Experience Summary

In this 360-degree video, observe the multidisciplinary team performing a team brief in preparation for a pregnant patient with haemodynamic instability arriving.

Clinical Context

In the Emergency Department (ED), the arrival of a critically ill or injured patient—such as from trauma, cardiac arrest, or sepsis—requires rapid, coordinated, and efficient care. A structured team brief before the patient’s arrival plays a vital role in preparing the multidisciplinary team to deliver safe and effective treatment under pressure.

1. Establishes Role Clarity

One of the primary benefits of a team brief is clear allocation of roles and responsibilities. In a high-stakes situation, ambiguity can lead to delays, duplication of tasks, or missed interventions. Assigning specific roles—team leader, airway management, IV access, medication administration, scribe, runner—ensures that everyone knows their function from the outset. This also empowers junior team members and promotes confidence in task execution.

2. Shared Mental Model and Situational Awareness

A team brief ensures the entire team has a shared understanding of the clinical situation, anticipated interventions, and potential complications. Information relayed from pre-alerts—such as mechanism of injury, vital signs, or suspected diagnosis—helps the team anticipate what is needed. For example, knowing that a patient is arriving post–motor vehicle collision with hypotension prompts early preparation for trauma resuscitation, blood products, and imaging.

3. Improves Efficiency and Reduces Cognitive Load

Emergency scenarios are cognitively demanding and time-sensitive. A team brief helps the team mentally prepare, prioritise tasks, and streamline decision-making. This reduces cognitive overload, minimises confusion, and promotes fluid team dynamics when the patient arrives.

4. Equipment and Environment Readiness

During the team brief, equipment needs can be identified and checked in advance—e.g., intubation kit, chest drain tray, defibrillator, or massive transfusion protocol. This reduces the chance of technical delays and ensures the resuscitation environment is fully prepared.

5. Enhances Communication and Psychological Safety

A briefing fosters open communication, sets the tone for respectful teamwork, and allows team members to speak up if they identify concerns. It builds psychological safety, encouraging all staff to contribute ideas or raise red flags, regardless of seniority.

6. Improves Patient Outcomes

Ultimately, the brief facilitates faster, safer, and more coordinated care, which is directly linked to improved clinical outcomes. In critical situations, every second counts—structured preparation can mean the difference between life and death.

Learning Outcomes

1. Learn the clear communication required ahead of the assessment of acutely unwell patients
2. Observe the MDT deliver a team brief

External Resources

• 2021 Resuscitation Guidelines
• Resus Council UK Website