Finding time to debrief challenging or difficult cases can feel nearly impossible amidst the tumult and task saturation of medical practice. The reality, however, is that it’s a necessity, not a nicety.  In this episode, emergency physician Stuart Rose and rescue specialist Ashley Liebig discuss two different approaches to immediate debriefs: INFO and the hot offload.   Guest Bios:  Stuart Rose is an emergency physician practicing in Calgary, Canada and lead author of the seminal debriefing paper, Charge nurse facilitated clinical debriefing in the emergency department.  Ashley Liebig is a HEMS Flight Nurse and Helicopter Rescue Specialist with Austin Travis County STAR Flight. Prior to her flight and rescue career, Ashley served in the US Army as a combat medic with the 101st Airborne Division. She is known around the world as a teacher of managing the stress response We Discuss A particularly stressful resuscitation that was taxing, emotionally and physically, and an approach to the “hot offload” [03:30]; Debriefing core concept #1:  The ED charge nurse is optimally suited to organize the debriefing and to lead the conversation [07:25]; A structured approach to debriefing using the mnemonic INFO [12:40]; Sample debrief scripting [13:30]; Handling conflict or criticism that may arise during a debrief [18:35]; The importance of establishing psychological safety [21:00]; Principles of a hot offload [28:15]; Hot offload steps [32:25];  Ashley’s Credo:  work hard, be respectful, be kind [36:40]; and more. Support the show (https://www.patreon.com/stimuluspod) For previous episodes, detailed show notes, or to sign up for our newsletter: https://roborman.com/category/stimulus/ This podcast streams free on iTunes, Spotify, and Stitcher. Interested in one-on-one coaching? https://roborman.com/ Follow Rob:  Twitter, Facebook, and Youtube.