<description>What happens when life depends on perfect coordination between human and machine? In this episode, Thomas Preston — a veteran ECMO expert and executive leader at Integration Health — joins us to explore the high-stakes world of ECMO (extracorporeal membrane oxygenation) and the complex teamwork it demands.</description>

What happens when life depends on perfect coordin…

What happens when life depends on perfect coordination between human and machine? In this episode, Thomas Preston — a veteran ECMO expert and executive leader at Integration Health — joins us to explore the high-stakes world of ECMO (extracorporeal membrane oxygenation) and the complex teamwork it demands.

Episode 123 - Thomas Preston on ECMO, Expertise, and Trust

<description>In this episode, Harry Moffitt shares his insights on human performance and philosophy. Moffitt, a director at Stoughton Group and Mission Critical Teams Institute, and a former SAS member, discusses his new book 'The Fourth Pillar: Modern Stoicism and the Philosophy of High Performance.' He touches on the importance of philosophy alongside physical, psychological, and social aspects of human performance. The conversation also explores the risks of modernity, the importance of maintaining humanity in high-performance environments, and how metaphors influence our understanding of development and growth. Harry challenges listeners to embrace philosophical practices and offers practical steps to maintain a balanced, fulfilling life.</description>

In this episode, Harry Moffitt shares his insight…

In this episode, Harry Moffitt shares his insights on human performance and philosophy. Moffitt, a director at Stoughton Group and Mission Critical Teams Institute, and a former SAS member, discusses his new book 'The Fourth Pillar: Modern Stoicism and the Philosophy of High Performance.' He touches on the importance of philosophy alongside physical, psychological, and social aspects of human performance. The conversation also explores the risks of modernity, the importance of maintaining humanity in high-performance environments, and how metaphors influence our understanding of development and growth. Harry challenges listeners to embrace philosophical practices and offers practical steps to maintain a balanced, fulfilling life.

Episode 122 -  Harry Moffitt on The Fourth Pillar

<description>How do complex systems shape the emergencies we face—and how can understanding them help you perform when it matters most?

In this episode, I talk with epidemiologist and emergency responder Geoff Dougherty about how complexity science shows up everywhere from individual patient care to statewide population health. We dig into what makes a system complex, why small changes can have massive effects, and how feedback loops, phase transitions, and path dependence shape what actually happens under pressure.</description>

How do complex systems shape the emergencies we f…

How do complex systems shape the emergencies we face—and how can understanding them help you perform when it matters most?

In this episode, I talk with epidemiologist and emergency responder Geoff Dougherty about how complexity science shows up everywhere from individual patient care to statewide population health. We dig into what makes a system complex, why small changes can have massive effects, and how feedback loops, phase transitions, and path dependence shape what actually happens under pressure.

Episode 121 - Geoff Dougherty PhD on Complexity in Emergency Systems

<description>Coming home to your family after shift is a skill. In this episode, Dr. Art Finch and I talk about re-integration, and coming home as a process not an event. We introduce our new resource, "On Coming Home," a workbook for people operating in crisis and their families -- you can download it free at www.bit.ly/mctioch</description>

Coming home to your family after shift is a skill…

Coming home to your family after shift is a skill. In this episode, Dr. Art Finch and I talk about re-integration, and coming home as a process not an event. We introduce our new resource, "On Coming Home," a workbook for people operating in crisis and their families -- you can download it free at www.bit.ly/mctioch

Episode 120 - On Coming Home with Dr. Art Finch

<description>Eric Benoit, acute care surgeon at Lahey Hospital, and Andrew Petrosoniak, emergency physician at St. Michael’s Hospital, join me on the podcast to discuss operating with uncertainty in high-stakes medical environments. This episode addresses managing risk, performing under pressure, and the importance of decision-making and reflection. Discover how they balance technical skills and knowledge with handling ambiguity in critical situations. Learn valuable insights on improving clinical decision-making, teaching trainees to cope with uncertainty, and the operating in highly uncertain environments.</description>

Eric Benoit, acute care surgeon at Lahey Hospital…

Eric Benoit, acute care surgeon at Lahey Hospital, and Andrew Petrosoniak, emergency physician at St. Michael’s Hospital, join me on the podcast to discuss operating with uncertainty in high-stakes medical environments. This episode addresses managing risk, performing under pressure, and the importance of decision-making and reflection. Discover how they balance technical skills and knowledge with handling ambiguity in critical situations. Learn valuable insights on improving clinical decision-making, teaching trainees to cope with uncertainty, and the operating in highly uncertain environments.

Episode 119 - Operating With Uncertainty, with Drs. Eric Benoit and Andrew Petrosoniak

Lessons from emergency medicine and beyond about performing when it matters the most and applying knowledge under pressure.

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