‘Three Men and a Microphone’ is a special edition of the RAGE podcast (let’s face it, RAGE podcasts are so infrequent they’re all special!) featuring RAGE Resusciteer Cliff Reid in conversation with these special guest RAGErs:

* Geoff Healy (prehospitalist/ retrievalist/ anaesthetist)

* Brian Burns (prehospitalist/ retrievalist/ emergency physician)

This one is a monster – it is 2h 48 min 59 sec long!!!  It is NSFW (contains some profane verbiage) so don’t let your kids listen in…

Here is the run sheet so the you can skip to the bits you want:

 

Introduction

0:00 Intro: NSFW

2:38 Welcome – what we’re busy with at the moment

10:13 Highly functioning organisations

18:00 Airway audit

19:06 Operations research and A.P. Rowe

23:42 Role of SOPs, SOPs vs protocols

 

28:37 QUESTION: Describe training experiences that have shaped you

Anaesthesia in Australia -Geoff getting patronised

Trauma in Ireland – Brian being unsupported

EM in England – Cliff getting pimped

Importance of honesty and humility as a mentor

Mike Clancy’s public cerebration – teaching you how to think

Phoning a friend when you’re the boss

Calling the boss in – differences between the UK & Australia

3 reasons to call the boss: to let you know, to seek advice, to ask you to come in.

 

1:05:05 QUESTION: What is your experience of trainees, and what attributes of good and bad trainees do you observe?

The lurker, the stalkers, the shopper, the sharp-elbows

Our experiences as underconfident trainees

Turning yourself into the (mythical) shit magnet

John Hinds’ approach to keeping sharp

Consultants who are hummingbirds

Avoiding institutionalisation – getting experience in remote/rural units

 

1:29:24 QUESTION: Give your advice on how to be a good resuscitationist

The word resuscitationist

EMS Gathering in Cork and big wave surfers

Extending your training – fellow posts and other experiences

Acquiring experience with restrictions on working hours

The limitations of learning from textbooks and life support courses

Can we accelerate the acquisition of experience using technology?

Lionel Lamault & prehospital ECMO

Comfort zones and task fixation

Geoff likes to ‘bosh’ people

Cognitive rally points

Unexplained different approaches to fluids in paeds resuscitation

Being treated as a gas monkey in ED

A new word  – resuscitationism

The Jason Bourne game and developing spider-sense

Too sick to be intubated?

 

2:07:30 QUESTION: What are you currently struggling with in your careers?

Being a coach

Having trainees who are better than we are / were

Top Gun pilot caution against overperformers

Thoughts for bosses who have trainees who are smarter or more skilled than they are: (1) They make you look good; (2) You might learn something; (3) The future is brighter for patients

The challenge of getting senior clinicians involved in simulation

Struggling to improve and get outside our comfort zones, and continue to evolve as consultants

A pantyhose anaesthetic