PEARLSScriptedDebriefing’Tool ’–’QuickstartGuide

PEARLS Scripted Debriefing tool Quickstart Guide Walter Eppich, MD, MEd, Adam Cheng, MD PEARLS Debriefing Framework REACTION. How did that feel? . DESCRIPTION. Can someone summarize what the case was about from a medical point of view? What were the main issues you had to deal with? . ANALYSIS. Pick one of the three methods below Learner Self-Assessment ( Plus-Delta) Directive feedback and teaching Focused Facilitation ( Advocacy- What aspects of the case do you think you I noticed you [insert performance gap here]. Inquiry). managed well? Next time, you may want to [close Elicit underlying rationale for actions: see What aspects of the case would want to gap] because [provide rationale] page 2 for approach change? . Are there any outstanding issues we haven't discussed yet before we start to close?

Communications were closed-loop, clear and heard; reports were in SBAR format Everyone knew what the emergency was (shared mental model) Team Leader was identified; leadership was clear; TL did not perform a task R-series ETCO2 and CPR feedback used to determine compression effectiveness and Return of Spontaneous Circulation

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