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Updated: May 6, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Applying lessons from commercial aviation safety and operations to resuscitation
Joseph P Ornato1, Mary Ann Peberdy2
1Virginia Commonwealth University, Department of Emergency Medicine, Main Hospital, 2nd Floor, Suite 500, 1250 East Marshall Street, Richmond, VA 23298-0401, United States; Richmond Ambulance Authority, Richmond Fire & EMS, Henrico Fire, United States.
Abstract:
Both commercial aviation and resuscitation are complex activities in which team members must respond to unexpected emergencies in a consistent, high quality manner. Lives are at stake in both activities and the two disciplines have similar leadership structures, standard setting processes, training methods, and operational tools. Commercial aviation crews operate with remarkable consistency and safety, while resuscitation team performance and outcomes are highly variable. This commentary provides the perspective of two physician-pilots showing how commercial aviation training, operations, and safety principles can be adapted to resuscitation team training and performance.
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Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...

