1. Dr Anita McCarron Consultant in Anaesthesia UCL Hospitals
Emergencies- Introduction to
Crisis Resource Management (CRM)
An Introduction to Anaesthesia 2018
Dr Anita McCarron
Consultant in Anaesthesia
UCL Hospitals

2. Outline What is CRM? Anaesthesia and Aviation Why do YOU need CRM?
Video and analysis
Principles of CRM and how to apply them

3. What is CRM?
Crew Resource Management / Cockpit Resource Management
1970s- analysis of plane crashes in US showed that human error involved in 85% of events
A management system which makes optimum use of all available resources – people, procedures, equipment- to promote safety and enhance efficiency of practice during a crisis situation.

4. Anaesthesia and Aviation

5. Why do YOU need CRM? TASK INDIVIDUAL TEAM ENVIRONMENT High stakes
Fatigue
Many players
Interruptions
Time critical
Sleep deprivation
Plurality of goals
Noise
Information overload
Emotional disturbance- angry/stressed
Hierarchical structure
Handovers
Incomplete information
Ill-health
Poor communication
Equipment failures
Inexperience
Role confusion
Knowledge gaps

7. Short video
Errors which lead to the crisis?
How can this be prevented?

9. Complex Interplay
Patient Factors
Anaesthetic Factors
Surgical Factors

10. Key Principles of CRM
Use all available information
Prevent and manage fixation errors
Cross (double) check
Use cognitive aids
Re-evaluate often
Use good teamwork
Allocate attention wisely
Set priorities dynamically
Know your environment
Anticipate and plan
Call for help early
Exercise leadership and followership
Distribute the workload wisely
Make use of all available resources
Communicate effectively
Hang on- what does that mean for you every day though???

11. Hang on- what does that mean for you every day though???
Know your environment- and optimise it
Anticipate, Share and Review the Plan
My (very) little survey

12. Hang on- what does that mean for you every day though???
Call for help early
Exercise Leadership and Followship

13. Hang on- what does that mean for you every day though???
Make use of all available resources / Use good team work
Communication
Learn names!
Closed-loop communication
Use cognitive aids

14. THANK YOU