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The Human Factor of Stress

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.

An illustration depicting a serene figure meditating, surrounded by concepts like uncertainty, hesitation, and team dynamics. The text emphasizes the challenges of performing under pressure in clinical situations.

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

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.

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.

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.

Illustration showing the effects of acute stress on performance, including impaired decision-making, narrowed attention, reduced fine motor control, and communication breakdowns. Depicts a serene figure in meditation alongside stress-related imagery, emphasizing the importance of mental strategies, teamwork, and training for effective response under stress.

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.

A serene scene featuring a person in a brown robe carefully pruning a bonsai tree, emphasizing the theme of seeking simplicity and reducing cognitive load.

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