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As an ICU attending, I’ve led hundreds of codes, & as a sim instructor, I designed a sim focused on the intangibles.
Here are 10 essential elements of code & rapid response leadership (in no particular order) that are not taught enough yet help control the chaos.
🧵
Here are 10 essential elements of code & rapid response leadership (in no particular order) that are not taught enough yet help control the chaos.
🧵
1/ Be a calm & clear leader
ACLS 101.
This isn’t about ego. It’s about your patient.
Don’t be mean or yell.
Calmly stand at foot of the bed, raise your hand, & say, “I’m going to run this.”
Reset the room.
Attendings, support your trainees, “I’m right here. You got this.”
ACLS 101.
This isn’t about ego. It’s about your patient.
Don’t be mean or yell.
Calmly stand at foot of the bed, raise your hand, & say, “I’m going to run this.”
Reset the room.
Attendings, support your trainees, “I’m right here. You got this.”
2/ Turn down the noise
Chaos loves 20 people in a cramped hospital room yelling at each other.
Ask everyone to try to be quieter & for non-essential personnel to step out.
In our MICU, codes are quiet. We strive to control the chaos like an orchestra.
Chaos loves 20 people in a cramped hospital room yelling at each other.
Ask everyone to try to be quieter & for non-essential personnel to step out.
In our MICU, codes are quiet. We strive to control the chaos like an orchestra.
My last session for #ATS2022 day 3 is “Priorities from a Joint-Society ATS Policy Statement on Palliative Care in Serious Respiratory Illness”!
First we have Dr. Donald Sullivan with “Fundamental Principles of Palliative Care in Respiratory Disease and Highlights from the Policy Statement.” #ATS2022
Definitions #ATS2022
1/ In honor of #COPD Awareness Month, let’s solve the prevailing problem of rare #palliativecare (PC) in COPD, especially early.
See our qual exploration of clinicians in @PalliativeMed_j
liebertpub.com/doi/abs/10.108…
Care to take a stroll?
#pallipulm @pallipulm
@atscommunity
See our qual exploration of clinicians in @PalliativeMed_j
liebertpub.com/doi/abs/10.108…
Care to take a stroll?
#pallipulm @pallipulm
@atscommunity
2/ First, a PSA:
Waiting for PC until end-stage #copd is too late & misses a golden opportunity to meet COPD patient & family needs earlier in the trajectory.
See our @AnnalsATS pub atsjournals.org/doi/abs/10.151….
@AnnalsATS will have a podcast on that soon, so stay tuned!
Waiting for PC until end-stage #copd is too late & misses a golden opportunity to meet COPD patient & family needs earlier in the trajectory.
See our @AnnalsATS pub atsjournals.org/doi/abs/10.151….
@AnnalsATS will have a podcast on that soon, so stay tuned!
3/ Contrast “late” (the status quo if at all) to “early” PC, which brings comprehensive palliative & supportive care to patients & families before end-stage disease.
Others have explored PC in COPD.
The key here is “early”.
Lots to learn from #qualitative research!
Others have explored PC in COPD.
The key here is “early”.
Lots to learn from #qualitative research!
