4. Team Leader; every resuscitation team
must have a team leader, assigns roles to
members, makes tx decisions, provides
feedback, assumes roles for roles not
assigned
5. Recorder, Timer; near head, records
interventions/meds, interruptions in
compressions, communicates to Team
Leader
6. Medications; ALS provider role,
gives meds

Question 3

Know Your Limitations means what?

Answer 3

Ask for assistance and advice early, not when things are getting worse

Question 4

Constructive Intervention means what?

Answer 4

Correct the actions of another that are incorrect or inappropriate tactfully.

Question 5

Summarize and Reevaluate

Answer 5

Do this out loud during resuscitation to
* Provide ongoing record of rx
* Is a way to reevaluate the status, 
  interventions performed and team 
  progress within algorithm of care

Question 6

What is Closed-Loop Communication?

Answer 6

Team leader - call each team member by name, make eye contact when giving an instruction and don’t assign tasks until you are sure the team member understands the instruction.

Team members - Confirm that you understand each task by verbally asknowledging the task
Tell the team leader when you have finished a task

Question 7

What are Clear Messages?

Answer 7

Concise, clear language helps prevent misunderstanding, loud enough to hear, calm and confident keeps team focused

Question 8

What is mutual respect?

Answer 8

Professional attitude regardless of skill level or training. Friendly, controlled voice without shouting or aggression

Question 9

Why Debrief?

Answer 9

Do this during and after attempt. ID why certain actions were taken, helps team perform better, aids in ID system strengths and deficiencies, may help pt survival after arrest

Question 10

Heart disease ranks what # cause of death in the world?

Answer 10

1, more than 17 million deaths/year