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Information Processing and Mental Models: World Views

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Crisis Management in Acute Care Settings

Abstract

A team of paramedics is confronted with a routine call: a motor vehicle accident with two lightly injured patients and one severely injured patient. The medical treatment of the patient with clinical signs of volume depletion is routine: oxygen via face mask; the placement of several large-bore i.v. lines, and volume resuscitation. However, this emergency situation featured some noteworthy exceptions from “the routine MVA” which were not realized by the EMTs. Neither the unclear circumstances of how the accident happened, nor the missing signs of injury, nor the sternotomy scar which could indicate previous cardiac surgery (e.g., CABG) received attention. The initial assumption of volume loss as the reason for the arterial hypotension was never questioned. A nontrauma cause, such as an acute myocardial infarction, was not considered. Available information was not searched for nor taken into account during the entire operation.

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Erlangen-Nürnberg, Krankenhausstr. 12, 91054, Erlangen, Germany

    Dr. Michael St.Pierre

  2. Hohenheimerstr. 104, 71686, Remseck, Germany

    Dr. Gesine Hofinger

  3. c/o Gesine Hofinger Hohenheimerstr. 104, 71686, Remseck, Germany

    Cornelius Buerschaper

  4. Harvard Medical School Massachusetts General Hospital, 65 Landsdowne Street, Cambridge, MA, 02139, USA

    Robert Simon (Director Center for Medical Education)

Authors
  1. Dr. Michael St.Pierre
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  2. Dr. Gesine Hofinger
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  3. Cornelius Buerschaper
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  4. Robert Simon
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Corresponding author

Correspondence to Michael St.Pierre .

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© 2011 Springer-Verlag Berlin Heidelberg

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St.Pierre, M., Hofinger, G., Buerschaper, C., Simon, R. (2011). Information Processing and Mental Models: World Views. In: Crisis Management in Acute Care Settings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19700-0_6

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  • DOI: https://doi.org/10.1007/978-3-642-19700-0_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-19699-7

  • Online ISBN: 978-3-642-19700-0

  • eBook Packages: MedicineMedicine (R0)

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