As charge, when volume spikes at 2 a.m., I switch to a tight triage loop — ESI at the door, runner relays to me, and beds open in under 7 minutes. For those starting in the ED, what helps you stay oriented when you’re coordinating rapid handoffs and the radio drops three ambulances at once?
When the radios stack, I park for a quick ‘20‑second huddle’ at triage: runner rapid‑fires ESI, chief, and arrival for the top five, I call the next beds/halls plus one backup, then we break. Pairs well with your loop, but if the queue tops 10 I switch the runner to pure intake and slap a visible flow strip so anyone can place without asking — do you prefer quick huddles or a silent board?