MotR – Mike Lauria on “Making the Call” - a podcast by Scott D. Weingart, MD FCCM

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...

Further episodes of EMCrit Podcast

Further podcasts by Scott D. Weingart, MD FCCM

Website of Scott D. Weingart, MD FCCM