EMCrit Project

EMCrit Project


EMCrit 293 – The Jerk & Check, Functional Heuristics in Resuscitation Project (MotR)

March 03, 2021

What is a Heuristic?
A short cut to extended, analytical thinking that when functional provides a solution that may not be optimal but will be sufficient. When based on cognitive biases, heuristics may be dysfunctional. Wikipedia has a fairly good discussion of heuristics.
Thinking Fast and Slow

System 1 vs. System 2

Our interview with Gary Klein
ERADs are the Action Version of Functional Heuristics
Emergency Reflex Action Drills from Lauria
Jerk & Check
Never immediately act on a heuristic. Have your kneejerk response and then use System 2 to Check
Functional Heuristics in Resuscitation
Flank Pain in Elderly is AAA until the Ultrasound
 
Severe Bradycardia/Heart Block = Hyperkalemia until you see the K
 
Slovis' Hypokalemia = Hypomagnesemia (Hypok=HypoMAG)
 
Unexplained Hypotension gets antibiotics
 
Hypotension and Abdominal Pain in Child-Bearing Age Female is Ectopic
 
Chest Pain Plus
 
Tamponade is dissection until it is not
 
Old stay, young go
Err towards Young D/C and Old Stay and then check
Think LP/do LP
 
The diagnoses of costochondritis and gastroenteritis do not exist
 
What is going to kill this patient? (Pre-Mortem)
a adaption of Gary Klein's idea
Ad Spot: Butterfly IQ+
Read about and watch Mike Stone demonstrate BiPlane

EMCrit listeners get a free case worth $99 with the purchase of a Butterfly iQ+ probe and membership. Simply use the referral code "EMCRIT" at checkout
Note: Butterfly provided a probe for testing to Metasin LLC
Now on to the Podcast...