Thread by @KnottCameron

In 2009 I was involved in an Intensive Care Unit adverse event where our ICU team #failed in its goal and a person died as a result. This set me on a path to thinking about how to respond to these traumatic experiences and how to prevent them at a professional and personal level.

I was given an opportunity to explore this by @theMJA with "A personal reflection on staff experiences after critical incidents."
Knott CI. A personal reflection on staff experiences after critical incidents. Med J Aust. 2014;201(9):550-1. Med J Aust. 2014;201(9):550-1.

I got involved in clinical simulation-based education as a way of developing team-based methods for the 'next generation' to avoid my mistakes with thanks to @NHETSim, @anzics, @sganzics, @ASSH_simaust, @MonashRural. I was able to explore the safe conduct of clinical simulation.

Through @ASSH_simaust we thought about safe team-based simulation and safe team performance, inspired by @GetCuriousNow, @WalterEppich, @SocraticEM, @precordialthump and others, expanding on the Safe Container concept.

I was lucky to meet @didennis_wa and @DrAnjumNaweed through @ASSH_simaust and consider safe simulation conduct:
Naweed A, Dennis D et al. Delivering Simulation Activities Safely, What if we Hurt Ourselves? The Journal of the Society for Simulation in Healthcare. 2020;4 May.

Through @anzcen & @anzcenINCUBATOR we pondered inter-professional education & team-training in Critical Care:
@JaneHarnischfeg J, Knott C, Ross P, Lang J, @MyaCubitt, Mason M, et al. Interprofessional Education in Critical Care: A Consensus Statement. Aust J Clin Ed. 2020;8(1)

Recent work has been on how Intensivists respond to, and recover from, adverse clinical events. @didennis_wa has led many papers of qualitative research from in-depth interviews from senior #ICU clinicians in Australia, USA & Israel. I highlight them for your consideration.

Dennis D, van Heerden PV, Knott C, Khanna R. The nature and sources of the emotional distress felt by intensivists and the burdens that are carried: A qualitative study. Aust Crit Care. 2021. @didennis_wa @Aus_CC

Dennis D, van Heerden PV, Khanna R, Knott CI. Behavioural responses of Intensivists to stressors in Intensive Care. Occup Med (Lond). 2021;71(8):343-5. @didennis_wa @journal_occmed

Dennis D, van Heerden PV, Knott C, Khanna R. Mitigating emotional responses to stressors: coping strategies, modifiers and support. Australian Psychiatry. 2021. @didennis_wa @AP_RANZCP

Dennis D, Knott C, Khanna R, van Heerden PV. Advice for doctors working or planning to work in intensive care: summation from a qualitative study. Anaesthesiol Intensive Ther. 2022;54(1):85-90. @didennis_wa

Varker T, Khanna R, Van Heerden PV, Calhoun AW, Knott C, Zhang S, et al. Intensivist’s responses to potentially traumatic events: A qualitative study. Traumatology. 2022. @TraceyVarker @didennis_wa @AWCalhounMD

Dennis D, van Heerden P, Khanna R, Knott C, Zhang S, Calhoun A. The Different Challenges in Being an Adult Versus a Pediatric Intensivist. Crit Care Explor. 2022;4(3):e0654. @didennis_wa @AWCalhounMD @CritCareExplore

Thanks to all who have been on this journey and we hope that we have assisted in revealing the oft unspoken burdens and challenges of being a #criticalcare team member. I hope others can carry this forwards for a healthier career. @CICMANZ @anzics @SCCM