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Tim Horeczko: Towards A Calmer Resus at DFTB17


This talk was recorded live during the final plenary session of DFTB17 in Brisbane. If you missed out in 2017, you can check out our YouTube channel to watch any of the talks.

What else do you want to know about Tim Horeczko? Sub-speciality board certified in Paediatric (or as he likes to call it, Pediatric) Emergency Medicine, polyglot and all round good egg. Tim took this opportunity to bring a little calmness to the stressful storm that can be a paediatric resus.

So to prime you for this talk, take a look at this…

That makes it sound so easy, doesn’t it? Just embody those four things, and all will be golden. Go ahead and watch the talk and find out how you can calm the paediatric resuscitation.

Emergency medicine presents a complex and fast-paced environment. Tim Horeczko’s enlightening presentation at DFTB17 delves into the intricacies of pediatric resuscitation, offering valuable insights to improve outcomes while maintaining a composed approach. In emergency medicine, continuous improvement is key, and Horeczko’s perspectives provide a roadmap for navigating the challenges of pediatric resuscitation.

Navigating Controlled Chaos

In emergency medicine, quick decision-making and high-stress scenarios are the norm. Pediatric resuscitation, in particular, involves many complex decisions, each potentially altering a child’s trajectory. The ability to gather essential resources, uphold situational awareness, and make effective decisions is paramount.

Harnessing Situational Awareness

Situational awareness emerges as a critical skill in pediatric resuscitation. This state of heightened vigilance and readiness is instrumental. Horeczko’s example of a child with stridor showcases how careful observation and astute assessment can lead to identifying an airway obstruction, allowing the medical team to respond promptly and effectively.

The scope of situational awareness extends beyond the confines of the emergency department, encompassing the pre-hospital setting. Collaborating with pre-hospital providers, obtaining crucial patient information, and comprehending the broader context can significantly influence the quality of care provided upon arrival.

Refining Clinical Instincts

Pediatric resuscitation demands the honing of clinical instincts and critical thinking. Horeczko underscores the importance of these skills, highlighting the value of recognizing subtle findings that may indicate serious illness. As children are skilled at compensating for their conditions, identifying deviations from the norm and responding decisively is pivotal.

Balancing Reassurance and Resuscitation

Striking a balance between addressing non-emergent concerns and tending to critically ill patients is a central challenge in pediatric emergency medicine. Horeczko emphasizes the significance of maintaining a clear mission, prioritizing the detection and treatment of life-threatening conditions. While compassion and reassurance are vital, it is equally important to discern when immediate intervention is warranted.

Effective Communication and Respect

Effective communication forms the cornerstone of successful pediatric resuscitation. Clear and empathetic communication with patients, families, and colleagues fosters trust and enhances the overall care experience. Horeczko’s insights underscore the importance of involving parents in decision-making, explaining interventions, and cultivating collaborative care.

Pediatric resuscitation is a dynamic and rapidly evolving domain that necessitates combining clinical expertise, situational awareness, and effective communication. By tapping into our inherent strengths, nurturing situational awareness, and fostering respectful communication, we can elevate the standard of care for young patients and move towards a more composed and effective pediatric resuscitation process.

For more from Tim, head over to the Pediatric Emergency Playbook.

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