1. Teamwork

2. Crew Resource Management
Teamwork: Let’s Do This Together
Randal Severson
EMTP
Education Coordinator
ND EMS Association

3. Pit Crew CPR Empowers a team of responders to work together
Two responders to the chest
Third responder manages the airway

4. Crew Resource Management
Set of training procedures four use in environments where human error can have devastating effects.
Situational Awareness
Authority may be respectively challenged
Communication (verbal, nonverbal, visual)

5. Crew Resource Management
The foundation of CRM rests on the collective power of the team. Rather than a “collection” of people.
Collective is more powerful where all team members form a whole single unit designed to work at maximum efficiency.
Everyone understands the mission.

6. Crew Resource Management
1978 United Airlines Flight 173.
Original flight started in New York, Denver, Portland
189 people were on board from Denver to Portland
Encountered landed gear issues and circled Portland for an hour

7. Crew Resource Management
The Journal of Patient Safety study of deaths in a hospital setting.
Deaths due to medical errors was the 3rd highest reason
Cardiac events and cancer were 1-2

8. Crew Resource Management
Team members appreciate each of the following:
The nature of the problem
The skills, strengths, weaknesses and experience of their fellow team members
What is likely to happen based on taking no action
What is likely to happen if the team chooses a specific action.
Desired outcome
Strategy used by whom and when
Any team member can respectively question the strategy

9. Crew Resource Management
Respectively questioning the strategy:
Assertive statement
Using an opening statement that addresses the person by name
Stating a concern as an owned emotion (I think we are heading for a problem)
Stating the problem
Offering a solution
Obtain an agreement

10. Crew Resource Management
Ability to identify and track errors mistakes
Education and training in conflict resolution
Develop a culture of learning from our mistakes
Honestly admitting our mistakes and/or weakness
COMMUNICATION AND OPEN MINDED

11. Situational Awareness
Paying attention to what is going on around you.
Ability to scan the environment and sense danger, challenges and opportunities, while maintaining the ability to conduct normal activites.
Pay attention to your surroundings while not appearing to pay attention.

13. Crew Resource Management
Post Incident Analysis (PIA)
When things go right vs when things go wrong. Is there a need to discuss an event if all goes well?
Motives: improving communications, performance, behavior and correcting inefficiencies.
PIA for normal events-where’s the stress? Tailboard debriefing.

14. Crew Resource Management
Techniques to conducting a “formal” PIA
Gather data and facts while they are still hot.
Select the correct moderator.
Choose a time and place,
Involve all relative participants
Reconstruct the event.
Deal with deficiencies.

15. Crew Resource Management
Operate with an open and curious mind.
Be respectful of team members and customers.
Communicate well.
Think before speaking.
Honestly admit weaknesses or mistakes.
Strive for high reliability through continued learning.
Don’t be complacent.

16. Crew Resource Management
Practice events. Competition maybe?
Car wreck, active shooter, water rescue, HAZMAT, nursing home, tornado, school bus, plane, MCI, CPR, meth lab.

17. Questions