Mind of the Resuscitationist Wee

Mike Lauria is the @resuspadawan. You'll be hearing a lot more about Mike when he comes on the show for an interview. For now, know that he was Air Force Pararescue, now a medic on the Dartmouth-Hitchcock Advanced Response Team (DART), and will be starting medical school in the Fall. He has a special interest in cognitive decision making under stress, aka the Mind of the Resuscitationist.

Recognition Primed Decision Making (RPD)

Sources of Power by Gary Klein

OODA Loop

From 40-second Boyd. Read a summary on wikipedia

Cognitive Unloading

* Standardization & Preparation

* Checklists

* Premade Decision Points and Triggers

Cognitive Rally Points (Stop Points)

* Hard and Soft Rally Points

* Take a Deep Breath

Build Decision Making Power

* Deliberate Practice

* Review Experiences

* Timely Expert Feedback

* Socratic Method-Suck it Up!

* Simulation

Stress Inoculation

* Cognitive Tempering

* The Rule of 130%-do the basics better than anyone else

* Limbic Learning-emotional reaction burns it in

* Train until you can't get it wrong

* You fall to the level of your training

Stay Flexible

* Cognitive Flexibility

* Acknowledge BIases

* Ask disconfirming questions

The Slides

Articles

* Resilience Training for Nurses

Update

See this amazing comment on Mike's Lecture

Now on to the Lecture...