This document discusses communication strategies during high stress situations. It notes that during high stress, people can only process an average of 3 messages, recall the last message or most important points, and process messages at a fourth grade level. Trust is built on listening, empathy, caring and compassion rather than competence. The document recommends sending simple, 3 point maximum messages using short sentences, empathy, and numbers sparingly. It also suggests emphasizing pictures and diagrams to aid understanding during high stress situations.