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Emergency Medicine Cases

Episode 75 Decision Making in EM – Cognitive Debiasing, Situational Awareness & Preferred Error

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7602 Ratings

🗓️ 12 January 2016

⏱️ 65 minutes

🧾️ Download transcript

Summary

While knowledge acquisition is vital to developing your clinical skills as an EM provider, using that knowledge effectively for decision making in EM requires a whole other set of skills. In this EM Cases episode on Decision Making in EM Part 2 - Cognitive Debiasing, Situational Awareness & Preferred Error, we explore some of the concepts introduced in Episode 11 on Cognitive Decision Making like cognitive debiasing strategies, and some of the concepts introduced in Episode 62 Diagnostic Decision Making Part 1 like risk tolerance, with the goal of helping you gain insight into how we think and when to take action so you can ultimately take better care of your patients. Walter Himmel, Chris Hicks and David Dushenski answer questions such as: How do expert clinicians blend Type 1 and Type 2 thinking to make decisions? How do expert clinicians use their mistakes and reflect on their experience to improve their decision making skills? How can we mitigate the detrimental effects of affective bias, high decision density and decision fatigue that are so abundant in the ED? How can we use mental rehearsal to not only improve our procedural skills but also our team-based resuscitation skills? How can we improve our situational awareness to make our clinical assessments more robust? How can anticipatory guidance improve the care of your non-critical patients as well as the flow of a resuscitation? How can understanding the concept of preferred error help us make critical time-sensitive decisions? and many more important decision making in EM nuggets...

Transcript

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0:00.0

Welcome to the Emergency Medicine Cases Podcast.

0:05.8

I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine

0:10.5

from EMC Studios in Toronto. Hello EM cases, listeners.

0:28.7

This is the first podcast release of 2016.

0:34.6

Now, as I reflect on 2015, after 33 podcast releases, the creation of the waiting-to-be-seen blog,

0:41.9

the first e-book, EMCases Digest, the formation of new collaborations with the best evidence of

0:47.4

EM group out of McMaster, Justin Morganstern, a first 10 EM, and the Stars Air Ambulance

0:53.1

Service out of Calgary, as well as planning

0:55.4

the first ever EM cases course in February, which is only a few weeks away from the time this

0:59.4

recording.

1:00.4

I really want to thank from the bottom of my heart, and I mean, this would never have been

1:05.9

possible without all of these people.

1:08.5

The fine folks at Sremi, Howard Ovens, Bug Borgonvog,

1:12.2

Shelley McLeod, and Shirley Lee for their support,

1:15.4

the incredible EMCases team for their hard work and dedication,

1:19.4

the EMCases Advisory Board for their guidance,

1:22.3

the many EMCases guest experts for their contributions

1:25.4

and blinding brilliance, the foam world for their

1:28.7

inspiration and beautiful global community, and of course you, the listeners of the podcast

1:34.3

and the readers of the website for your amazing support and feedback.

1:39.4

I also wanted to tell you about a fantastic new project that was just launched on January 1st,

1:45.0

2016, that Teresa Chan, the co-host with me on the Journal Jam podcast, and Brent Toma, the

...

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