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23 - CAIXA DE FERRAMENTAS DO RESIDENTE: ESTRATÉGIAS PARA O MANEJO DE SITUAÇÕES CRÍTICAS NA URGÊNCIA E EMERGÊNCIA

Doi: 10.47094/IVCOLUBRASC.2026/RS/23

PALAVRAS CHAVE: Serviço hospitalar de emergência. Segurança. Tomada de decisões.

KEYWORDS: Hospital emergency service. Safety. Decision-making.

ABSTRACT:
Introduction: Urgent and emergency care involve critical situations that require rapid, high-quality responses. Failures in communication, resource management, and emotional support can be linked to adverse events. In this context, decision-support tools can contribute to patient safety. Objective: To describe the collective development of strategies to support decision-making in critical situations encountered within urgent and emergency care. Methodology: This is an experience report regarding an educational activity that utilized the active learning methodology known as Problem-Based Learning (PBL). The activity took place in May 2026 and lasted two hours; it involved eight second-year residents from a Multiprofessional Residency Program in Urgent and Emergency Care—three from nursing, three from pharmacy, and two from physical therapy. Participants were organized into pairs to discuss four critical scenarios: communication failure, overcrowding, a critically ill patient lacking an available hospital bed, and conflict involving an aggressive family member. Resources and strategies were identified and categorized into four dimensions: clinical, communication, management, and emotional support. These were recorded on colored posters—with a specific color assigned to each dimension—and subsequently digitized to be made available to the participants. Results and Discussion: The resulting "toolbox" comprised strategies such as SBAR, nonviolent communication, active listening, briefing, debriefing, huddles, closed-loop communication, leadership, emotional intelligence, the role of the Internal Regulation Unit (NIR), Kanban, institutional protocols, multiprofessional rounds, continuous monitoring, and crisis interventions. The identified strategies demonstrate that managing critical situations requires not only technical knowledge but also competencies related to communication, leadership, and teamwork. The collective development of the "toolbox" stimulated reflection on the challenges of daily clinical practice and strengthened the multiprofessional perspective essential for safe decision-making in urgent and emergency care settings. This resource has the potential to be used by hospital residents and professionals as a tool to support decision-making and the management of critical situations. Final considerations: Developing the toolbox enabled residents to identify clinical, communicative, managerial, and emotional resources applicable to managing critical situations, thereby strengthening the competencies required for collaborative and safe practice in urgent and emergency scenarios.

Autores

  • Júlia Cristine Gomes De Lima

  • Victor Dos Reis Santiago

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