To organize an approach to critical access emergency medicine
 Foster a Proactive Critical Care Mindset: Cultivate anticipation and early recognition skills in
critical care situations.
 Bridge Knowledge Gaps in Critical Care: Identify and address learning needs to enhance
patient management in critical care.
 Mitigate Negative Bias in Decision-Making: Reduce the influence of pessimistic bias on
clinical judgments and patient care strategies.
 Integrate System 1 and System 2 Thinking: Apply fast, intuitive thinking and slow, rational
analysis appropriately in critical care scenarios.
 Correlate Tachycardia with Clinical Presentation: Associate tachycardic rhythms with patient
signs and symptoms for accurate assessment.
 Interventions for Unstable Tachycardia: Master critical interventions to stabilize patients
with life-threatening tachycardia.
 Guidelines for Heart Block Management: Outline the standards for diagnosing and treating
different types of heart blocks.
 Manage Unstable Bradycardia: Review essential interventions for patients presenting with
hemodynamically unstable bradycardia.
 Early Management of Hypotension and Shock: Guide the prompt identification and initial
treatment strategies for hypotensive shock and resuscitation.

Career Optimization
Examine the Four Domains of Life: Recognize and describe the
components of physical, mental, emotional, and spiritual well-being.
Define Happiness: Articulate the concept of happiness in the context of
health and well-being.
Correlation Between Happiness and Longevity: Investigate the
connection between positive affect and increased life expectancy.
Harvard Happiness Study Analysis: Review and discuss the
methodology and implications of the Harvard Happiness Study.
Master the CHERISH Mnemonic: Employ the CHERISH mnemonic to enhance personal and patient well-being.
Vision Crafting: Develop a personal and professional life vision that
encompasses happiness and health.

To guide the clinical approach to airway emergencies

• Diagnose and Manage Congestive Heart Failure (CHF): Establish protocols for the effective treatment of CHF in emergency situations.
• Obstruction Management: Develop strategies for the assessment and treatment of obstructive emergencies.
• Manage Reactive Airway Diseases: Create treatment pathways for asthma and Chronic Obstructive Pulmonary Disease (COPD).
• Treat Infectious Respiratory Conditions: Standardize the approach to diagnosing and managing pneumonia.
• Address Pulmonary Embolism Emergencies: Formulate rapid response plans for suspected pulmonary embolism cases.
• Differentiate and Treat Pneumothorax: Distinguish between simple and tension pneumothorax and apply appropriate interventions.
• Resuscitation for Toxic Ingestion: Initiate life-saving procedures in cases of toxic substance ingestion.
• Electrolyte Emergencies Clinical Approach: Assemble a systematic clinical method for handling electrolyte imbalances.
• EKG Interpretation Clinical Approach: Organize a clinical routine for accurate EKG interpretation.
• Chest Pain Evaluation Strategy: Define a comprehensive approach to assess and manage chest pain.
• Identify Infectious Causes of Chest Pain: Recognize and treat infectious etiologies of chest pain including pericarditis.
• Utilize HEART Score for Chest Pain Assessment: Implement the HEART Score to evaluate risk in patients with chest pain and acute coronary syndromes.

Burnout in AEM

• Define the concept of burnout and its impact on healthcare professionals.
• Explore the six drivers of job contentment to enhance work satisfaction.
• Examine personal motivation in medicine with the ‘What’s your why?’ inquiry.
• Understand resilience through the lens of the Stockdale Paradox.
• Learn techniques to incorporate ‘the pause’ for mental health and decision-making.
• Discuss the biology of mental stability and strategies for maintaining it.
• Analyze the concept of ‘locus of control’ and its effect on professional autonomy.
• Develop skills to control focus and improve cognitive function during stress.
• Learn how to control the interpretation of events to maintain mental health.
• Understand the role of physical movement in altering psychological states.

To guide in running a code blue and near-code

• Primary Assessment Review: Discuss the elements of primary assessments in emergency care.
• Secondary Assessment Review: Discuss the elements of secondary assessments in emergency care.
• Understand shock and it’s early presentation and treatment
• Review acid base in the presentation of a critically ill patient
• CPR and Resuscitation Techniques: Discuss the critical techniques of Cardiopulmonary Resuscitation (CPR) and resuscitation approaches.
• Pulseless Electrical Activity Management: Analyze treatment strategies for pulseless electrical activity in emergency care.
• Lethal Arrhythmias Treatment: Review and understand the treatment protocols for life-threatening arrhythmias.
• Examine lethal arrhythmias and pharmacology/defibrillation options.
• Identify patients in the peri-arrest scenario and provide tools to optimize outcomes.

Optimize the Clinician/Prevent Burnout

Medical errors

Review the fiduciary relationship – ethical and legal relationship of trust between the healthcare provider and the patient.

Understand that  heuristics are mental shortcuts or ‘rules of thumb’ that simplify decision making. In medical practice, they can lead to both efficient and sometimes erroneous conclusions.

Review the three causes of medical errors

We will dive into the following cognitive errors that lead to medical errors

Attribution

The process of making inferences about the causes of one’s own and others’ behaviors, which can lead to diagnostic bias.

Search sacrificing

Stopping the search for a diagnosis once a plausible answer has been found, possibly missing the correct diagnosis.

Anchoring/triage cueing

The tendency to rely too heavily on the first piece of information seen (anchor) when making decisions (like initial symptoms in triage).

Posterior probability

The likelihood of a disease after considering the evidence, which may be over- or underestimated.

Vertical line thinking/diagnostic momentum

Continuing on a diagnostic path without considering alternatives due to previous momentum in that direction.

Framing

The way information is presented can affect decision making and problem-solving, leading to errors.

Premature closure

The decision-making error caused by ceasing to consider other possible diagnoses after a diagnosis is reached.

Availability

A cognitive bias that overestimates the likelihood of events that are more readily available in memory, which can skew diagnosis.

Confirmation bias

The tendency to search for, interpret, and remember information in a way that confirms one’s preconceptions, leading to diagnostic errors.

Review the tools to protect against cognitive errors

Get a Coach

Having a mentor or coach to review decisions and provide guidance can help prevent errors.

Sharpen the saw

Continuous learning and skill improvement can help prevent cognitive errors.

Metacognition

Awareness and understanding of one’s own thought processes can help identify and correct for biases.

Keep an open mind

Being open to multiple possibilities can help ensure a thorough diagnostic process.

Be self aware of strong emotion/value judgments

Recognizing and controlling emotional responses and value judgments can help reduce cognitive errors.

Decrease reliance on memory

Using checklists or decision support systems can help reduce errors due to memory failure.

Develop a system of feedback and accountability

Creating mechanisms for feedback on diagnostic decisions can improve accuracy and accountability.

Establishing a Personal Vision for Healthcare Professionals

To guide healthcare professionals in setting a clear vision for their careers and lives, aligning personal goals with their professional aspirations.

Equipping Healthcare Leaders with Inspirational Leadership Tools

To empower healthcare professionals with practical tools and strategies for inspiring and motivating their teams, colleagues, and patients.

Enhancing Effective Communication Skills in Healthcare

To improve healthcare professionals’ ability to communicate logically, clearly, and concisely in various clinical and non-clinical settings, fostering better patient care and teamwork.

Mastering Diplomatic Conflict Resolution in Healthcare

To train healthcare professionals in the art of handling conflicts diplomatically, promoting harmonious relationships among colleagues, patients, and within interdisciplinary teams.

Coping Strategies for Stress Management and Worry Reduction

To provide healthcare professionals with effective techniques for managing stress and minimizing worry, ensuring they can maintain their well-being and perform optimally in demanding healthcare environments.

Cultivating a Culture of Appreciation in Healthcare

To help healthcare professionals understand the importance of appreciation in healthcare settings and practice how to give meaningful and genuine appreciation to colleagues, patients, and support staff.