NextGen Learning To Elevate Your Airway Practice
Essential Elements
FONA is not complicated. But performing it under pressure is one of the hardest things we ask clinicians to do. Not because of the steps, but because of everything surrounding them—uncertainty, hesitation, team dynamics, and time running out.

In this section, we focus on what real readiness looks like in practice. You’ll learn how stress impacts performance—and how to control it when it matters.
The Effects of Stress
Identify stress-related killers
Stress can undermine performance in specific, predictable ways. Here, we highlight three stress-related pitfalls commonly seen in failed airway scenarios—so you can recognize them in yourself or your team and be better prepared to counteract them when it counts.



Performance Training
Techniques to enhance your fona performance
Here, we give you four techniques you can practice to enhance your performance under pressure and cultivate your Fearless FONA Mindset. Each technique provides you with all the resources for self-guided practice and in-person learning in our performance lab.

box breathing
- Listen to the intro audio 🎧
- Use the GIF to practice 🫁
- Use it before any procedure

visualization skills
- Listen to the intro audio 🎧
- Watch the FONA procedure video
- Use guided audio to visualize
- Then try it without the audio

Positive self-talk
- Listen to the intro audio 🎧
- Write down 3 positive self-talk phrases
- Practice using them

triggers
- Listen to the intro audio 🎧
- Write down a trigger phrase
- Practice using it
Team Building
Lean on Your Team
Teamwork is critical during high-stress, time-sensitive procedures like FONA because no single person can manage everything alone. Effective teamwork ensures clear communication, role clarity, and mutual support, helping to prevent errors, manage stress, and optimize performance. When teams function well, they can adapt quickly, catch mistakes early, and keep the focus on what matters most: saving the patient.

It’s not all on you
Learning to manage stress is essential, but reducing it is also vital. Your team is a valuable resource if you know how to utilize it effectively. Developing techniques for team communication that can support cognitive offloading and improve your bandwidth is part of cultivating a Fearless FONA mindset.

The Bottom Line
Understanding how stress impacts performance is essential when performing high-stakes procedures like FONA. Under acute stress, even skilled clinicians can experience impaired decision-making, narrowed attention, reduced fine motor control, and communication breakdowns. Recognizing these effects allows us to design training, systems, and mental strategies that mitigate stress, preserve performance, and support effective action when every second counts.

What’s Next
Find Or Click Me
Nice work—you’re through this section! To keep going, scan the QR code on the physical poster at the next station in our pop-up training space to access the next set of digital content. Prefer to stay online? Just click the poster image here to continue your journey.
Reference – Psychological Skills to Improve Emergency Care
Providers’ Performance Under Stress
Michael J. Lauria, BA, NRP, FP-C*; Isabelle A. Gallo; Lt Col Stephen Rush, MD;
Jason Brooks, PhD, MSc; Rory Spiegel, MD; Scott D. Weingart, MD
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