UMEM Educational Pearls - Administration

Title: Clinician Well-Being and the Patient Experience

Keywords: patient experience, clinician wellbeing (PubMed Search)

Posted: 5/24/2023 by Mercedes Torres, MD
Click here to contact Mercedes Torres, MD

Clinician Well-Being and the Patient Experience

Did you know that most patient experience responses are overwhelmingly positive? Rather than focusing all our attention on the bad, let’s focus on the good to promote clinician well-being. See below for a few key points from a recent study on this:

Physicians worry that the people who respond to patient experience surveys are more likely to be critical of their care. The opposite is actually true.
The authors found a 4:1 positive-to-negative ratio among 2.2 million patient experience responses collected by these authors.
Physicians and everyone else in health care are deeply motivated by the experience of giving good, patient-centered care.

Consider emphasizing positive patient experiences when providing feedback to emergency physicians. It will promote clinician well-being and help improve performance in your practice.

Show References

Title: Femoral arterial doppler during cardiac arrest

Category: Administration

Keywords: POCUS, Cardiac Arrest, Arterial Doppler (PubMed Search)

Posted: 5/15/2023 by Alexis Salerno, MD (Updated: 11/22/2024)
Click here to contact Alexis Salerno, MD

Did you know that you can use the linear probe with pulse wave (PW) doppler over the femoral artery to look for a pulse during CPR pauses?

Well, the researchers of this article took this skill one step further to evaluate if they could use the femoral artery PW doppler while CPR was in progress to look for signs of a pulse.

The authors found that:

- pulsations due to compressions were organized with uniform pulsations.

- when there was also native cardiac activity, the pulsations were nonuniform and may have an irregular cadence.

Although there were several limitations, Arterial doppler was 100% specific and 50% sensitive in detecting organized cardiac activity during active CPR.

Take Home Point: Take a look at your arterial doppler for signs of organized cardiac activity during a resuscitation.