Prehospital practitioners care for critically ill and injured patients in extremely high pressure situations. As well as their medical knowledge and skills, paramedics, EMTs, nurses and prehospital doctors require a thorough knowledge of human factors and the tools to own the pressure and optimise their performance.

Team Courses

The Prehospital Performance Course is available as a group course for ambulance services, HEMS and prehospital teams.

What’s involved?

Prehospital Performance is a one day face to face course. Each event is limited to 18 participants to maximise debate and sharing of experience. The focus is 100% on small group work, discussion and development of the principles of the owning the pressure model when applied to prehospital care. We will be working in teams of six.

Participants will be supplied with a copy of the peak performance book and access to the online performance course prior to joining the course.

Who is the course for?

This course is aimed at all health care professionals involved in prehospital care. This includes paramedics, EMTs, military medics, nurses and doctors. The course is invaluable to practitioners of all experience levels.

What previous performance course participants said:

“Every medic should invest in this course” 

“100% relevant to paramedic profession”

“Thoroughly enjoyed it.”

“Fantastic shared learning from such a diverse group of experts.”

“Brilliantly presented.”

“Absolutely fantastic experience.”

“The mix of practical sessions, videos and discussions has been brilliant.”

“I think the relaxed environment you created and your interaction with the group was pitched just right.”

“I really enjoyed engaging with the diverse group of professions and getting an appreciation of their performance under pressure experiences. I think this diversity really added to the experience. I had many 'take home' messages to take away.”

“At no point did I feel under any pressure to come up with the “right” answers.”

“Stephen was calm and approachable”

“Brilliant experience. Thank you!”

“Very interactive rather than didactic. Really enjoyable.”

“Brilliant and eclectic mix of people, all with something to contribute. More please!”

“Fascinating mix of people.”

 “Loved this exercise” (Communication under pressure)

“Very informative and fun.”

“This was a fantastic course which has really opened my eyes. Extremely passionate and experienced delivery. Thank you!”

“I found it exceptionally informative , accessible and enjoyable.”

“Great insight into coping in high pressure situations from a ++credible expert in the field”

Course Content

The Prehospital Performance course covers the following areas:

  • What pressures affect our performance in PHC?

  • The beneficial and harmful effects of pressure on performance - The Arc of Performance

  • Design and use of checklists and cognitive aids in PHC

  • Training for high performance patient care in the PH environment - Simulation, skills drilling and mental rehearsal

  • Team communication under pressure

  • Briefings and maintaining an accurate shared mental model

  • Scene leadership

  • Cooperative teamwork in PHC

  • Team cultures and leadership styles in PHC

  • Equipment management to optimise performance

  • Working with flash teams during multiagency incidents

  • Fatigue and the environment on performance

  • Cognitive appraisal and our perception of high pressure situations

  • Cognitive overload and decision making under pressure

  • Owning the pressure – the pump, pressure testing pressure control & pressure relief

  • Regaining composure and control

  • Debriefing and significant event management

The terminology used during our performance courses can be found here

Course materials

Participants on the Prehospital Performance Course receive:

  • A personal copy of the Peak Performance book - delivered in advance of the course

  • A place on the online performance course

  • The face to face prehospital performance training day

  • A set of performance infographic cards

  • All teaching materials


Organisations we have worked with include: