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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