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The trauma scenario is often really complex on human factors can affect our performance significantly. It's a group of conditions. You come together a May no, in fact, come together again and to manage a very sick patient. Often, human factors describes the way we can enhance or impair chemical performance. When we understand the effects of teamwork, the task we're doing equipment, we use the space we working, even the culture and the organization itself. All those things impact our human behavior on our ability should apply our clinical skills to make sure that we have a good I come for the patient. So it is complicated, but it's worth more than just little mention on. We will cover it much more comprehensively and the simulation scenarios. When we think of a human factor, leadership comes into play really significantly. We've created a trauma team where there's a clear leadership structure. Many of you will have bean an emergency emergency scenarios where it's not been quite clear. Here the leader is but in the trauma team that is clear on DWI whole, huh? Where either top parts or stickers to see he is on the team on the leader has to be supportive of acting, have a degree of credibility and experience and but also be able to build report to be assertive enough to control the team. Won needed to on give clear instructions to provide feedback. The team. What's gonna happen next? That's that's standards and make sure that they're not going off peace. Time away from established particles. We'll be able to perform under pressure with a sense of calmer ginseng tea and the delegates tasks. They're not in there doing the chest re, and they're actually stepping back on directing the activity them in tin situational awareness of where the team is going on anticipate the next critical steps, and they are key decision makers. The other non technical skills that you'll see within the trauma team are situational awareness. And we've already talked about that in the context of the trauma team leader standing back. A situational awareness has also really been tend Buy the scribe rule will be constantly updating us some time of the intestine getting when we're leaving for CT. We also create situational awareness by the trauma team leader sharing the chemical that most information for the patient arrives. Team working, of course. And the trauma team is really important, being able to cooperate together to assess the patient and all once in this and horizontal fashion rather than the sequential fashion that was previously described being able to adopt within your rule. So if you're not particularly busy on the B team, but the C team is overloaded, you'll be able to provide skills to that team and to be able to cooperate in order to transfer the patient. Absolutely to see CT, um, to be able to stay with the patient to make those important than decisions. Um, as we decide where the discharge or disposition destination for that patient is. Are they going to theater? Good to go back to awards with food critical care, and will they be going for surgery immediately? So non technical skills are really important, the most of what? Just communication. We've highlighted that shared model of it at most and over. We also have to communicate with other areas outside the DMSO spay, giving the CT video go for a pre alert. The patrol that's coming in. Communicating with labs, particularly when I'm transfusion, is required on the massive blood loss protocol is activated for trauma and also within the sub teams are 18 months communicate with in their own Team B team like ways, but then also having that flow of communication to from the trauma team leader with communication overload, it's important to use techniques like great assertiveness if you're really worried about on a aspect of the patients care, you know. Certainly the other team for the members of the team have become aware off and using colitis and check back, for example, of there's unstructured to give tranexamic acid that you check. And that's what you're to give the dose that you're to give on then and to let them know when you've administered it, making sure that we're not over doing it with the language we used. A cup can become very noisy in the resource pay, and we have to make sure that the trauma team can hear the critical information and then keep the rast maybe within our own teams, and then are written. Communication is vital because, and beyond the resource bathe in the station really manage. Perhaps on the major trauma ward on by many other teams has to be clear what has actually happened in that 1st and 30 minutes of their care without in mind. There is a major trauma patient document, which follows a patient three like their hospital. Stay on the front of that. All those named members of the team will be doing by the scribe a man in the first couple of pages of that document that the chronology of what's happened with the patient on the injury summary. They're spacing the rest. The booklet to make know what your actions and your assessments have. Bean and that's important about scare again for the ongoing members off the Team Hill. Now it's a patient throughout their hospital stay.