All the literature goodness for June 2023 (yes, it is July–leave me alone!!!)
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- EMCrit 373 – Mike Weinstock with another Critical Care Bounceback: “Asymptomatic Hypertension” - April 18, 2024
- EMCrit Wee – Ross Prager on 10 Heuristics for the New ICU Attending - April 13, 2024
- EMCrit 372 – FoundStab Intubation SOP - April 5, 2024
Scott, I’m a long time subscriber and thank you for your Edu. I’m a Flight Medic/Nurse (Helo) in Florida and fly into ~ 10+ trauma centers/facilities where I give report. About comments on the “IMIST-AMBO” hand offs. Multiple different center who might and do want it “there way”. I need my brain power for other uses and and don’t need to remember a bunch off different handoffs for specific centers. How about Doc’s take the time, to give us the time, to give report. If necessary post stabilization and you have medics/nurses who need coaching… Coach!
I appreciate the comment, but I don’t find it is logically consistent. Given the situation you find yourself in, since you find yourself with multiple hospitals with different handover desires, you will ignore all of them–I am with you on this part, it would be ridiculous to memorize 12 different sign-out methods. But then somehow we jump to, therefore we don’t need any form of standardization and I’ll just make it up as I go along. Not sure how you feel that follows from your first premise. A standardized form of handoff restrains both sides of the interaction. A more… Read more »
Not sure we jumped to “therefore we don’t need any form of standardization and I’ll just make it up as I go along.”. We were all taught some form of handoff at some point in our careers. We will not all agree which is best and that in the future one may like one better. Point taken an, “evidence-based signout” has merit. However, what if all the different consultants / admitting Doc’s came to you and suggested you present patients for admit in their decided “evidence-based” handoff method?
the Joint Commission did exactly that with SBAR and if there I vote for an even more granular format. Repeated communications should be standardized for the benefit of both sides and the patient.
This sort of proves my point. There are multiple ways to skin a cat. Should I be using IMIST-AMBO or SBAR? Once again thank you for the EDU you provide and I appreciate the discussion.
you lost me.
sbar is for inpatient handoffs
imist is for field to ed handoffs, not sure what point that helps
Please check the CME link. It seems to just direct to a page with the same CME graphic but not the usual additional data to get the CME.