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Why Two Paramedics Watched Their Trainer Nearly Kill a Patient (And Said Nothing): How Lessons From The Aviation Industry Could Have Prevented It


Episode 90


A field trainer administers a non-indicated medication while two trainees watch in silence. Sound familiar?

In this eye-opening episode, we dive deep into how the aviation industry transformed from a punitive, hierarchical culture to one where crews actively prevent catastrophic errors—and how YOU can apply these same principles on your next EMS shift.

Our guest, Glen, a commercial airline pilot and aviation safety expert, shares how the aviation industry has revolutionized itself through such methodologies as just culture, crew resource management, and error prevention tools like the inquiry, advocacy, assertiveness model. We explore how these principles can be effectively applied in our EMS world to improve safety and performance. By the end of this episode, you'll walk away with practical tactics to implement on your next shift, ensuring you and your crew can handle high-stress situations with confidence and competence.

Key Concepts Covered:

  • Crew Resource Management (CRM)
  • Just Culture principles
  • Aviation Safety Action Program (ASAP)
  • Power distance in medical teams
  • Human factors in emergency medicine
  • Error prevention strategies

Books Mentioned by Glen:

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