Healthcare CommunicationMedical EducationObstetrics & GynaecologyPaediatricsSMACCCrisis resource management

How a Crisis Resource Management failure led to a full-blown medical emergency

It is estimated that 70% of avoidable deaths in healthcare involve a breakdown of the principles of Crisis Resource Management.

Evidently, CRM involves seven crucial steps:

  1. Firstly, know your environment
  2. Anticipate and plan
  3. Then, take a leadership role
  4. Communicate effectively
  5. Call for help early enough
  6. Next, allocate attention wisely, use all information
  7. Finally, distribute workload, use all available resources

Unfortunately, a failure in adhering to the 7 principles of CRM lead to serious complications for the birth of Tamara & Garry Hills’s son.

In this incredible story, we hear from Tamara and Garry as they explain the human and systemic factors that ultimately led to a full-blown medical emergency.

Notably, a lack of situation awareness, combined with poor communication, unfortunately led to Christopher Hills suffering a severe brain injury. This likely occurred during the 17 minutes of terminal Bradycardia.

Tamara, Garry and Christopher bravely share their story to inspire healthcare workers to embrace crisis resource management. A big thank you to Tamara, Garry and Christopher for sharing their story and for allowing us to spread this far and wide.

Finally, for more like this, head to our podcast page. We have over 23 medical podcast categories to choose from, so you can find exactly what you are looking for. #CodaPodcast


Tamara Hills


Garry Hills


Christopher Hills