COMMUNICATION UNDER PRESSURE

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A weekly newsletter on high-stakes communication — drawn from 27 years in operating theatres, military medicine, and hospital leadership. One story. One pattern. One thing you'll use. 

 

Each piece below began as a newsletter issue — and earned a permanent home here.
The LASA Risk Hiding in Plain Sight (And Why It Exists in Your World Too)
2026-04-08 11:21 The LASA Risk Hiding in Plain Sight (And Why It Exists in Your World Too) ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ "Atropine," I called out, eyes on the monitor. Within seconds, my patient stopped breathin...
The Blank Look
2026-04-03 23:03 The Blank Look   ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ The shoulder had refused to cooperate in the emergency department. Forty minutes of manipulation. A young man in severe pain. An orthopaedic surge...
Assume Communication Will Fail
2026-03-31 00:04 ASSUME COMMUNICATION WILL FAIL     Welcome to Communication Under Pressure. Every week, I'll share one lesson from 27 years in environments where communication mistakes cost lives—military field h...