75. Hot Debriefing

<p><span style="font-weight: 400;">Finding time to debrief challenging or difficult cases can feel nearly impossible amidst the tumult and task saturation of medical practice. The reality, however, is that it’s a necessity, not a nicety.  In this episode, emergency physician Stuart Rose and rescue specialist Ashley Liebig discuss two different approaches to immediate debriefs: INFO and the hot offload.  </span></p> <p><strong>Guest Bios</strong><span style= "font-weight: 400;">: </span></p> <p><span style="font-weight: 400;">Stuart Rose is an emergency physician practicing in Calgary, Canada and lead author of the seminal debriefing paper,</span> <a href= "https://pubmed.ncbi.nlm.nih.gov/29733001/"><span style= "font-weight: 400;">Charge nurse facilitated clinical debriefing in the emergency department</span></a><span style= "font-weight: 400;">. </span></p> <p><span style="font-weight: 400;">Ashley Liebig is a HEMS Flight Nurse and Helicopter Rescue Specialist with Austin Travis County STAR Flight. Prior to her flight and rescue career, Ashley served in the US Army as a combat medic with the 101st Airborne Division. She is known around the world as a teacher of managing the stress response</span></p> <p>We Discuss</p> <ul> <li> <p>A particularly stressful resuscitation that was taxing, emotionally and physically, and an approach to the “hot offload” [03:30];</p> </li> <li> <p>Debriefing core concept #1:  The ED charge nurse is optimally suited to organize the debriefing and to lead the conversation [07:25];</p> </li> <li> <p>A structured approach to debriefing using the mnemonic INFO [12:40];</p> </li> <li> <p>Sample debrief scripting [13:30];</p> </li> <li> <p>Handling conflict or criticism that may arise during a debrief [18:35]<span style="font-weight: 400;">;</span></p> </li> <li> <p>The importance of establishing psychological safety [21:00];</p> </li> <li> <p>Principles of a hot offload [28:15];</p> </li> <li> <p>Hot offload steps [32:25];</p> </li> <li> <p> Ashley’s Credo:  work hard, be respectful, be ki