Thread by @dastrainees

The wonderful @Fionafionakel updating on human factors guidelines that are coming from DAS soon.....#DAS2022

Human factors are not just non-technical skills, design of safe systems is the most important aspect in #DAS2022

Humans are fallible, healthcare is relying on high levels of human performance but this is not a fail safe mechanism and performance is liable to fall off in high pressure situations #DAS2022

Human factors strategies:
Education and training
Mitigations
Barriers
Design

Top least effective....bottom most effective! #DAS2022

Airway management is a team sport! #DAS2022

Working under pressure - it is about the zone of flow, if our flight or fight response is too high it can be detrimental to our performance

High pressure situation:
Increase in information input - cognitive overload
Emotional brain processing centre takes over and decrease in rational decision making
SNS stimulated further
and end up in a viscous cycle....."head in a spin" #DAS2022

Amygdala interprets high stress as danger - acts without modulation and our performance drops

We are not wired to deal with clinical emergency

A fall in performance could happen to any of us....

#DAS2022

How can we implement human factors in anaesthesia?

Design to prevent airway complications - most expensive, hardest to do but most effective #DAS2022

Is a videolaryngoscope your first choice when intubating?

5 things we could do next week
1. Use a videolaryngoscope
2. Practice using a hyperangulated blade
3. Power of using first names
1/2

4. Verbalise what you are thinking
5. If you need to move back to zone of flow
- call for help
- reassess out loud
- regain your composure
- regain situational control

2/2

Fabulous last thoughts if a non-clinical opportunity scares you, feel the fear and do it anyway, and as you get more experienced be like Professor Patel - reach the top and send the elevator back down to others