Cite this post as:
Mike Lauria. COMM CHECK: Sterile Cockpit. EMCrit Blog. Published on November 6, 2018. Accessed on November 27th 2022. Available at [https://emcrit.org/emcrit/comm-check-sterile-cockpit/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: November 6, 2018
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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excellent, Mike. a very fine elucidation. it is a very interesting idea. in a way, the entire 9 hours in a very busy ED is like flying under 10,000 feet. and when the going is busy, complex, and one has multiple very ill or potentially very ill patients to care for, then one form of “sterile cockpit” is a very serious consideration, i think. the danger is that i can appear to be “unfriendly”, or too serious, or whatever. but it is exceedingly clear that when i have a very ill patients, or multiple complicated cases, any distraction, including social… Read more »
Great article. EM-trained MD and AF cargo pilot here. In my aviation community, the sterile cockpit concept has achieved no-brainer status long ago. Among my medical colleagues of all stripes (techs, RNs, MDs, etc), I think there is generally a high degree of “buy-in,” for this concept Given that critical mass exists in medicine, it’s now up to us, as “pilots in command” of the resuscitation, to enforce the concept in a disciplined (and affable) manner, and make it the new norm. We are just scratching the surface of what good CRM can achieve in medicine.
Definitely a useful
Concept in critical situations, but I’ve I’ve had pre-sedation ‘banter’ like that pre- crash chat, that I’ve also had to curtail., politely, but actually sternly..
we have to identify the time when silence is golden.
Maybe as team Leader I would say, ‘ok folks, this is the plan, (RSI ETC) can we have minimal chat, airway team only and scribe- let’s do our checklist. Go.’
As well as dispersing any damn crowds gathering…..!