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Chapter 6. Human Factors and Airway Management

The inquest following the death of Elaine Bromiley concluded that:

A. the anesthesia practitioner was grossly incompetent and should be sued for inability to intubate the patient.

B. the nursing staff were grossly incompetent and should be fired for failing to sound the alarm.

C. the surgeon was the best person to attempt intubation after the two anesthesia practitioners tried and failed to intubate.

D. clearly the patient would have lived if teamwork had been better.

E. the team “lost control” and failed to follow established guidelines for the failed airway.

(E) The inquest following the death of Elaine Bromiley concluded that the anesthesia team “lost control” and failed to follow established guidelines for the failed airway.

Major categories in crisis resource management strategies include:

A. leadership, communication, resource utilization, situational awareness

B. hierarchy, obedience, implicit coordination, explicit coordination

C. shared mental model, team dexterity, fixation error, communication

D. focus, vigilance, deliberation, communication, cross monitoring

E. none of the above

(A) Major areas in Crisis Resource Management Strategies include leadership, communication, resource utilization, and situational awareness.

Which of the following is true?

A. Experienced teams need more explicit coordination; whereas inexperienced teams need more implicit coordination

B. The “Semmelweis reflex” refers to the ability of people to learn new skills, but only once the rationale is properly explained

C. The Dunning—Kruger effect is the effect of a medical error on subsequent team performance

D. The three Ds of a disaster survival arc are: denial, deliberation, decision

E. The H.A.L.T. mnemonic means that you perform better if the team has Hierarchy; Aptitude; Lots of resources; and Training

(D) The only true statement in crisis resource management is the three Ds of a disaster survival are: denial, deliberation, decision.

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