Three Men and a Microphone

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)
Three Men and a Microphone RAGE

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
  • Work-life balance
  • Sustainability and recovery from travel and shift working as you get older
  • Family first
  • Stress vs passion and Simon Sinek
  • Misquoting Lincoln and sharpening the tree
  • Emptying your cumulative stress bucket
  • Risks of PTSD especially in paramedics
  • Debriefing

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Thanks again for listening to the RAGE!

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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