Transcript E is for Emergencies Dr Jane Lowery Anaesthetic Specialist Registrar &

E is for Emergencies
Dr Jane Lowery
Anaesthetic Specialist Registrar &
Walport Academic Clinical Fellow
Objectives
• Define what constitutes an anaesthetic
emergency
• Understand why emergencies occur
• Know how to prevent emergencies happening
• Know one approach to crisis management
Definition
• An unexpected rapidly-evolving event
requiring immediate intervention to
prevent disaster
• Can be simple or complex
Why do emergencies occur?
• Patient factors
• Anaesthetic factors
• Surgical factors
How can we prevent
emergencies occurring?
• Optimise your environment, check
equipment
• Anticipate and plan
• Take a leadership role & communicate
effectively
• Minimise distractions
• Don’t rush
• WHO surgical safety checklist
How do we approach the
management of developing crisis?
• Effective PRACTICAL and
COMMUNICATION skills are the key!
– Let people know - call for help!
– Stay calm
– Plan B or C possible?
– Don’t Know?
AIMS Study
Anaesth Intensive Care 1993 Oct;21(5):520-8
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Australian Patient Safety Foundation
90 hospitals
Anonymous & voluntary reporting
Unintended incidents which reduced
patient safety
• First 4000 reports indicated anaesthetists
detected 7/8 critical events
• SOS COVER ABCD A SWIFT CHECK
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S - Stop
O - Oxygen
S - Shout for help
C - Colour, Circulation, Capnograph
O - Oxygen supply, Quantity
V - Ventilation
E - EET
R - Review equipment
ABC
D - Drugs
A - Anaphylaxis, Awareness, Air embolism
SWIFT CHECK - of patients, surgeons,
surrounds
SOS ABCD A SWIFT CHECK
• Cognitive aid
• Allows us to systematically cycle
through a basic series of thoughts and
actions
• Reduces prevalence and severity of
incidents
• Promotes patient safety awareness
• Builds teamwork
Summary
• Define what constitutes an anaesthetic
emergency
• Understand why emergencies occur
– Patient, anaesthetic, surgical factors
• Know how to prevent emergencies happening
– Environment, distractions, communication, WHO
checklist
• Know one approach to crisis management
– SOS COVER ABCD A SWIFT CHECK
THANK YOU