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Quick References By Technique

Ultrasound (POCUS)

Pediatric POCUS

ECG

Pediatric ECG

Laceration Repair

Splinting

Procedural Sedation

Lumbar Puncture & Other Bedside Procedures

Signouts — IPASS

Using the IPASS framework (peer-reviewed; Starmer AJ et al, N Engl J Med 2014;371:1803-12).

  • Illness Severity — stable / unstable / watch; working diagnosis; disposition
  • Patient Summary — medical history, pertinent exam + labs/imaging
  • Action List — by problem, with interventions and outcomes
  • Situational Awareness & Contingency — current plan, follow-up issues, “if X then Y”
  • Synthesis by Receiver — read-back

Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803–1812. Free full text.

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