Blowing out the cobwebs (and the last of the #EMSA2022 gala dinner mascara) with a run through Kaurna land along Karrawirra Parri

Closing of #EMSA2022 - it's been a lovely, wonderful, reviving time! Thanks to all at @EmergSA - if you want to see all the in-conference tweets, they're here:...

Our words matter - they can profoundly shape our experiences. [This was a really amazing talk!! #EMSA2022]

Definitely worth having a look at this table - do we use these phrases? Can we approach them differently? (Source: jamanetwork.com/journals/jamanetworkopen... #FOAMed) #EMSA2022

Do Words Matter? Stigmatizing Language and the Transmissi... Background Clinician bias contributes to healthcare dispa...

Words also matter when we are speaking - or communicating in any form - with other clinicians. Stigmatising language, in particular, is evidenced to influence attitudes towards patients and bias the care we deliver link.springer.com/article/10.1007/s11606-0... #EMSA2022

...which means that the words we use, we need to choose carefully, because they can really influence patient experiences. We can make things better - or much worse. #EMSA2022

"We have a dynamic system that adapts and updates based upon the available information for that person, in that environment, in society" - we are constantly balancing information we are receiving about danger with information about safety... #EMSA2022

Anterior Insula Integrates Information about Salience int... The decision as to whether a sensation is perceived as pa...

What experts say to us influences how we experience pain too - and this study suggests that things hurt more when we aren't sure if they're safe https://www.jneurosci.org/content/30/48/16324.short #EMSA2022

painful stimulus #EMSA2022

ScienceDirect

This study on binocular rivalry evidences the idea that what we "know" influences what we see
www.sciencedirect.com/science/article/abs/pii/...
#EMSA2022

Everything we experience is influenced by things we are not aware of. These influences are deep, implicit and profoundly alter our experiences. The same is true of words. They can change the way we view the world. #EMSA2022

Next - @Tash_Stanton on the why and how of enhancing communication, and the power that words hold #EMSA2022

At the end of the day, not everyone has an invisible cloak of coping mechanisms. Just because people look OK, doesn't mean they are. We can use cold debrief to take care of ourselves. #EMSA2022

If you're a manager, prioritise this. Know your team and the case - there's lots of time to prep and get this right, invite the right people. Know your aims and the focus of the debrief. #EMSA2022

One tool for the cold debrief structure is RESET:
Recall - a simple reflection of the case and events
Emotions - use notes from hot debrief to draw out the truth. What support have ppl sought since?
Success - what went well?
Evolve - what can be learned?
Takeaway
#EMSA2022

Start with a declaration of intent: "the purpose of this debrief is education, QI and emotional processing. It's not a place of blame: everyone's participation is welcome." #EMSA2022

Don't forget to try to include paramedics for events that have occurred in ED, if the ambulance service has been involved in the patient's care #EMSA2022

For us in ED, hot debrief experience is building - but how many of us have experience coordinating cold debriefs? #EMSA2022

The cold debrief is a team gathering in an emotionally supportive environment. They last longer, include more detail and more discussion than hot debriefs - and because time has passed there has usually been some emotional processing in the interim. #EMSA2022

There was a short team pause afterwards - but then the team had to return to "normality" - and they were not OK. #EMSA2022

Tara holds the room enraptured as she paints the picture of a difficult resuscitation and the emotional aftermath. #EMSA2022

The critical events we deal with every single day definitely impact our wellbeing. We might think we've got this covered - in the moment and even immediately afterwards - but a single case can expose us later as we find ourselves unravelling with alarming speed. #EMSA2022

Next up: the mighty @codebluenursey on cold debrief. In the room, around 50% of participants have been involved in a cold debrief at some stage.
#EMSA2022

Common traps; the debrief can stretch out and take too long, the tool can be used more as a checklist, conflict can occur, the focus can fall too much on the patient outcome or the leader dominating. Knowing this can help us recognise & address them when they occur #EMSA2022

Within the app, there are icons under the "things that went well" and "opportunities to improve" that, when clicked on, give some possible reflection points under headings like "situational awareness", "decision-making" and "support for families/witnesses". #EMSA2022

#EMSA2022

Hot debriefs allow us to capture all the participants present, which is a big challenge with cold debrief. Despite its inclusion in ILCOR and ARC guidelines, inclusion in actual practice remains low #EMSA2022

"Debrief is about getting the team together, exploring actions and thought processes, promoting reflective learning and identifying strategies to improve future performance" #EMSA2022

He opens with a challenge to think of debrief as an essential part of patient care, not a separate entity, with the quote below #EMSA2022

Afternoon sessions at #EMSA2022 and I'm in Debrief after Trauma/Enhance Communication. First up is Joseph Schar on hot debrief.