This document discusses what makes a hero and how to be a hero. It provides advice such as having strong moral values, being willing to help others despite risks, and persisting through challenges. A hero is guided by doing the right thing in difficult situations without expectation of reward. The document also discusses cognitive resilience techniques like positive self-talk and mindfulness that can help someone endure challenges. It emphasizes the importance of being ready through training and situational awareness to recognize and make difficult decisions when needed.

1. HOW TO BE A HERO
DR CLIFF REID

2. CONFLICT
of
INTEREST

3. INTEREST
in
CONFLICT

4. SELF
ENVIRONMENT
TEAM
PATIENT

7. “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”

8. “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”

9. HEROIC?

11. Heroes do the right thing in difficult
circumstances, often weathering
personal risk to help others with no
expectation of personal gain.

12. They are guided by a
strong moral compass and
persist despite setbacks

13. often overcoming fear to
achieve a goal, accepting
the consequences of their
actions.

14. Strong moral compass
The right thing
Help others
Difficult circumstances
Personal risk
No personal gain
Overcoming fear
Persist despite setbacks

15. Prof PHILIP GEORGE ZIMBARDO

19. 20 %

21. Image used under Creative Commons from Michael Foran

22. 20 %
Image used under Creative Commons from Michael Foran

25. 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

26. clinical
ethical
practical
medicolegal

27. 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

28. “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”

29. “Theatre staff, when
interviewed, all seemed
surprised that [a surgical airway]
was not performed.”

30. BYSTANDER
EFFECT

31. "All that is required for evil
to prevail is for good men to
do nothing."
~Edmund Burke

32. "It violated everything I
personally believed in and all
I'd been taught about the
rules of war."
~Joe Darby

34. COGNITIVE RESILIENCE
POSITIVE SELF-TALK
MINDFULNESS
METACOGNITION

37. HOW TO BE A HERO
WHO ARE YOU ?
WHAT DO YOU STAND FOR?
WHAT ARE YOU NOT
PREPARED TO ACCEPT?

38. HOW TO BE A HERO
BECOME READY
SIMULATION
IMPLICATIONS

39. HOW TO BE A HERO
OPPORTUNITY
SITUATIONAL AWARENESS
DISCONTINUITY DETECTOR

40. HOW TO BE A HERO
DECISION

41. HOW TO BE A HERO
KEEP GOING
POSITIVE SELF TALK
MINDFULNESS
METACOGNITION

42. VALUES / MORALS
COGNITIVE READINESS
RECOGNITION
DECISION
COGNITIVE RESILIENCE

44. I think a hero is an ordinary
individual who finds
strength to persevere and
endure in spite of
overwhelming obstacles.
~ Christopher Reeve

45. references at resus.me/smacc-2013