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3 ways to prepare your team for uncertainty: 1) Invest in ongoing training and development. 2) Foster a culture of continuous learning and improvement. 3) Encourage mental practice to build resilience and flexibility.

Elite performers don't shy away from their mistakes - they embrace them as opportunities for growth and learning. Mistakes are inevitable — it's how you respond to them that matters.

Outstanding work by world class simulation educators and researchers Eve Purdy & @SocraticEM - here providing us with key insights into how to design/deliver/debrief simulations that elicit stress response. We’ve evolved from “tricking” ppl in sim to favoring honesty.

Training a new skill? - Identify which parts can be practiced or drilled ahead of time on paper. - Make sure these pieces are as ready as possible for the new load you’ll be adding. Focus your practice sessions by maximizing what you can do offline ahead of time.

Elite teams foster learning not only in their members, but in everyone adjacent to them. Be the rising tide that lifts all ships. 🚢🚢🚢

Hello virtual/ digital health friends! Has anyone come across a competency guide for leaders in virtual/ digital health? Hoping to not re-create! #Nursing Thank you!

Two new surgical RCT's just released by @nejm AANS If you're caring for patients with stroke or traumatic brain injury, these trials might change your practice or help you understand what we surgeons do and why ... Here comes an evidence based surgery megathread ...

Vasopressors and #inotropes are frequently used in #IntensiveCare units. This article summarises the key messages in the management of patients requiring inotropes and #vasopressors. Read more iii.hm/icu22023bellet… Alessandro Belletti Giovanni Landoni, MD Alberto Zangrillo

Educating vs Training ✅ Simulation based ‘education’ should be a liberating experience; learning through discovery and experimentation. ❌ Not a production ‘training’ conveyor belt that just goes through the motions #Pedagogy

Team culture is shaped by the values, attitudes, and behaviors of its leaders. To create a strong team culture, leaders must model the behaviors they want to see in their team. What behaviors are you modeling?

The ICU OnePager approach to SHOCK: ⚡ shock is inadequate O2 delivery, NOT a specific BP 4️⃣consider 4 categories using PUMP, TANK, PIPES 💔cardiogenic 🛑obstructive 🫗hypovolemic 🤒distributive 🩺use physical exam & POCUS to differentiate onepagericu.com/undifferentiat…

Beginners focus only on the moment of performance. Experts understand the broader context. Prepare - Perform - Recover - Evolve

🙋‍♂️Clinicians Pocket Guide to Vasopressors #MedEd #FOAMcc #MedTwitter

If you’re interested in trauma then this podcast from PHEM_cast on vasopressors in trauma is a must ! Yes, controversial topic but a great basis for discussion in your department. Great shownotes/links! phemcast.co.uk/2023/04/27/vas… #foamed #trauma #foamcc Clare Bosanko Tim Nutbeam

Does your team ever "learn from what happened" and then change nothing? Debriefing and after action reviews should help us evolve, not just check a box. Challenge your team to find something they can do better with every cycle.

Types of Shock

As Peter Drucker said “culture eats strategy for breakfast”. Lessons from Siobhan (Shiv-awn) McHale about ways you can kill your healthy culture. I hope no one experiences these, and that all leaders keep these risks high on their radar.

MASSIVE TRANSFUSION PROTOCOL @essentialsofem ⏰ Activate protocol w/early interdisciplinary team notification 💉 Early TXA Treatment 🆎 Prioritize TEG guided resuscitation and TTM 🛑Know when to terminate EEM On-Demand is now available (essentialsofem.com) if you’d like to