Cite this post as:
Cliff Reid. Resus.ME: Learning To Speak Resuscitese. EMCrit Blog. Published on May 24, 2016. Accessed on April 19th 2024. Available at [https://emcrit.org/emcrit/learning-speak-resuscitese/ ].
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: May 24, 2016
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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The phraseology “disregard [previous instruction], [intended recipient]” I use as a clear and precise way to tell the team or team member that I want to cancel a previous order. Much better than the ambiguous “forget that” or “never mind.”
Patrick
nice!
I have found that a simple, “Roger” or “Copy” goes a long way to make communication more clear. This works even among people who do not currently use efficient phrases as suggested in your article.
Brandon, BSN, RN, NREMT
Agree – we use this at home and also with my HEMS colleagues. Roger for “I have received all of the last transmission” and Wilco for “Will comply”.
I have had a few instances during a resuscitation in which discussions with my colleagues about the next step of the resuscitation (i.e. “we will call the code and stop compressions if there is no ROSC after the next rhythm check”) have been overheard by a team member and interpreted as an actual imperative/command (i.e. “stop compressions”) with inadvertent execution of that action. Drawing back to the aviation model (partially because I am an aviation geek), the terms “take-off” and “landing” are protected terms, only used when Air Traffic Control and pilots give or confirm clearances to take-off and land… Read more »
This is a brilliant suggestion Patrick. I too have seen this happen, particularly with pushing meds, for example when discussing what doses of anaesthetic drugs we’ll use when we’re ready to intubate, which gets misconstrued as a command to give those drugs now. Perhaps ‘Inject’ could be the protected term. Any other word like ‘give’ or ‘push’ could then be classified as ‘information only’ words.
I’m quite fond of ‘Engage!’, because I’m a fan of Jean-Luc Picard‘s leadership style.
This is great!! I think I have become a much better communicator since working in the HEMS industry. I too, am guilty of using extra “fluff” on the occasion when I probably shouldn’t have. I think this is a great idea for people in the hospital resus world to adopt. One thing that might cause hang ups in the hospital environment is using the terminology when there are people around who aren’t familiar with it. It truly is a different language that people have to learn, thus, potentially creating the exact hang ups the clear, concise language is trying to… Read more »
Good Morning, Great post first of all. I do agree 100% with the suggestions above. Far too often I find persons panicking in those critical resus periods and make a seemingly easy resus go downhill due to poor communication and teamwork skills. Time to make a list of the most common terms which we use in the resus room and to make a chart/document of standardized terminology to get the information out there (pasted up in the resus room, shared via email to all members of staff in the ER, given to medical students rotating in the ER). Getting the… Read more »
Thanks Peter. If you make a standardized terminology chart for your ED I’d love to see it
I used to work in a busy kitchen as an expo. Where we organize all the orders before they go out. I’ve felt that my experience in communication there has directly related to resuscitation. When I call something out I like to hear back a response the message was received and the message I saw someone said “roger” I use “heard.” Also I think there is a phenomenon I call order vomit. Where we as team leaders say more orders than possible to be carried out be out limited team. I will often write on the bed sheaf extraneous orders… Read more »
Yet another fine example of prehospital medicine (EMS) teaching hospital providers how to perform in a more safe and efficient manner. Now if only I could get my ICU code team to perform HP-CPR as well as my firefighters and paramedics . . .