EMCrit Podcast - Critical Care and Resuscitation

EMCrit Podcast - Critical Care and Resuscitation


Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation


Podcast 187 – Hypernatremia (Uggggh!)  

Hypernatremia -- not sexy, but we gotta get 'im done

EMCrit by Scott Weingart.

The Brindley Sessions: Rudeness  

The first Brindley Session is on Rudeness

EMCrit by Scott Weingart.

Podcast 184 – Needle Cric (Again) and Transtracheal Jet Ventilation with Laura Duggan  

The needle vs. knife debate rages on, but it looks like the knife may be winning

EMCrit by Scott Weingart.

Podcast 182 – Kettlebells for the Brain – Meditation from SMACC 2016  

A slightly different kind of topic was my inspiration for the John Hinds Keynote at SMACC

EMCrit by Scott Weingart.

Wee – Avoiding Disaster – Endotracheal Tube Cuff Leaks and Tube Exchanges  

It seems simple, but not treating this situation with respect can lead to disaster.

EMCrit by Scott Weingart.

Podcast 179 – An Interview with Gary Klein  

Today, I am joined by my friend, Mike Lauria, to interview Gary Klein, PhD. Dr. Klein is a masterful cognitive psychologist. He is known for many groundbreaking works, including: the Recognition-Primed Decision (RPD) model to describe how people actually make decisions in natural settings; a Data/Frame model of sensemaking; a Management by Discovery model of planning to handle wicked problems; and a Triple-Path model of insight. He has also developed several research and application methods: The Critical Decision method and Knowledge Audit for doing cognitive task analysis; the PreMortem method of risk assessment; the ShadowBox method for training cognitive skills. He was instrumental in founding the field of Naturalistic Decision Making.
The Books

This is the one that got Mike and I started as Klein Fanboys

The absolute best compilation of Dr. Klein's decision-making concepts that are directly applicable to medicine

Next up on my reading list
Recognition Primed Decisionmaking

Wikipedia Link for RPD
Sites and Links

Dr. Klein's Company
Shadowbox Training

Articles Mentioned in the Show

Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26.
Can We Trust Best Practices? Six Cognitive Challenges of Evidence-Based Approaches. Journal of Cognitive Engineering and Decision Making

Additional Related Stuff

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.
Effects of reflective practice on the accuracy of medical diagnoses.  Going fast might not induce more error, it's about experience and if you have the patterns to recognize:
Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Slowing down doesn't help.  Slow is just slow. Smooth is FAST, and smooth is about economy of cognitive resources and movements
The relationship between response time and diagnostic accuracy.
The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning.

Now on to the Podcast:

EMCrit by Scott Weingart.

Modification of Scalpel Finger Bougie Technique  

No more bougie hold-up for scalpel-finger-bougie cric

EMCrit by Scott Weingart.

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