Crisis, Crewmanship and CRM

Most ED folk are familiar with the CRM concept. It’s about teamwork, innit? And of course, we are all great at that. Go on – find someone in ED who says they are useless at teamwork! It would be like finding someone who says that they are absolutely rubbish in bed!

CRM stands for Crisis Risk Management. Or something. And it’s in a video about an air crash, where the air steward (who is a bit backward) doesn’t tell the chief pilot that he has just turned the engines off. The pilot is a cranky old fart who trained on biplanes. That’s called an “authority slope”.

You can do courses in CRM with SimMan. Just watch out when SimMan says he has crushing chest pain, because that’s when he’s about to have a cardiac arrest! Afterwards, they’ll ask you how you did, what went right, and what you could have done better. It’s a bit cringing really. Haven’t done one in years.

You know, this CRM thing is really a bit of a fad. Aside from air crashes in the 1970s, and fibrillating manikins, it doesn’t have much relevance to the real world. Does it?

CCC 700 6

Critical Care


Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of three amazing children.

On Twitter, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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