Claw, fight, learn, grow, improve — The inches, the marginal gains we need to become expert resuscitationists, are all around us.  To find them requires insight, self-reflection, and effort.  In this powerful plenary session, Michael Lauria draws from his military and paramedic background on how to push your performance to the next level.

James Gould, winner of the prestigious #resusTO resident speaker competition, talks us through a sensible and management-focused approach to one of the most challenging clinical scenarios out there.  Echo, ECMO, pressors and more.

Tour bus vs bridge beam, structure partially collapsed, multiple victims en route, extrication in progress.  Estimated 50 or more casualties.  Can you manage the first 15 minutes of a catastrophic scenario?  Yes you can.  And Sara Gray his here to tell you how.

Who are you?  More importantly, who are WE?  Kicking off #resusTO, Peter Brindley talks about we come together, or fail to come together, to work as inter professional teams, and what we can do to make things better, safer, and hell — more fun.

So you’ve got a checklist.  You brief your teams.  Check and check.  Now, how do you make sure what you’re doing is actually helping your team prepare for what comes next?  How can you effectively situate briefings within a complex interprofessional culture?  Vic Brazil is, as always, not to be missed.

It takes more than just a fancy headset.  An #MedEd visionary, Jesse Spurr leads us through an evidence-based discussion and demonstration of how virtual and augmented reality will shape the future of simulation-based medical education and patient care.

Effective resuscitation begins BEFORE the primary survey, with a deliberate appraisal of self, team and environmental resources and limitations.  The Zero Point Survey describes an organized approach to setting the stage, even in the most complex clinical situations.  Hicks and Petro help you set up for success.

Unidentified male, altered LOA, temperature 40C, hypotensive, ECG shows QRS > 0.12s.  What next?  Emergentologist and toxicologist Emily Austin talks through a practical approach to the undifferentiated overdose with a weird looking ECG.

“Re-sequence your approach based on physiologic priorities” -Petro“Customize, then optimize” -ChrisATLS provides a useful and structured approach to the patient with multiple injuries. However, strict adherence to the ABCDE script can cause harm in certain circumstances. In this talk, Chris and Petro discuss how to customize resuscitation based on physiologic priorities. (18:36)

“This one will wake you up; Badness is coming your way” - Sara You might only see this once in a career, and when you do, you and your team need to be ready.  Sara talks physiology, technique and team-based approach to this confronting resuscitative scenario. (19:18)

 “Experience and expertise are not the same thing” -Chris resusTO was designed to bring simulation and resuscitation together in an inter-professional environment.  Chris describes the rationale for training like you fight, using simulation to help teams manage complexity and develop collective competence at the level of teams, systems and organizations. (21:38) 

Critical Airway Management and Mindset (CRAMM)“You suck at airway” -ScottDon’t play the anesthesiologist’s game. For most emergency, critical care and prehospital providers, airway management is a rare and episodic, providing little opportunity for practice, improvement and skill development. Master one technique, know it cold: Scott talks single-technique mastery and first-pass success, anywhere other than in the OR. (15:08) Link to the EMCrit algorithm: https://bit.ly/2NuqKKw

Andrew Petrosoniak and Patricia Trbovich: Resuscitation Economics “We are predictably irrational” -Patricia Nudging behaviour. Friction. Opportunity cost. Resuscitation by definition requires making choices and working with finite resources. Petro teams up with human factors engineer Patricia Trbovich to describe how principles of behavioural economics can be used to improve patient safety and resuscitation efficiency. (20:40) More info on TRUST: https://bit.ly/2VJT0MP 

Victoria Brazil and Jesse Spurr: Defending the Tribe: Do MDs Make the Best Team Leaders? “Leaders are one thing, but leadership is another” -Vic Effective leadership models, distributed leadership, nurse-led resuscitation teams. In this kick-off talk for resusTO 2018, Vic and Jesse set the table by sharing strategies for organizing leadership to respond do dynamic clinical environments. What’s your one percent? (20:31)

Sara Gray: After the Arrest  “You will have cases that hurt you, cases that haunt you” – Sara This is not post-arrest care for the patient, but for the provider. What happens to US, on the front lines, after cases that challenge us personally, emotionally, spiritually? Like most challenges, you need a plan. In this powerful talk, Sara Gray describes her structure and strategy for psychological well-being after inevitable tough resuscitations. (18:00)