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HOW TO BE A HERO
DR CLIFF REID
CONFLICT
of
INTEREST
INTEREST
in
CONFLICT
ENVIRONMENT
TEAM
PATIENT
SELF
“Made the decision pretty much
immediately that we needed to
secure his airway. Leaving him with
an unsecured airway reall...
“Made the decision pretty much
immediately that we needed to
secure his airway. Leaving him with
an unsecured airway reall...
HEROIC?
Heroes do the right thing in difficult
circumstances, often weathering
personal risk to help others with no
expectation of ...
They are guided by a
strong moral compass and
persist despite setbacks
often overcoming fear to
achieve a goal, accepting
the consequences of their
actions.
Strong moral compass
The right thing
Help others
Difficult circumstances
Personal risk
No personal gain
Overcoming fear
Per...
Prof PHILIP GEORGE ZIMBARDO
20 %
Image used under Creative Commons from Michael Foran
Image used under Creative Commons from Michael Foran
20 %
IT MIGHT NOT WORK
I DON’T WANT TO CREATE A VEGETABLE
I HAVEN’T BEEN TRAINED
NO-ONE ELSE WAS DOING IT
SOMEONE MIGHT COMPLAI...
clinical
ethical
practical
medicolegal
0835 anaesthetised
0837 SpO2 75%, cyanosed
0839 SpO2 40%
0841-3 bradycardiac
joined by ENT Surgeon, & other Anaesthetist
a...
“It is hard to understand why Dr
A, and those with him,
persevered in trying to intubate
the trachea....he would have
reso...
“Theatre staff, when
interviewed, all seemed
surprised that [a surgical airway]
was not performed.”
BYSTANDER
EFFECT
"All that is required for evil
to prevail is for good men to
do nothing."
~Edmund Burke
"It violated everything I
personally believed in and all
I'd been taught about the
rules of war."
~Joe Darby
COGNITIVE RESILIENCE
POSITIVE SELF-TALK
MINDFULNESS
METACOGNITION
WHO ARE YOU ?
HOW TO BE A HERO
WHAT DO YOU STAND FOR?
WHAT ARE YOU NOT
PREPARED TO ACCEPT?
BECOME READY
HOW TO BE A HERO
SIMULATION
IMPLICATIONS
OPPORTUNITY
HOW TO BE A HERO
SITUATIONAL AWARENESS
DISCONTINUITY DETECTOR
DECISION
HOW TO BE A HERO
KEEP GOING
HOW TO BE A HERO
POSITIVE SELF TALK
MINDFULNESS
METACOGNITION
VALUES / MORALS
COGNITIVE READINESS
RECOGNITION
DECISION
COGNITIVE RESILIENCE
I think a hero is an ordinary
individual who finds
strength to persevere and
endure in spite of
overwhelming obstacles.
~ C...
references at resus.me/smacc-2013
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
SMACC: Cliff Reid on How to be a Hero
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SMACC: Cliff Reid on How to be a Hero

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This talk is not to be missed. Cliff Reid talks about what it means to be a hero, taking medical care to a whole new level. Prepared to be moved.

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SMACC: Cliff Reid on How to be a Hero

  1. 1. HOW TO BE A HERO DR CLIFF REID
  2. 2. CONFLICT of INTEREST
  3. 3. INTEREST in CONFLICT
  4. 4. ENVIRONMENT TEAM PATIENT SELF
  5. 5. “Made the decision pretty much immediately that we needed to secure his airway. Leaving him with an unsecured airway really wasn't going to be an option - things were only going to get worse”
  6. 6. “Made the decision pretty much immediately that we needed to secure his airway. Leaving him with an unsecured airway really wasn't going to be an option - things were only going to get worse”
  7. 7. HEROIC?
  8. 8. Heroes do the right thing in difficult circumstances, often weathering personal risk to help others with no expectation of personal gain.
  9. 9. They are guided by a strong moral compass and persist despite setbacks
  10. 10. often overcoming fear to achieve a goal, accepting the consequences of their actions.
  11. 11. Strong moral compass The right thing Help others Difficult circumstances Personal risk No personal gain Overcoming fear Persist despite setbacks
  12. 12. Prof PHILIP GEORGE ZIMBARDO
  13. 13. 20 %
  14. 14. Image used under Creative Commons from Michael Foran
  15. 15. Image used under Creative Commons from Michael Foran 20 %
  16. 16. IT MIGHT NOT WORK I DON’T WANT TO CREATE A VEGETABLE I HAVEN’T BEEN TRAINED NO-ONE ELSE WAS DOING IT SOMEONE MIGHT COMPLAIN / SUE IT MIGHT GO WRONG I MIGHT START BUT NOT BE ABLE TO FINISH
  17. 17. clinical ethical practical medicolegal
  18. 18. 0835 anaesthetised 0837 SpO2 75%, cyanosed 0839 SpO2 40% 0841-3 bradycardiac joined by ENT Surgeon, & other Anaesthetist at least 3 Nurses present Intubation attempted 0845 Continued attempts to intubate 0900 SpO2 90% achieved via SGA 09.10 ‘abandon the procedure and ‘wake the patient up’ 09.13-09.29 reminfentanil stopped spontaneous breathing began with permission of Prof Harmer & Bromiley family
  19. 19. “It is hard to understand why Dr A, and those with him, persevered in trying to intubate the trachea....he would have resorted to a surgical access to the airway. He still does not know why he did not do so”
  20. 20. “Theatre staff, when interviewed, all seemed surprised that [a surgical airway] was not performed.”
  21. 21. BYSTANDER EFFECT
  22. 22. "All that is required for evil to prevail is for good men to do nothing." ~Edmund Burke
  23. 23. "It violated everything I personally believed in and all I'd been taught about the rules of war." ~Joe Darby
  24. 24. COGNITIVE RESILIENCE POSITIVE SELF-TALK MINDFULNESS METACOGNITION
  25. 25. WHO ARE YOU ? HOW TO BE A HERO WHAT DO YOU STAND FOR? WHAT ARE YOU NOT PREPARED TO ACCEPT?
  26. 26. BECOME READY HOW TO BE A HERO SIMULATION IMPLICATIONS
  27. 27. OPPORTUNITY HOW TO BE A HERO SITUATIONAL AWARENESS DISCONTINUITY DETECTOR
  28. 28. DECISION HOW TO BE A HERO
  29. 29. KEEP GOING HOW TO BE A HERO POSITIVE SELF TALK MINDFULNESS METACOGNITION
  30. 30. VALUES / MORALS COGNITIVE READINESS RECOGNITION DECISION COGNITIVE RESILIENCE
  31. 31. I think a hero is an ordinary individual who finds strength to persevere and endure in spite of overwhelming obstacles. ~ Christopher Reeve
  32. 32. references at resus.me/smacc-2013

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