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Right arrow Problems in Clinical Judgement Series
CMAJ • April 17, 2001; 164 (8)
© 2001 Canadian Medical Association or its licensors

Review
Synthèse

Problems for clinical judgement: 3. Thinking clearly in an emergency

Michael J. Schull*{dagger}, Lorraine E. Ferris{dagger}{ddagger}, Jack V. Tu{dagger}§, Janet E. Hux and Donald A. Redelmeier{dagger}{ddagger}§

From *the Division of Emergency Medicine, University of Toronto, Toronto, Ont.; {dagger}the Division of Clinical Epidemiology and Health Care Research, Sunnybrook & Women's College Health Sciences Centre, Toronto, Ont.; and {ddagger}the Departments of Health Administration and Public Health Sciences and §the Department of Medicine, University of Toronto, Toronto, Ont.

Abstract

THE RESUSCITATION OF A PATIENT IN EXTREMIS is frequently characterized by chaos and disorganization, and is one of the most stressful situations in medicine. We reviewed selected studies from the fields of anesthesia, emergency medicine and critical care that address the process of responding to a critically ill patient. Individual clinicians can improve their performance by increased exposure to emergencies during training and by the incorporation of teamwork, communication and crisis resource management principles into existing critical care courses. Team performance may be enhanced by assessing personality factors when selecting personnel for high-stress areas, explicit assignment of roles, ensuring a common "culture" in the team and routine debriefings. Overreliance on technology and instinct at the expense of systematic responses should be avoided. Better training and teamwork may allow for clearer thinking in emergencies, so that knowledge can be translated into effective action and better patient outcomes.




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