Coda Change

Structured teaching of Crisis Resource Management CRM

7 snips
Nov 28, 2018
Cliff Reid, an expert at Sydney HEMS, shares his insights on effective crisis resource management in extreme medical situations. He discusses the critical role of structured training, especially non-technical skills often overlooked in medical settings. The concept of the 'zero-point survey' is introduced as a planning tool to prepare for emergencies by assessing Self, Team, Environment, and Patient. Cliff emphasizes the importance of team dynamics and psychological readiness, ensuring teams function smoothly even under pressure.
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ANECDOTE

Challenging Pre-Hospital Environment

  • Cliff Reid works with Sydney HEMS in extreme, dangerous conditions with patients on the brink of death.
  • Many team doctors lack pre-hospital care experience, and the team covers a vast area with many missions yearly.
INSIGHT

Non-Technical Skills Matter Most

  • Clinical failures are rarely due to purely clinical factors but often linked to non-technical skills.
  • Despite frequent discussion, non-technical skills are not taught in a structured, cohesive medical way.
ADVICE

Start with the Zero Point Survey

  • Use the Zero Point Survey before patient contact to plan around self, team, environment, and patient.
  • This pre-contact phase helps anticipate issues and improves resuscitation effectiveness.
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