Coffee and Cases (C&C) - Enhancing Knowledge Creation and Sharing for Organizational Learning From Clinical Debriefs in a Helicopter Emergency Medical Service: A Quality Improvement Study.

Objectives: The objective of this quality improvement (QI) study was to improve organizational learning from clinical debriefs known as "Coffee and Cases" (C&C) in a helicopter emergency medical service (HEMS) by increasing weekly learning summaries (LS) and documented learning points (DLP) as well as the dissemination thereof by at least 50% from baseline.

Methods: The problem analysis for sub-optimal organizational learning from C&C identified several factors, including lack of responsibility, poor documentation quality, and limited sharing of learning points. Using the Model for Improvement (MFI), interventions enhanced the learning environment, and improved documentation and dissemination.

Measured task load in directed observers versus active participants undergoing high-fidelity simulation education in a critical care setting.

Objectives: The use of directed observers in high-fidelity simulation education is increasingly common. While evidence suggests similar educational outcomes for directed observers compared to active participants in technical skills, it remains uncertain if this benefit also exists for senior clinicians, especially in mental workload. We sought to compare the workload between active participants and directed observers using an objective measure.

Zero point survey: a multidisciplinary idea to STEP UP resuscitation effectiveness.

The primary survey assessment is a cornerstone of resuscitation processes. The name itself implies that it is the first step in resuscitation. In this article, we argue that in an organized resuscitation the primary survey must be preceded by a series of steps to optimize safety and performance and set the stage for the execution of expert team behavior.

Major Trauma Outside a Trauma Center: Prehospital, Emergency Department, and Retrieval Considerations.

Care of the critically injured begins well before the patient arrives at a large academic trauma center. It is important to understand the continuum of care from the point of injury in the prehospital environment, through the local hospital and retrieval, until arrival at a trauma center capable of definitive care. This article highlights the important aspects of trauma assessment and management outside of tertiary or quaternary care hospitals.

Bedside review of patient care in an emergency department: The Cow Round.

Objective: Clinical handover is a critical point in medical care in the ED, which can contribute to adverse effects for patient care and staff workloads. Over a 4 and a half months in a tertiary referral hospital ED, a centralized whiteboard handover was performed followed by a multidisciplinary review of each patient. This round was referred to as the 'Cow Round'.

Severity of obstructive apnoea in children with Down syndrome who snore.

Diagnostic overnight polysomnograms of 33 children with Down syndrome who snored were reviewed. Mean age was 4.9 years, none had had adenotonsillectomy, 91% were non-obese (Down syndrome specific body mass index standard deviation score (BMI SDS) <+2.