The performance pizza with Stephen Hearns

In this conversation we will examine the concept of the
performance pizza. This is a concept which examines three main
domains of performance within pre-hospital care; the predictable
routine, the predictable emergencies and the unpredictable
emergencies. We will dig into each of these domains and examine
what each constitutes, how you train for each state and how to
navigate each.  


 


To do this I have Stephen Hearns with me. Stephen is a consultant
in emergency and aeromedical retrieval medicine. He works with
Scotland’s Emergency Medical Retrieval Service (EMRS). This
aeromedical retrieval service delivers pre-hospital critical care
for major trauma patients, rural hospital secondary retrievals
and major incident responses. Inspired by experience gained
working on London’s air ambulance and in Queensland Australia,
Stephen led the establishment of this team from a small voluntary
service in 2004 to what is now a fully government funded
aeromedical retrieval organisation with an international
reputation. In the episode we discuss:


·      The three performance
domains – how did Steve come to rest on these domains and how do
they look in practice.


·      The predictable routine –
Patients and/or skills that are executed everyday and are
commonplace within practice.


·      The predictable emergencies
– The High Acuity High Occurrence skills or patient presentations
(RSI for example) 


·      The unpredictable
emergencies – the High Acuity Low Occurrence (HALO) skills that
might fall into the unpredictable spectrum (Surgical Airway)


·      Putting it all together in
training and how simulation and case review plays into this.


·      How Core Cognition seeks to
educate these areas within high performance teams.





You can find more on Steve's Core Cognition website here:
https://corecognition.co.uk/





The performance pizza can be seen here:


https://corecognition.co.uk/performance-infographics/performance-pizza





My thanks to Steve for an insightful and educational discussion.