

Ep 201 How EM Experts Think Part 2: Data Gathering, Diagnostic and Treatment Decision Making, Test Ordering and Interpretation, Documentation, Emotional Resilience
41 snips Jan 7, 2025
Reuben Strayer, an emergency medicine expert, joins Mike Betzner and Scott Weingart, seasoned emergency physicians, to share their insights on enhancing clinical decision-making in the ED. They discuss the critical skills of efficient data gathering, masterful history-taking, and the nuances of physical examinations. The conversation highlights the importance of cognitive strategies like heuristic cycling and the balance of shared decision-making with patients. Additionally, they explore emotional resilience techniques to combat stress and boost performance, stressing the value of reflective practices and mindfulness in high-stakes environments.
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Data Gathering
Prioritize gathering all relevant data before seeing the patient. Review nursing notes, EMS records, and vital signs to build a comprehensive understanding of the case.
Structured History Taking
Ask about medical problems and medications before the chief complaint to frame the patient's context. Use this information to guide your understanding and management plan.
Heuristic Cycling
Heuristic cycling involves reflecting on your subconscious patterns to ensure they remain valid. This practice helps prevent reliance on outdated or faulty heuristics.