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The HALO Missions

eFONA – Airway Decon – Hemoptysis – Bleeding Trach


An infographic titled 'The Halo Missions' featuring a spacecraft in space, detailing the importance of technical skills and preparation in high-pressure situations. It includes sections on various HALO procedures such as eFONA, SALAD, Beef-SALAD, and Utley Maneuver, along with a QR code for further exploration.

Where the Mission Is the Practice

HALO Procedures focus on a small set of rare, high-risk airway emergencies where delay, indecision, or unfamiliarity has immediate consequences. These include FONA, airway contamination, massive hemoptysis, and bleeding tracheostomy—events clinicians may see rarely, but must manage decisively.

Unlike routine airway skills, HALO Procedures cannot be safely learned solely through exposure.

How do you access high-quality, regular practice that meets you where you live? Each theme-based PACscape integrates anatomy, physiology, decision points, and technical execution into a single, coherent learning environment that can be deployed anywhere.

They are available for online learning and hands-on practice through PAC’s pop-up training design, making deliberate, repeatable preparation accessible anytime it’s needed—so when a HALO moment arrives, the skills feel familiar and ready.


The HALO Procedures

Beyond the cognitive insights, the HALO mission team uncovered a second, inseparable truth. Mindset alone was not enough. On the other side of cognition sat practice.

Technical skill proved essential, making clarity possible under stress. Familiarity with devices, anatomy, and procedural execution created margin, a margin that allowed thinking to continue when conditions began to deteriorate. The more technically prepared a clinician was, the more cognitive bandwidth they retained as pressure increased.

From the beginning, it is clear that the HALO Mindset was never intended to replace technical airway training. It depended on it.

A weathered document titled 'HALO Procedures' with subheadings for CICO Scenario, Airway DECON (SALAD), Massive Hemoptysis, and Bleeding Tracheostomy, marked for HALO Command 1969.

Deliberate practice of difficult and complex airway skills changed the texture of HALO moments. It reduced unknowns, shortened hesitation, and preserved attention for judgment, communication, and leadership. Preparation did not prevent catastrophe. It determined whether a clinician could function effectively within it and contribute meaningfully to the team when it mattered most.

The original four HALO procedure documents were badly damaged in an archive fire. Some of them remain preserved in the mission record. They have since been refined and updated, and they are available here for you to explore.


MORE COMING SOON

Stay Tuned.


Portrait of a mission specialist in a flight suit, wearing glasses and smiling, with the American flag in the background. The plaque below reads 'Mission Specialist Oscar Mitchell MD - HALO Program - 1968'.
A sepia-toned portrait of Mission Specialist Jim DuCanto, smiling while wearing a flight suit with a HALO Program patch. The background features the American flag.
A framed portrait of a man with a beard, smiling and holding a mug, wearing a flight suit with a 'HALO PROGRAM' patch, in front of an American flag.

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Logo featuring stylized blue lungs with a collage of images inside, surrounded by a colorful gear-like border, and the acronym 'PAC' displayed prominently at the bottom.

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