Cold Debriefings after In-hospital Cardiac Arrest in an International Pediatric Resuscitation Quality Improvement Collaborative

Abstract

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Airway Breathing Circulation: An Emergency Medicine Resident’s Experience of the Beirut Explosion

“…However, data show that there is a need for more than one debriefing session as the emotions change over time and the potential to better process the event improves 10 . In addition, debriefs are commonly used after resuscitations to review and improve the medical response; however, they do not typically focus on the psychology 11,12 . In this event, the physicians were also injured or personally affected, therefore perhaps needing a different type of support, 13 one not just focused on the health care response but on their parallel position as victims.…”

Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors

“…Recent evidence shows that modified versions of the traditional approach are being used in debriefs after inhospital cardiac arrest to improve patient care [33]. In this study by Wolfe et al [33], the two core phases were combined with details regarding the clinical case, case events and cardio-pulmonary resuscitation quality (Wolfe, H. written communication, May 22, 2021), demonstrating the utility of combining core Plus-Delta phases with elements related to relevant contextual demands.…”

Is your hospital doing everything it can to be ready for the next paediatric cardiac arrest?

“… 8 “Hot debrief” within minutes of the code, and “cold debrief” some days later, may help with clinical standard adherence, cooperation and communication. 9 These were reported more frequently in specialist paediatric centres (77% vs. 37%) by Chan et al but further reinforcement (again, supported by evidence) of the positive impact they have is needed.…”