Dr. Tarif Choudhury, a pediatric cardiac intensivist, discusses CPR and his expertise in simulation and team dynamics during a cardiac arrest. He offers valuable advice for aspiring intensivists and talks about work-life balance for healthcare professionals. The podcast also covers strategies for managing noise and chaos during critical situations, the concept of high quality CPR, and correcting suboptimal performance.
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volunteer_activism ADVICE
Mental Rehearsal
Mentally rehearse the likely arrest mechanism and team composition as you approach the scene.
This allows for quicker pivoting if the situation deviates from expectations.
volunteer_activism ADVICE
Shared Mental Model
Summarize and re-summarize information to establish a shared mental model with the team.
This helps distill the rapid-fire information and ensures everyone understands the situation.
volunteer_activism ADVICE
Room Geography
Position the recorder next to the team leader and compressors on either side of the patient's chest.
Ensure easy access to vascular access and have a charge nurse manage the crowd and communication.
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Dr. Tarif Choudhury is a pediatric cardiac intensivist at Columbia University College of Physicians and Surgeons. After finishing his residency in pediatrics at Cohen Children’s Medical Center, he completed his cardiology fellowship at Lurie Children’s Hospital in Chicago followed by a pediatric critical care fellowship at Morgan Stanley Children’s Hospital at Columbia University School of Medicine. His areas of interest are the impact of clinical simulation to improve team performance, clinical outcomes of PCICU patients and clinical outcomes of patients on mechanical circulatory support in the PCICU.
Dr. Gav Apfel is a CICU hospitalist at Columbia University College of Physicians and Surgeons. He completed his residency training at Columbia University College of Physicians and Surgeons and will be joining the Columbia University’s critical care fellowship program next year. He is interested in pursuing a career in cardiac intensive care.
Objectives By the end of this podcast series, listeners should be able to:
Strategize how to approach an arrest as the code leader
Recognize the key elements of high-quality CPR and how to optimize perfusion during an arrest
Recall airway management, oxygenation, and ventilation during CPR
Recall different approaches to physiological monitoring during an arrest to guide therapy
Recognize appropriate resuscitation drug administration and timing during CPR
Recall management with manual defibrillation for arrests with a shockable rhythm
Develop approach to determining code duration and when to discontinue CPR
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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.comfor detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
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