Talking About CRM

Sunday night I was participating in our weekly Google Hangout and conversation about interaction with mutual aid departments operating on our scenes evolved into a brief discussion on crew resource management (CRM).  While many of you may already understand the concept, it is more than just something we use in emergency situations; the basics of crew resource management have day-to-day implications for the improvement of our work product as well as in maintaining a safe environment.

According to LeSage, Dyar and Evans in Crew Resource Management: Principles and Practice, crew resource management was first developed by commercial airlines as a result of study into how teams communicate, or more appropriately, how they communicated ineffectively during chaos.  The examination of many airline disasters found similar aspects in how firefighters die in the line of duty.  Poor communication, ill-advised decisions, lack of situational awareness, inappropriate resource allocation, and leadership failure are cited in any number of NIOSH LODD studies.

Our involvement in high-risk, low-frequency events (like structure fires, advanced airway maneuvers, technical rescue, and so on) place us in harm’s way not just because of the nature of the event, but in how we react to the event or miss cues that would prompt us to take more appropriate action.

The communication techniques espoused in CRM received a fair amount of promotion in recent years.  However, it is apparent to me that the concept by some is considered to be applicable in only certain circumstances, when in fact, almost anything we do could be made more collaborative.  The whole concept actually goes to the heart of Deming's zero defects philosophy.  CRM doesn’t just lend to a safer environment; it promotes a higher degree of accuracy. By letting go of the need to always be “in charge” and allowing the people we work with to provide appropriate input into the job at hand, we can create trust and synergy that can benefit not just the patient or the victim, but create less stress on our own people.

I can’t provide for you anything that you can’t read in the text, but what I can do is share some of the basics with you in order to promote a concept we should all be utilizing.  As you will see over the next few days, a lot of what I already share with you in regard to leading is very much a part of crew resource management, and is thus a best practice we can use regularly, so that when we really need it in an emergency, we are already comfortable with the way we talk and listen to one another.

Join me tomorrow as we discuss some key concepts of CRM.

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Michael "Mick" Mayers

Deputy Fire Chief - Operations Division for Hilton Head Island (SC) Fire Rescue and an Emergency Response Coordinator with the United States Department of Health and Human Services  National Disaster Medical System Incident Response Coordination Team.
Recent Posts
Jumping Through Hoops August 4, 2014
Questioning Heroism July 13, 2014
Compassion July 2, 2014
Making Lightning June 22, 2014
Colin Fanning
The Roto-Ray: Beauty or Beast?
One of the most important facts we reviewed when deciding on the roto ray purchase was this; With the speeds of traffic on SC 278, by the time people heard the sirens on our fire trucks our light bars (on top of the roof) were out of sight. The roto ray, with its mounted location…
2014-07-25 15:07:00
Mick Mayers
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Thanks, Bryan! I genuinely believe I do and they tend to reward me with professionalism, innovation, and compassion to our citizens daily. That's something I am happy to facilitate.
2014-07-15 04:10:00
Bryan G. Riebe
Questioning Heroism
Chief, appreciated in your response to Geoff that you work for the FFs. Believe if more Chiefs lived that philosophy our fire services would be bastions of honor, ethics, and human potential.
2014-07-15 00:05:00
Christopher Roy
Questioning Heroism
Geoff, EMS, as its own service, does not have a strong voice and in turn, does not get the respect in the media/public that it does deserve. I do hope that changes. EMS doesn't have a home either, and that doesn't help. There are so many different delivery methods in this country that its probably…
2014-07-14 23:49:00
Mick Mayers
Questioning Heroism
I'm sorry you feel that way, Geoff. The department I work with has been doing EMS (advanced care AND transport) with cross-trained personnel for over twenty years and doing a pretty good job. Our community expects a certain level of service that we have been able to provide through that model and while not every…
2014-07-14 22:01:00

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Although I am affiliated or employed by certain entities, I in no way speak in this forum or others on behalf of those entities unless I have specifically stated such. Any implication otherwise is doing so contrary to my agreements with those entities. The result is that the observations and opinions by myself or on behalf of Firehouse Zen are not sanctioned by any other entity other than Graffiti Train Sherpa Publications and are protected by the copyright laws of the United States of America.

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