It's really tempting to chart your way along that graduated pressure by how much you're succeeding, right?

Because you're able to say, hey, I'm getting this line in.

Now I'm getting this line in.

Now I'm getting that line in.

But the magic of this actually comes when you start tracking your failures, right?

You start tracking what breaks down.

Because as you build more and more pressure into your system, as Jane practices that

central line under worse and worse and more adversarial conditions, she's able to see

which parts of her ability to do that break down first. So if you put her all the way at the end,

if you're like Jane, sink a line into this INR 10 thrashing patient, like she might fail and you

might have no idea why. You might not

actually learn anything because that diet of the person and the situation fails at so many

different points. But if you apply graduated pressure to it, you're able to sort of let little

things fail, fix them, improve your ability to do it and then ramp that up over time to really

apply that wedge to the situation.

Hi folks. I'm Dan Dwarcus, and this is a collaboration between the people at EM Basic and

the emergency mind. In this episode, you're going to hear Dr. Dan McCollum and I talk through the

details of how to build Sang Fuwa, the skill of being calm and cool under pressure.

We talk primarily from the point of view of somebody who is just starting out a career

in delivering emergency medical care, but there's really a lot to learn and think about here

regardless of your personal position. If you like what you hear, and I sincerely hope you do,

you can find both podcasts, both the

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