Rollcage Medic Podcast

Feast your ears and eyes on podcast and vodcast goodness, as I pick the brains of the leading lights of the motor sport medicine and rescue community.

Some will be well known, others working in the background, but all are experts in their field with acres of experience that they are willing to share.

So tune in, turn on and absorb the goodness.

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Podcast 8 - Decision making in high stakes environments with Mike Lauria

August 28, 2014


So last week I wrote a post about a presentation by a guy named Mike Lauria (@ResusPadawan)on the topic of "Making the call" that I found on Scott Weingart's EM Crit site.

Mike's presentation covers all of the key areas relevant to current thinking on critical decision making in high stakes environments, drawing on his experience as a U.S. military pararescueman and a civilian paramedic. (He is also now studying to be doc.)


This is an area I've been following for a little while now, through the FOAMed community and it has become a hot topic where pre and in-hospital resuscitation is concerned.

So I sent Mike a message and he agreed to sit down for a discussion where we teased apart some of the core elements of his talk. If you haven't listened to Mike's original presentation, don't go any further down this page and go and listen to it here. Then come back and listen to our discussion.




Now on to the podcast:

Decision making in high stakes environments with Mike Lauria



After we finished recording, I had some time to think the material through and came up with this diagram which I think summarises the essence and structure of what Mike is getting at.



Here are Mike's 5 elements for successful effective decision making in high stakes environments

1) Cognitive off-loading
  • skills prep
  • checklist
  • pre-emptive planning

2) Cognitive rally or stop points
  • Being aware of when and how to use System 1 and 2 thinking (Read Daniel Kahneman's "Thinking fast and slow")

3) Cognitive building
  • Training to enhance cognitive capabilities through practice and simulation

4) Innoculating for stress
  • Building mental toughness (cognitive resilience) through context specific practice and simulation

5) Cognitive flexibility
  • Developing awareness of cognitive traps and biases (e.g. anchoring, post hoc ergo propter hoc, diagnostic momentum, premature closure) and strategies to avoid them

Mike's BTSF strategy for stress de-escalation


This is really practical stuff and I have no doubt it can be applied to your very next work shift or motorsport event.

As always, I'd love to know your thoughts.

Have fun
 

Podcast 7 - Irish road racing and Australian circuits with John Hinds and Brent May

March 26, 2014
I spent last week in the Gold Coast at possibly the best critical care conference in the world ... smaccGOLD (You can find out the details in my blog post smaccGOLD ... All the hype and more). Amongst the greats like Scott Weingart, Cliff Reid, Victoria Brazil, Karim Brohi, Simon Carly, John Myburgh and Rich Levitan and the rising stars such as Louise Cullen, Grace Leo, Liz Crowe and Lauren Westafer, there was an Irish anesthetist and pre-hospital physician from Belfast who spends his weekend...
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Podcast 6 - The roles of the event Chief Medical Officer with Dr Rik Hagen - Part II

March 11, 2014
In Part II of this podcast interview, Rik and I talk about the responsibilities and tasks that occupy a motorsport chief medical officer's time during and after an event.



We also take a look at some tips, advice and sources of information for budding CMOs and how the role is being developed in the context of a wider evolution of the provision of rescue and medical service provision at motorsports events.




Resources & links

DRIVE.DR - A checklist of items that need to be put in place for a motors...
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Podcast 5 - The roles of the event Chief Medical Officer with Dr Rik Hagen

February 18, 2014
So Christmas is a distant memory by now, and the motorsport season has already started, with the WRC several events in, the Melbourne F1 GP opener around the corner and the V8 Supercars having held their season opening test day at the Sydney Motor Sport Park last Saturday.

To kick of the Rollcage Medic podcasting season I thought we'd take a look at the role of the Chief Medical Officer at motorsport events. There's a full chapter devoted to outlining the CMO responsibilities in the first edi...
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Podcast 4 - Interview with Dr Terry Trammell - Part II

January 16, 2014
Posted by Matthew Mac Partlin on Saturday, October 5, 2013

Yes, I know, it's been a while. I've been off chasing rally cars in Coff's Coast at the WRC Rally Australia and been part of the Bedside Critical Care Conference so time seems to have slid past. However, it's time to get part two of the Terry Trammell interview up, so here it is.

In this half, Terry and I talk about the position of the driver's body in an open-wheel, open-cockpit race car and how it predisposes to vertebral injury. We ...
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Podcast 3 - Interview with Dr Terry Trammell - Part I

January 16, 2014
Posted by Matthew Mac Partlin on Tuesday, August 27, 2013

I feel like I've scored big this time. I'm on the podcasting steam train and this one's a gem. The audio quality could be better, but it was recorded over a mobile phone line on speaker phone.

I emailed Dr Terry Trammell after reading an article that he co-authored with Kathy Flint and asked if he would be prepared to sit down to record a podcast interview. And being a gentleman, he agreed. I can't share a link to the article with you, a...
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The logistics behind providing medical and rescue cover for motorsports events with Tony Harris

January 16, 2014
Posted by Matthew Mac Partlin on Wednesday, July 17, 2013

I've just spent the weekend working with the Motorsport Safety and Rescue (MSR) team providing medical cover for the FIA International Rally of Queensland. During the weekend I had the opportunity to sit down with Tony Harris, an intensive care paramedic with wilderness rescue training from Tasmania who has taken on the role of Motorsport Co-ordinator for MSR.

I've been used to simply turning up, doing the job and going home at the end ...
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Exercise associated hyponatraemia with Luke Bennett

January 16, 2014
Posted by Matthew Mac Partlin on Tuesday, June 18, 2013

So I've decided to have a go at this podcasting business. Everyone is doing it and I've learned a bit about it from work that I've done with the Intensive Care Network and from friends who run sites like Life In The Fast Lane, EM Crit, the P.H.A.R.M., BroomeDocs and the Ultrasound Podcast. How hard can it be?

Well, as you might be about to see, it's actually kind of tricky; especially the first time around.

I got talking to Luke Bennett re...
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