Three Men and a Microphone

Summary: ‘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