Prehospital CRMMaximal Simultaneous Activity with Minimal

Bandwidth

Michael Lauria Geisel School of Medicine at Dartmouth

Dartmouth-Hitchcock Advanced Response Team (DHART)

@ResusPadawan

Disclosure and

CRM

Taking CRM back to its roots

A model for optimizing performance

Crew Resource Management

Crisis Resource Management

MedTeams®

TeamStepps®

Medical Team Training

Communication

Health &

Well-being

Culture

Teamwork

Awareness

Fragmented, decontextualized,

“Interactionof pilot workload with errors,

vigilance, and decisions”

“…factors affecting group process and aircrew performance.”

“…task management and decision making under stress.”

A better definition of CRM

“The use of all available resources, equipment, information and people to

achieve safe and efficient flight Operations”

The use of all available resources, equipment, information and people to achieve safe and efficient

RESUSCITATION

Communication

Health &

Well-being

Culture

Teamwork

Awareness

CRM Communication

Culture Teamwork Awareness Well-being

1. Prioritize2. Manage3. Share

1. Prioritize

ResuscitateDifferentiate

Communicate

2. Manage

Control Your

physiology

2. Manage

Control Your

physiology

Apply Your Skills

2. Manage

Control Your

physiology

Apply Your Skills

Use Your Tools

3. Share

Leadership

3. Share

Leadership Communicatio

n

3. Share

Leadership Communicatio

n

Mental Model

1. Prioritize2. Manage3. Share

Performing better!

1. Prioritize2. Manage3. Share

That others may live…