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Dr. Richard B. Gasaway Fire Chief (ret.) Situational Awareness Matters! How we decide Brain wiring 101.

How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

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Page 1: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Dr. Richard B. GasawayFire Chief (ret.)

Situational Awareness Matters!

How we decideBrain wiring 101.

Page 2: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

A choice made from at least two or more alternatives.

Sort of…

Definition of a decision:

Page 3: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Automatic Decisions

Unconscious Decision Making

Effortful Decisions

Conscious Decision Making

Page 4: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Fact

Education and training develops both

decision making abilities.

Page 5: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Two types of memory

Page 6: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Classroom Education

Cognitive Memory

Page 7: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Muscle Memory

Hands-on Training

Page 8: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Long Term Memory

Page 9: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

The capacity of long-term memory:

Fact

10 times all the information on the Internet.

Page 10: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

You can only consciously access:

Fact

5% of your long-term memory data base.

Page 11: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Unconscious Decisions

ConsciousDecisions

“Automatic”

“Effortful”

Page 12: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Can trigger the 6th sense.

Memory Recall

Page 13: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

IntuitionKnowing…

Without knowing…

How you know.

Page 14: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

How do we know…

If we don’t know…

How we know?

Page 15: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Hair stands up on the back of your neck.

Voices in your head talk to you.

Impending feeling of doom.

Page 16: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Gut Feeling

Page 17: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

31

Your Emotion-BasedRed Flag Warning System

Intuition

Page 18: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

How to improve:

Memory

Recall

Physical performance

Decision making

Page 19: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Context-dependentDecision Making

Page 20: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

4

Inoculation

Page 21: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:
Page 22: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Automatic actions:

Subconscious decision making.

Repetition programs the brain

Page 23: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Performing UNDESIRABLE actions automatically:

Subconscious

decision making.

Repetition programs the brain

Page 24: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

You are a...

Stress can trigger automatic (subconscious) decision making.

Page 25: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

An example of how:

Training Routines

+ Stress+ Muscle Memory

Can trigger an automatic (subconscious) decision.

Page 26: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!26

Page 27: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Multi-Sensory Stimulation

Page 28: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Learning from failure and consequence.

I’ve learned more from the mistakes I’ve made in life than

the things I’ve done right.

Page 29: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Replicate the decision making of LODD events

in training exercises.

When an officer says:“This doesn’t feel right!”

You are developing intuition.

Their brain is learning what NOT to do.

Page 30: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Decision MakingResearch ProjectI surveyed firefighters and fire officers about their situational awareness and

decision making training.

The results were very telling.

Page 31: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!31

Page 32: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of the respondents had received more

than 2 hours of situational awareness training

in their tenure on the fire department?

5%

Page 33: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!33

Page 34: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Patient Assessment Decisions

Page 35: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!35

SceneSafe.

BSI.(BodySubstanceIsolation)

Page 36: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of EMTs were taught to say “Scene Safe” prior to beginning their

patient assessment?

98%

Page 37: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of EMTs have practiced how to make sure

a scene is safe prior to starting a patient assessment?

7%Most were police officers or had a police officer

on their department who taught this.

Page 38: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

and do nothing but watch…

If you arrived at a structure fire

You will likely observe 2 things:

Page 39: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

SituationalAwarenessMatters!www.SAMatters.com

Flashover

Page 40: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

SituationalAwarenessMatters!www.SAMatters.com

Collapse

Page 41: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Every building on fire should be assessed for the potential to flashover and/or collapse

as part of an officer’s“Go” or “No Go”

decision making process.

Page 42: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Concerns for flashover should be on every crew member’s

mind as part of the “Go” or “No Go”

decision making process at every structure fire.

Page 43: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of officers admitted having thoughts or concerns

about flashover prior to making a decision to enter

a pre-fabricated burn building?

Does not include training in a flashover simulator.

3%

Page 44: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

The thought of a collapse occurring should be on

every crew member’s mind as part of their

“Go” or “No Go” decision making at

every structure fire.

Page 45: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of officers admitted having thoughts or concerns

about collapse prior to making a decision to enter

a pre-fabricated burn building?

9%5% of the concerns were based on the

deteriorated condition of the burn building.

Page 46: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Thoughts & concerns about flashover and collapse…

Should be part of the decision making script programmed into the

mind of the firefighters during training.

Page 47: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Size-up

Page 48: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

[barring obstructions]

A 360 size-up should be completed prior to making

a decision to enter a structure on fire.

Page 49: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of officers playing therole of first-arriving admitted

to completing a 360 size-up for

EVERY evolution at a pre-fabricated burn building?

11%

Page 50: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of officers playing therole of first-arriving admitted

to completing a 360 size-up on EVERY

evolution when using the fire station for evolutions?

< 1%

Page 51: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Hose lineselection

Page 52: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

The decision for hose line selection should be made

after completing an assessment of fire conditions.

Page 53: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of fire officers admitted that during live burn

evolutions the hose line selection was made prior to the start of

the training evolution?

96%

Page 54: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of fire officers admitted that prior to live burn evolutions starting the attack

lines were already laid out on the ground?

(Pulling the line was not part of the evolution)

94%

Page 55: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

SituationalAwarenessMatters!www.SAMatters.com

Go or No Go

Page 56: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

“No go” should always be an tactical

decision option.

Page 57: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of fire officers admitted that during live burn

evolutions they practiced No-Go decision making?

<1%Not just discussed no-go. But actually did not

make entry into the burn building.

Page 58: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of fire officers admitted the decision to “go” was a given

(no-go was never considered)?

99%Including the “go” decision being made by the

instructor (not the company officer).

Page 59: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Training the process of decision making

Using the Socratic Method of Teaching

Page 60: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!60

Page 61: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Tactical decisions should be based on quantity and quality

of staffing.

Page 62: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

SituationalAwarenessMatters!www.SAMatters.com

Staffing during live burn scenarios.

Page 63: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of fire officers admitted the size of the crews during training was based on

how many were available at the training session, not the realistic

numbers at emergency responses?

81%

Page 64: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

The number of firefighters assigned to a task during training should match the

number of firefighters who will be performing the task at real incidents.

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!65

Ventilation

Page 66: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!66

Is this a learned behavior?

Page 67: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!67

Vertical ventilation prop

Page 68: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to practicing

vertical ventilation on a prop while not wearing full turnout gear and an SCBA?

86%

Page 69: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to making a no-go

decision while practicing vertical ventilation on a prop?

0%Not just discussed no-go.

But actually did not go on the roof prop.

Page 70: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!70

Page 71: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

While on a roof a crew should

“sound the roof” to ensure structural integrity.

Page 72: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to learning how to

“sound the roof” as part of their basic firefighter training?

100%

Page 73: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!73

Page 74: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Fire conditions and building construction

should be assessed as part of the decision to go (or not-go)

to the roof.

Page 75: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to assessing building

construction and fire conditions as part of their go or not-go to

the roof decision while using a roof prop?

0%

Page 76: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!76

Page 77: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

How do we explain this?

RoboticAction?Bravado?

Culture?

FollowingOrders?

Complacency?

Habits?

DecisionMakingTraining?Orlackof

Page 78: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

!78

Page 79: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

“Engine 2 is at the front door, we have heavy, thick, black,

hot smoke banked all the way down to the floor with zero visibility.”

IsthisGo?OrNoGo?

Page 80: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

SituationalAwarenessMatters!www.SAMatters.com

Blind search

Page 81: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to participating in blind-search drills as part of their training regimen.

100%

Page 82: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted to practicing

no-go decisionsduring blinded evolutions?

< 1%

Page 83: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

What % of firefightersadmitted they have practiced how to make a decision to

abandon a search and leave the victim behind because conditions

were rapidly deteriorating?

< 1%

Page 84: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Is it possible to teach responders how to be better decision makers?

YES!

Page 85: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Every hands-on training evolution should teaching

and practicing:

Page 86: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Cognitive (thinking skills)

and

Kinesthetic (movement skills)

and

Decision making skills.

Page 87: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Step 1: Size-up

Step 2: Think

Step 3: Decide

Step 4: Predict

Step 5: Act

Page 88: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

22828

samatters

Handout

You will also receive the SAMatters monthly

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Page 89: How we decide - Situational Awareness Matters!™€¦ · How we decide Brain wiring 101. A choice made from at least two or more alternatives. Sort of… Definition of a decision:

Helping you see the bad things coming... in time to avoid bad outcomes.

Dr. Richard B. GasawaySAMatters.com

[email protected]