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37. Stress Inoculation | HALO procedures, racing the clock, low fi sim, and the power of an audience

Jan 11, 2021
Join Dr. Jason Hine, a community emergency medicine physician and Medical Director of Education, as he dives into stress inoculation strategies. He shares gripping stories, including a critical airway emergency that calls for swift action. Jason breaks down high-acuity, low-opportunity procedures and reveals three innovative techniques: timing yourself for urgency, using audio cues to enhance arousal, and practicing in front of an audience to simulate real pressure. These insights promise to elevate performance in critical medical scenarios.
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ANECDOTE

Self-Immolation Case Requiring Cricothyroidotomy

  • Jason treated a man who doused himself in gasoline and lit himself on fire at a small hospital at night.
  • The patient required a cricothyroidotomy when oral intubation failed and Jason performed it successfully under extreme stress.
INSIGHT

Stress Helps Lock In Procedural Memory

  • Stress inoculation improves performance during rare, high-stakes procedures and also strengthens memory retention.
  • Learning under stress can make skills stickier for future real-world events.
ADVICE

Use Timed Repetitions To Simulate Urgency

  • Time yourself when practicing critical tasks to simulate urgency and trigger stress responses.
  • Use a stopwatch and aim to execute the micro-skill flawlessly within the set time before shaving seconds off.
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