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Annals of Emergency Medicine: Post Resuscitation Debriefing

Brian Chinnock, MD, Lauren Zinns, MD, Fawn Brown, RN, David Kessler, MD, Paul Mullan, MD, Stuart Rose, MD, and Jessica Mason, MD
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13:17
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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03:49

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EM:RAP 2017 September Written Summary 760 KB - PDF

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Vanessa C. -

Love the idea of the RN running the debrief. Such a good way to break down barriers and get more people to open up. I am also trying to push for the idea of a doing a debrief with any death in the ER or on the ward, not just the dramatic code situations. We can learn a lot from the death of a palliative patient and we should reflect on what went well and what didn't so we can make those difficult times a little bit better for our patients and their families.

Jess Mason -

That's a great point. There is so much to expand on with this idea.

Xander Merboo -

These de-briefs have a long history in the EMS community and have been studied.

Int J Emerg Ment Health. 2004 Winter;6(1):5-14.
The effectiveness of critical incident stress debriefing with primary and secondary trauma victims.
Jacobs J1, Horne-Moyer HL, Jones R
https://www.ncbi.nlm.nih.gov/pubmed/15131998

Unfortunately they fail to show much patient or provider benefit, and have even shown harm in some studies. Though incidentally I've still found 'hot wash' debriefs helpful in certain limited situations.

And unfortunately this is likely here to stay; along with other high resource/ high cost interventions (MET teams) that fail to benefit patients

rebecca l. -

is what you say in a debrief confidential? I fear that what you say can be used against you in court or in peer review.

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