Points to Focus upon
- “Hot Debriefs” are clinical debriefs that occur right after a high acuity situation. As a physician who has been redeployed to the ED there will be a vast amount of knowledge you will have to review and sift through. Running a debrief will allow you to review protocols and bounce ideas off members of the team who are involved in resuscitations on a daily basis.
- If you are running the resuscitation you should focus on that. To assist with debriefing, consider offloading some of the cognitive load by assigning the role of Debriefing Leader to someone else, whether it be a nursing colleague or a trainee. Recent literature has suggested that the Charge Nurse may also be a great resource for running hot debriefs1.
IMPORTING THIS SKILL TO THE COVID-19 CONTEXT
- It is of the utmost importance in the context of appropriate PPE and protecting your team when taking care of COVID-19 positive patients
- Debriefing after protected airway or protected resuscitation
- May be useful in a number of contexts (e.g. ED, ICU, CCU, or other inpatient wards)
- The ideal hot debrief format is ideal for debriefing after COVID-19 resuscitations as it allows for immediate impressions and modifications can be put in place for the following critical event
An Approach to “Hot Debriefing”
- Establish the Framework for the Debrief
- Basic Assumption
- Discuss Successes
- Discuss Challenges
- Assess Prevention of Incident
- Consider a Cold Debrief
Recommended Reading, Videos, and Podcasts
- Here is a script that we have prepared
- Debriefing Webinar
- Take Stock Hot Debrief Tool (CAUTION: UK resource)
This post was edited by Dr. Teresa Chan MD FRCPC DRCPSC. This post was copyedited and uploaded by Johnny Huang.
- 1.Rose S, Cheng A. Charge nurse facilitated clinical debriefing in the emergency department. CJEM. 2018;20(5):781-785. doi:10.1017/cem.2018.369