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Thursday, March 4, 2021

Functional Heuristics in Resus

EMCrit RACC
EMCrit 293 - March 03, 2021 - By Scott Weingart
...”What is a Heuristic?
A short cut to extended, analytical thinking that when functional provides a solution that may not be optimal but will be sufficient. When based on cognitive biases, heuristics may be dysfunctional. Wikipedia has a fairly good discussion of heuristics...
Functional Heuristics in Resuscitation
  • Flank Pain in Elderly is AAA until the Ultrasound
  • Severe Bradycardia/Heart Block = Hyperkalemia until you see the K
  • Slovis' Hypokalemia = Hypomagnesemia (Hypok=HypoMAG)
  • Unexplained Hypotension gets antibiotics
  • Hypotension and Abdominal Pain in Child-Bearing Age Female is Ectopic
  • Chest Pain Plus
  • Tamponade is dissection until it is not
  • Old stay, young go
  • Err towards Young D/C and Old Stay and then check
  • Think LP/do LP
  • The diagnoses of costochondritis and gastroenteritis do not exist
  • What is going to kill this patient? (Pre-Mortem)Functional Heuristics in Resus