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CPR Scribe

ALS scribing

ALS scribing that turns into a debrief the team will use

The point of scribing an ALS arrest is not the paperwork — it is the conversation that follows. This app structures the timeline so that the hot debrief two minutes later and the cold debrief two weeks later are both grounded in the same agreed facts.

What you get

  • Key arrest metrics, computed for you
    Time to first compressions, time to first shock, adrenaline intervals, cycle adherence, total downtime. Each appears on the export without anyone having to calculate it.
  • Timeline view for hot debriefs
    Pull up the timeline on the device that scribed the arrest and walk the team through it while the events are still fresh. No screen-share, no upload.
  • Replayable for cold debriefs
    Sign in to save the session; reopen it days or weeks later for M&M, simulation review or individual reflection.
  • Anonymised by default for teaching
    No patient identifiers in the export. Safe to share as a teaching artefact without further redaction.

Why hot debriefs go wrong without data

The hot debrief immediately after an arrest is one of the highest-yield learning moments in resuscitation — and one of the easiest to fumble. Without an agreed timeline, the conversation slides into competing recollections. Someone remembers the third shock as being 'about ten minutes in'; someone else is certain it was earlier; the airway lead is sure adrenaline 4 was given before they intubated, and the scribe quietly disagrees.

A structured timeline takes those disagreements off the table. The team can look at the screen, agree that shock 3 was at 8:42, and spend the rest of the debrief on the question that actually matters: was the rhythm at that point shockable, and did we treat it correctly.

Which numbers the debrief should focus on

Four numbers do most of the work in a post-arrest debrief. Time to first compressions, because anything more than a minute warrants a conversation about recognition. Time to first shock, because every minute of delay in VF/pVT costs survival. Adrenaline interval (gap between consecutive doses), because drift here usually signals a scribe overload. Cycle adherence, because a 2-minute cycle that has slipped to 2:30 is hiding a workflow problem.

All four are computed automatically in the export. The debrief can spend its time on the why, not on the arithmetic.

Cold debriefs, M&M, and longitudinal learning

Hot debriefs change behaviour in the next case; cold debriefs change behaviour across the department. The export is designed to feed into the formats those reviews use: a one-page timeline for the M&M slide, a side-by-side comparison of two cases for the audit meeting, an anonymised teaching example for simulation.

Saved sessions accumulate over time into a personal library. A clinician who scribes ten arrests in a year has, in effect, ten teaching cases they can revisit — far more useful than ten signed paper code sheets in a filing cabinet.

Frequently asked

What makes a debrief useful?
A useful debrief is grounded in data the team can agree on. Without that, it becomes a discussion of remembered impressions — which is uncomfortable, often inaccurate, and rarely changes practice. A structured timeline lets the team focus on decisions, not on what happened.
Which metrics matter most after an arrest?
Time to first compressions, time to first shock (in shockable rhythms), adrenaline intervals, cycle adherence (were rhythm checks at 2 minutes or did they drift), and total downtime. Each is a direct lever on outcome and each is captured in the export.
Does the app run a debrief for me?
No — debriefing is a human skill. The app surfaces the facts the debriefer needs and presents them in an order that supports a hot or cold debrief, but the conversation is yours to lead.
Can I anonymise the export for teaching?
Yes. The export contains no patient identifiers by default; only the times, events, and outcome. It can be shared as a teaching example without further redaction.
Ready when you are

CPR Scribe runs in the browser, installs to your home screen, and works offline. No account needed to start — sign in only if you want to save records.