Part 4: Team Dynamics

What is the responsibility of a compressor role?

-assess patient -5 cycles of chest compressions -alternate with AED/Monitor/Defibrillator role

What is the responsibility of a team leader role?

-assign roles -make treatment decisions -provide feedback to team as needed -assumes responsibilities for roles not assigned

What is the responsibility of a AED/monitor/defibrillator role?

-brings and operates AED/monitor/defibrillator -alternates with compressor (ideally during rhythm analysis) -if monitor is present, place where the team leader and most of the team can see

How does the team leader practice closed-loop communication?

-call each team member by name and make eye contact when giving instructions -don't assign additional tasks until you are sure that the team member understands the instructions

What are resuscitation triangle roles?

-compressor -AED/Monitor/Defibrillator -airway

How do team members practice closed-loop communication?

-confirm that you understand each given task by verbally acknowledging -tell the team leader when you have finished a task

Why is debriefing important in a resuscitation attempt?

-helps individual team members perform better -aids in identification of system strengths and deficiencies -can improve patient survival

What is meant by "knowledge sharing"

team leaders ask frequently for observations/feedback to avoid oversights

what is the chest compression fraction?

the proportion of time that chest compressions are performed during a cardiac arrest

What is the appropriate action to demonstrate closed-loop communication when the team leader assigns you a task? (a) repeat back to the team leader the task you were assigned (b) nod you head as acknowledgement of the task (c) start performing the assigned task, but do not speak to minimize noise (d) wait for the team leader to address you by name before acknowledging the task

(a) repeat back to the team leader the task you were assigned

After performing high-quality CPR for 5 minutes, the team leader frequently interrupts chest compressions to check for a pulse even though the victim has no organized rhythm when the AED analyzes the rhythm. Which action demonstrates constructive intervention? (a) ask another rescuer what he thinks should be done (b) say nothing that contradicts the team leader (c) suggest to resume chest compressions without delay (d) wait until the debriefing session afterward to discuss it

(c) suggest to resume chest compressions without delay

The team leader asks you to perform bag-mask ventilation during a resuscitation attempt, but you have not perfected that skill. What would be an appropriate action to acknowledge your limitations? (a) pick up the bag-mask device and give it to another team member (b) pretend you did not hear the request and hope the team leader choses someone else to do it (c) tell the team leader that you are not comfortable with performing that task (d) try to do it as best you can and hope anther team member will see you struggling and take over

(c) tell the team leader that you are not comfortable with performing that task

What is the responsibility of an airway role?

-open and maintain airway -provide ventilation

Why is summarizing information out loud during a resuscitation attempt helpful?

-provides ongoing record of treatment -acts as a way to reevaluate the victim's status, the interventions performed, and the team's progress within the algorithm -helps team members respond to the victim's changing condition

What is the responsibility of a timer/recorder role?

-records times of interventions and medications and announces when the next are due -record frequency and duration of interruptions in compressions -communicate these times

What are the 3 categories of team dynamic element?

-roles -what to communicate -how to communicate

What is considered leadership roles during a resuscitation attempt?

-team leader -medication administration -timer/recorder

What is meant by "knowing your limitations"

-team members and leaders know limits -ask for assistance and advice EARLY

What are ways to deliver clear messages?

-using concise, clear language -speaking in a loud, calm and confident tone

Every resuscitation team must have

a team leader

What is meant by "constructive intervention"

correct inappropriate actions tactfully, no matter what their role is

When should debriefing be done?

during and after the resuscitation attempt

Why is mutual respect important in an resuscitation attempt?

emotions can be running high, so the team leader should speak in a friendly, controlled voice without aggression

Successful multi-rescuer team members not only have medical expertise and mastery of resuscitation skills, but also:

good communication and effective team dynamics

What is the number 1 cause of death in the world?

heart disease

Performing CPR with a chest compression fraction as (high/low) as possible is advisable to achieve ROSC, shock success and survival.

high