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The Sim Cafe~
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Behind the Mask: A Critical Look at Emergency Preparedness in Dental Practices
Linked In: https://www.linkedin.com/in/richardmarn/
Readiness quiz: https://emergency.scoreapp.com/
A staggering statistic opens this eye-opening conversation with Dr. Richard Marn: one person per day dies in the United States due to medical emergencies that begin in dental offices. As a board-certified anesthesiologist with decades of experience, Dr. Marn reveals the critical safety gaps in dental practices and how his journey from academic medicine to founding Blue Pacific Medical Simulation led him to address this overlooked public health issue.
Dr. Marn introduces us to the fascinating "beehive versus lone wolf" concept – explaining how hospital teams function collaboratively like beehives during emergencies, while dental practices often rely on the dentist alone (the "lone wolf") to handle everything. This fundamental difference in approach creates dangerous vulnerabilities when seconds matter most.
The heart of the episode explores Dr. Marn's innovative Four Pillars of Sedation Emergency Readiness: Infrastructure, Competency, Culture, and Habit. Beyond just having the right equipment or knowing CPR, these pillars address psychological safety, team dynamics, and creating systems where everyone knows their role in a crisis. Through compelling examples and practical insights, Dr. Marn demonstrates how dental practices can move from simply checking regulatory boxes to building genuinely effective emergency response capabilities.
Perhaps most valuable are the actionable steps dental teams can implement immediately – from five-minute huddles that create psychological safety to using Dr. Marn's free online assessment tool (emergencyscorapp.com) to identify specific practice vulnerabilities. His approach acknowledges the realities of busy dental practices while providing a clear framework for meaningful safety improvements.
Whether you're a dental professional looking to enhance your practice's safety protocols or simply someone curious about what happens when things go wrong in healthcare settings, this episode offers profound insights into saving lives when every second counts. Connect with Dr. Marn on LinkedIn to learn more about his work transforming dental emergency preparedness.
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The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the opinions or positions of anyone at Innovative Sim Solutions or our sponsors. Thanks to SimVS for sponsoring this week's episode. The new SimVS iV Infusion Pump Simulator is the first to market in this critical learning area, with great realism and advanced features like simulation, meta orders, gamified med arrows and more. Simvs IV significantly reduces the burden for training proper IV administration when compared to refurbished pumps. Simvs IV helps students develop the confidence needed in a safe environment before facing the challenges of modern health care. To learn more, visit wwwsimvscom. Welcome to The Sim Cafe, a podcast produced by the team at Innovative Sim Solutions, edited by Shelly Houser. Join our host, deb Tauber, and co-host Jerrod Jeffries as they sit down with subject matter experts from across the globe to reimagine clinical education and the use of simulation. So pour yourself a cup of relaxation, sit back, tune in and learn something new from The Sim Cafe.
Deb Tauber:Welcome to another episode of The Sim Cafe. Today's guest is Dr Richard Marn, a board-certified anesthesiologist and pediatric anesthesiologist with over two decades of experience in patient care, medical education and simulation-based training. He's the founder of Blue Pacific Medical Simulation. Dr Marn has worked in top institutions like Mount Sinai and now specializes in pediatric dental anesthesia across New York. He's here to share his insights from his unique medical journey and how he's helping shape the future of healthcare education. Thank you, dr Marron, and you said that I could call you Richard, so I will call you Richard. Unfortunately, Jerrod is not going to attend this episode today, so it's just going to be the two of us, but we've got a lot in common and I'm looking forward to it. So why don't you tell our listeners a little bit about yourself?
Dr. Richard Marn:Well, thanks for having me, Deb. So yeah, I'm a board-surfer. Anesthesiologist, pediatric anesthesiologist. I live in the New York metro area and I specialize in pediatric dental sedations. I basically have two main ways to deliver. Safety for dental world is one is the mobile sedation service that I do, as well as a risk management company called Blue Pacific Medical Simulation, which essentially improves, addresses team alignment for when it matters the most. So we help improve the team alignment that is stress tested for medical and sedation emergencies, and so that's kind of like where I am right now.
Deb Tauber:Thank you and Richard. How did you get involved with this? What started you down this path? All of a sudden, you're thinking dental emergencies. How did you come up with that?
Dr. Richard Marn:It was in a direct linear route here. So I guess it kind of started when I was. I mean, I didn't even want to be an anesthesiologist, Deb, I wanted to be a surgeon way back when, but anyway. So I was at Mount Sinai Hospital, I had finished my training at NYU and Johns Hopkins and my first job was at Mount Sinai Hospital Thank you, David Rich who was the chairman at the time and I spent 11 years there and during that time I do my traditional medical pediatric sedation and anesthesia cases tonsils, adenoids, circumcisions and such, and some liver transplants and craniotomy and premature kids.
Dr. Richard Marn:But we'd also do in the hospital general anesthesia for pediatric dental cases and these kids who had needed full mouth rehabilitation so they have like 10, 8, 10, 12 cavities and they'd be under anesthesia for one, two, three hours for their care.
Dr. Richard Marn:And my wife is actually a pediatric dentist and so we do cases together and the topic would come up hey, why don't we consider start doing cases in her office? And so I really wasn't comfortable for that until maybe about 10 years or so after I cut my teeth in academic medicine and then about 11 years at Mount Sinai, I left academic medicine and went to private practice with the goal of helping what I thought was an underserved community, if you will, for in-office dental sedations in the New York area. And so that was back in 2016 is when I left Mount Sinai, and I've been trying to address that since then, and so that's kind of how I got into dental sedation. So my wife was my first client, if you will. So she's kind of like my boss at work and at home and then and so, yeah, that's how I got into the dental world.
Deb Tauber:Well, thank you, and I was really interested in hearing your story and hearing what you're doing. I remember back in the 80s when I worked in the emergency department I will never forget I had taken care of a young woman. She was probably mid between 25 and 30. And the dentist had given her Versed and Talwin intravenously and she went into full arrest airway. And she went into full arrest airway, stopped breathing and, uh, they brought her into the emergency department and I'll never forget this. I was just, you know, 25, maybe 26, myself taking care of this woman and we were unable to resuscitate her and it was just it left. It just left. You know something inside of me, something Something like how could this, how could this happen? Right, but you know, you know this does happen. This still continues to happen with airway compromise, and are we taking all the precautions we should?
Dr. Richard Marn:Right, right and unfortunately this is. You have to kind of live through that, that situation. This is. You have to kind of live through that situation. I tell dentists and dental teams that the one event in all that they do whether it's clinical care in their dental office, whether it's dealing with patient complaints, whether it's trying to keep up with the latest regulations or CE knowledge in their dental world or making sure they make payroll the one singular event that will shatter their practice, put them under regulatory light in their dental world, affect staff morale, possibly even decrease revenues and provide for terrible reviews, is a medical or sedation emergency that goes wrong. One event, and that will take place within a course of literally minutes, that will literally bring your practice to a halt, more than any other situation that they can think of. The way I look at it is you want to be prepared for that. Not just you, the whole team needs to be prepared for it, and so the reason I got into it is because you know I'm doing sedation for my dental clients.
Dr. Richard Marn:You know dentists, oral surgeons, pediatric dentists and my wife one day brings up this article about a bad event and she says you know, I think this needs to be addressed in my dental right. I don't think it's properly addressed. So you know, I honestly this is around 2021, 22. And I didn't know much, honestly, I didn't know much about it, but I started looking into it and it is really a problem bigger than we realize Because the late press you get some late press that comes out in these catastrophic events, but it's a much bigger problem.
Dr. Richard Marn:So the data points to the fact that about one person per day in this country one person per day dies due to a medical event that starts in a dental practice Dies. Okay, so that's about 350 people per year. The near misses account for about five to eight times that number. So that's when you account for near misses and actual deaths, that's about three 4,000 events, not events people in this country per year that are going through that and that has a trickle effect on the patient but also the dental team and their practice.
Dr. Richard Marn:And so I said I must be in a position to help address this. And that's where I started looking into therapy, medical simulation and how that can address this problem. And eventually that led me to Center for Medical Simulation and I took their training. I eventually became one of their adjunct faculty and I teach basically what I teach at the Harvard Hospitals through Center for Medical Simulation to the dental practices not only that I work with, but any other practice that wants to learn about this, and we're still kind of a young, young organization in the risk management realm, but the mission is to improve safety systems that protect lives and practices so that, you know, no one dies, especially a child, in a dental office, ever again.
Deb Tauber:Right.
Dr. Richard Marn:And so that's, that is what kind of led me to where I am right now from this risk management simulation standpoint.
Deb Tauber:Right, I think you're looking at high risk, low frequency events but I know now, even to this day, when I go to the dentist, I get so anxious I think, oh my gosh, what if my airway occludes, what if they know? What if they? I don't know, I just can't, can't stand being there.
Dr. Richard Marn:Well, I think, the way I look at it, it's like it's a numbers game. You're most people would do like they do thousands upon thousands of cases every every day across the country without event. And so what you have to do is you look at the high risk groups country without event. And so what you have to do is you look at the high risk groups. So the high risk groups for medical emergencies that go wrong, when you really look at the data, is typically going to fall into the extremes of age. So the young or the very old, or even just children. So 12 and under, choose some arbitrary number but basically a child or young adult to somebody in their elderly age 60s, 70s, 80s or up, especially if they have underlying health issues. So that's number two. Right, if they have underlying health issues. Number three is sedation. Sedation seems to be a very strong risk factor for these emergencies in their office.
Dr. Richard Marn:So people who don't really fall in those categories. Yes, could emergency happen? Yeah, of course it can happen with any patient, but those are really the strong risk factors when you actually look at some of these reports in the dental world. So I don't want you to feel like you should be too anxious, deb, because I don't think you should be, but I think it's smart to be cognizant and aware. That is your wellbeing properly cared for. Have the dental team thought about contingency plans should you get a little bit too much epinephrine in the local anesthesia you give or you start to get an allergic reaction or God forbid an anaphylactic reaction to one of their supplies that they're using to treat the teeth Right right.
Dr. Richard Marn:And also you could get an anaphylactic reaction to some of the local anesthesia they get as well. So, yes, it's always a risk factor and so, again, we're trying to address my team and I are trying to address what we see as a gap in their preparedness.
Deb Tauber:No, I appreciate that. Let's talk a little bit about the current state of the dental industry. The beehive versus the lung what does that mean?
Dr. Richard Marn:So for a long time I was trying to envision what I couldn't put my finger on. It. Like, the way the dental industry prepares for a medical emergency is very different than what I'm used to in the hospital setting. It's very different than what I'm used to in the hospital setting. So if you look at the medical, typical medical response in a medical for a medical emergency in a hospital setting just an average hospital it's a very team-based approach and especially the top tier hospitals where they use simulation a lot, there's a there's this team alignment that they they have. That's that's very clear. Like, for example, someone knows what their airway, who's responsible for the airway chest compressions. Leadership. There's communication. There's useful use of resources, very good use of crisis resource management, crm. Not to say everybody's perfect no, medical emergency management is perfect but there's definitely this sense of teamwork. And, by the way, if someone can't perform that chest compressions or airway management or IV placement, someone comes in and takes over that role, much like a beehive right. If somebody is not performing in that role, most teens I have seen in most hospitals are able to adjust on the fly and perform well to help keep that patient alive as best as possible. There's a sense of teamwork.
Dr. Richard Marn:In the dental industry it's much more of a top-down approach and it comes from the mentality that I feel a lot of dentists have and I think this is industry-wide and this idea that me, as a dentist in in my practice, has to do everything on my own If there's a medical emergency. I have to remember what to do in an anaphylactic reaction. I have to remember all the drug names, the drug dosages. I have to tell people what to do. I have to tell them to call 911. I have to tell them to drop the medications. I have to tell them to drop the medications. God, I have to drop the medications, I'm going to have to do everything.
Dr. Richard Marn:And this idea that they have to carry this burden on their own, I hear it in their voices. They say I don't know what to do in an emergency. I have to feel like I have to. They literally say I feel like I have to do everything on my own Because they don't know how, or they haven't been taught how, to utilize their team, leverage their team in those critical moments, because it's not taught in the dental world. It's not taught.
Dr. Richard Marn:They think basic life support, bls, cpr is enough. They literally say, well, I mean, I have BLS. Well, not to say that's not important, that's very important. But quite frankly, if you have to use BLS, something went wrong. There could have been something that before that happened, so you never got to BLS. Bls, to me, is your last skill set you want to use.
Dr. Richard Marn:There's all these little things along the way to potentially delay the use of BLS or prevent it from even happening, because we already know out of hospital CPR life expectancy outcomes are very poor it's like what? 10%. So we don't want to count on that as a skill set. And so what can you do in advance of that to either delay that from happening until 911 does come and help you out or other resources come and help you out, or what can you do to again negate that from even happening at all. And so again, that's where we try to help people kind of recognize that. But again, that's a difference in mindset and mentality, the sense that I have to do everything on my own and therefore I have to learn everything on my own. And therefore this idea that, oh wait, we'll figure it out as a team, but they don't know how to bring their team together because they have not actually aligned their team in prior to that event.
Deb Tauber:Well, I mean, I think, if you think about I love baseball, I love watching baseball, and you think you know other professional sports. Football is a little rough for me to watch sometimes, but counts where lives are on the line. Have we practiced? Have we prepared? For game day.
Dr. Richard Marn:Agreed, agreed, and I will tell you medical emergency sedation, emergency preparedness and readiness is not top of mind. These are dentists that you know, honestly. They come in, they do their clinical work and they want to clock out at five o'clock. They're done. They literally tell me that, hey, you know this is going to go, this is going to happen after what time, and that's OK. But this is not top of mind. They're worrying about making sure their patients are happy, making sure they're doing clinical care, making sure they're keeping up to date with their clinical knowledge, making sure their staff is happy. If their practice owners payroll regulations, I mean, that's on their mind, I get that. So, therefore, how can you introduce what this is an important topic into their practice and that is a bit of a challenge how can you honestly change the culture? They're thinking that teamwork needs to be a priority for these crisis, versus thinking that dentists have to do it on their own?
Deb Tauber:Yep, yep. What are the four pillars of sedation? Emergency readiness that's a great segue. What are the four pillars of sedation?
Dr. Richard Marn:e That's a great segue. So when I was looking at preparedness and readiness for emergencies, I was trying to struggle to put it into categories and these four pillars or categories I found is what you need. It is essential in best practices I believe in dental sedation, emergency readiness. In best practices, I believe in dental sedation, emergency readiness. But I also found that this is probably holds true with really any medical emergency, no matter where you're at. So the four pillars, I'll just name them and then kind of talk about them separately, if that's okay, deb. Yeah, all right. So first is infrastructure, number two is competency, number three is culture, number four is habit.
Deb Tauber:Yeah.
Dr. Richard Marn:I think that addresses all the issues. So what is infrastructure? Infrastructure is the physical tools and items or the facilities that you're at. Does it support your ability to manage that medical emergency? All right, so I came up with this acronym. Right, it's called MESV, m-e-s-v Medications, equipment supplies, visual aids or cognitive aids. Okay, that's what we all need. Then there's also the physical realm with which you live in. Is there ingress, egress? Does 911 get into? Can they get into your facility or not? Do you have a proper lighting, you know? Is there enough space to work in that space should a medical or sedation emergency happen?
Dr. Richard Marn:I'll give you an example of why that's so critical. A few years ago there was a oral surgery practice that had a sedation emergency on an elderly woman on, like I don't know, their eighth floor, 16th floor of their practice. There was a delay in 911 showing up because they went to the wrong floor. And then, when they got to the wrong floor, they went to the wrong door. Thank God, someone eventually escorted the 911 to the right door, but that delayed care. That delayed care.
Dr. Richard Marn:Because the infrastructure wasn't set up properly. No one thought about that. Okay, so that's number one infrastructure. Number two is competency. Now, competency is kind of what a lot of us tend to focus on and, quite frankly, the dental industry tends to focus on the first two a lot. So competency in the dental world is like BLS, cpr, acls, pals. It's kind of going to your typical one hour seminar and reviewing anaphylaxis or MIs or seizure management. It's competency, but in there it's also competency.
Dr. Richard Marn:Does your team know how to use the tools that you actually have in your infrastructure? Do they know how to use what you actually have? And there's sometimes a disconnect between competency and infrastructure. People assume that just because I have it, I know how to use it. And unfortunately, a lot of these dental offices, when we go to them for the first time and we actually go through a simulation, they have these emergency kits, these pre-made health kits that have some basic mesvie in it. You know an ambu bag and a mask and epinephrine and Benadryl and such. I kid you not, it is sometimes the first time they're open in it and it's still in the wrapper. I literally there are EpiPens that are literally in a wrapper. They've never even opened it, and thank God we do this simulation practice because it allows them to actually have their hands on with the infrastructure, the equipment, the supplies, the medications for the first time, as opposed to, as you know, during an emergency.
Deb Tauber:Right, that's ideal.
Dr. Richard Marn:Right. So now, in that competency is not only just the individual skills but also the teamwork skills. Do they have teamwork competency skills? Do they know how to assign roles? Do they know how to call for help? Do they know how to assign roles? Do they know how to call for help? Do they know how to assign leadership or take on leadership that takes practice? So that's again competency. It's more than just I know CPR, again, even anesthesiologists. It's more than, oh, I know how to give drugs. All right, well, do you know how to communicate with your OR team and do you practice that? Have you been taught that? Okay, so that's competency.
Dr. Richard Marn:Number three culture. Do you have a culture that in some way, this addresses teamwork? Do you have a culture that allows for your teamwork to perform at a high level? So, do you actually have a big psychological safety? That's a big one, right? I know a lot of us talk about this in simulation. World is an area, of course, that is extreme importance. But putting it into practice and actually practicing is another item, right? It's one thing, knowing about, it's another one on executing on it. So, culture, shared mental model is another aspect. Do you have that shared mental model? Another aspect. Do you have that shared mental model? Do you know how to communicate that shared mental model when a crisis happens? So that's the cultural aspect of teamwork Because, as we know, if someone doesn't know how to speak up and they think the dentist will know everything because they talk about how they have to manage everything on their own if the pulse oximeter is not reading correctly and maybe it fell off, but the dental assistant doesn't want to speak up because they don't feel psychologically safe to do so, or they think that, oh, the dentist will figure it out, I'm not going to say anything, they're not going to speak up, and so that's something that needs to be addressed, of course, and that's the cultural aspect of it.
Dr. Richard Marn:The number four is habit. I mean, I think it seems that's self-explanatory, but again, it's one thing to talk about, one thing to execute, and the idea is have you made preparedness and readiness for an emergency a habit? The habit that a lot of dental teams have is oh, we have our habit of every two years doing BLS. Yeah, that's their habit, because, honestly, that's how the dental industry as a whole kind of looks at it. Yes, there's some niches, such as the oral surgery, where there are state requirements, telling the people that do sedation in dental office that you have to do a little bit more, the people that do sedation in dental office that you have to do a little bit more. It's more, how should I say? It is still not a strong habit for the majority of dental practices, even the ones that do sedation. And so the habit is do you make it a habit in your practice, whether it's on a daily, weekly or monthly or even a quarterly or yearly basis, and what are those habits and does your team participate in that habit as well? It's not just, oh, more burden on your dentist. How can we offload some of that burden so your team can support you during a crisis?
Dr. Richard Marn:So those are the four pillars and, as I mentioned, a lot of the dental team just kind of tends to focus on the first two, and really it's the four pillars that really prepare you for those emergencies. I mean, if you look, deb, at the best teams, right, the teams that are in lay press, right, the Navy SEALs, the Formula One. When you look at Delta teams, or you look at the top responding teams in any medical facility, all right. Or you look at I also look at other safety systems as well, whether it's like engineering or nuclear power or even other automotive industry, oh, airline industry, they essentially do these four pillars. They are addressing these four pillars in their own way. I'm just kind of looking at that and trying to say, okay, how can we take those four essential pillars and address them in the dental world and make sure they're addressed? But that's what all these best teams do.
Deb Tauber:I want to say there's even a handful of dental programs that have been accredited by the Society for Simulation in Healthcare. Their programs have actually gone the distance to recognize how important and how valuable simulation is and being prepared.
Dr. Richard Marn:Do you know the names of those organizations?
Deb Tauber:Not off the top of my head. Okay, all right, thanks.
Dr. Richard Marn:I'd like to learn more about that. We can talk about that later on, but I think that's definitely the step in the right direction, you know, and hopefully it's more than just checking off boxes the right direction, you know, and hopefully it's more than just checking off boxes, right, absolutely Checking off boxes.
Deb Tauber:Now, how do you think dental and oral surgery
Dr. Richard Marn:can get better prepared for sedation emergencies. Oh well, there's two simple ways, right? I already talked about how you know when we do simulations, deb right, and we can make it like a small little micro simulation, or it's like a half day or full day. Yep, that's a big ask for a dental team new to sedation readiness or medical emergency readiness, right. And so for me and also keep in mind my wife's a pediatric dentist they have a lot of other things they have to worry about, and so how can we introduce this Still important, but how can we introduce it so it doesn't become another burden to them, and so what I usually recommend is start small, and so there's two things I usually recommend.
Dr. Richard Marn:One is assess your current risk, and so I actually developed an online tool. It has about 20 questions or so. It takes eight minutes, maybe 10 minutes to take, and what it is. These questions address each of the pillars I just talked about, and it helps you to as a dentist, when you go through it. It helps the dental team. It could be the dentist, could be the hygienist, could be the office manager Literally. Take it and see where you score in each of the four pillars, and then also get a cumulative score. Furthermore, if you complete it, we send you a PDF and it's like 10 to 15 pages, and what it is? It gives you recommendations on how you could address some of your weaknesses in those four pillars.
Deb Tauber:And I'm sure there's a lot of low hanging fruit because again, you mentioned habit. People just get into these you know habits and they're overlooking things that are really simple, and so it sounds like by taking your assess, your risk test, you can find out what some of those things are and implement them easily.
Dr. Richard Marn:Yeah, yeah. And if you take the scorecard and, by the way, it's free, it's online I'll give it to you a link as we can put the show notes. It's actually emergencyscoreapp. com Very professional, Looks great. You can actually trend, see how you do. You take it now, do it six months later after you execute on some of the actions and see if you actually improve your score. Even you can see their perspective of how they think your team is prepared for a emergency not just you as a dentist.
Dr. Richard Marn:I do want to highlight it's a online scorecard that initially was designed for pediatric dentists who do sedation, but it's really. The principles are the same. Anybody could take it. As long as you're a dentist and you're worried about medical emergency preparedness, it still applies. So that's, that's just a measurement tool. It's not perfect, but it gets you in the right mindset and framework and gives you the ideas to start getting not just you but also the dental team prepared for a medical emergency. The second thing talk about low-hanging fruit is I usually recommend start with a simple huddle. It doesn't cost anything but time. Do it once every day, Do it once a week as a topic. I mean, if you have huddles every day, great, but you don't have to necessarily do this every day. You may want to do it initially, but have a huddle where you literally bring up the topic, if you're a dentist and just ask hey what are we doing?
Dr. Richard Marn:great right now for a medical emergency. What do you think we're not prepared for? Right, you can do a little plus delta if you really want and really just kind of get the pulse of your team. And I would say, having recommended this, the team has a lot of insights that the dentist does not have, and simply having that starts a conversation. You're starting to create some psychological safety by even asking your team their thoughts, and that's easy. That takes literally five minutes for one huddle just to get the conversation going and it will reveal a lot.
Deb Tauber:But it gets back to habit. So if you get in the habit of doing it, you're going to be breaking the barrier, you're creating a psychologically safe environment, you're creating a shared mental model for improvement and to think about what's the worst thing that could happen and how would we be prepared for it.
Dr. Richard Marn:Yeah, and simple things. You don't need a fancy degree for this type of huddle. It's really like, hey, what is everybody's thoughts? Should we have a medical emergency? And once you get through that emotional like, oh my goodness, okay, well, what would you do? What do you think your role might be? And again, you don't need to bring someone like me into to do that. That's a simple thing to get things started and then you know, once you get momentum, then you can start thinking as a dentist hey, what else can we do? How can we get to that next level?
Deb Tauber:yep, absolutely now. We're getting ready to wrap up right now. Um so, when you look back at this phase of your life and career, what are the core achievements you'd hope to be remembered for?
Dr. Richard Marn:Ah well, I would just simply put it. If I could break it up in two parts, deb, I would say personally, I would just say that I was a good dad, a good father, good husband, good spouse and supportive, and it was present for them. You know, that is important. I think that gets lost in our professional life, but that is important, very important to me and professionally that I actually had some impact. I actually could save a life.
Dr. Richard Marn:You know, the one thing about being an anesthesiologist is an anesthesiologist can do great work. We can literally as someone puts it, we literally put someone close to death with our medications and our skillset is bringing someone back right. A lot of people can drug drugs. The question is do you have the skillset to bring them back after you've given those drugs? Right? That's, in a very nutshell, what an anesthesiologist does. But I want to make sure I'm trying to make an impact beyond just me, right? I want to make an impact beyond just one-to-one and that's what I'm hoping that if I can have an impact that saves lives beyond my direct clinical care, that would be awesome, that you can put in my gravestone, besides being a fantastic spouse and father and dad. So I think that's what I'd like to kind of leave with.
Deb Tauber:Thank you. Thank you so much. And if our listeners want to get a hold of you, where would they reach out? Tell us a little bit more about your company. Do a little plug for Sure.
Dr. Richard Marn:Number one, I mean, if you want to connect, look me up on LinkedIn. I'm the only Richard Marn I believe on the planet. And number two you can also learn more on own risk. We'll give that link to that emergencyscorapp. com. My clinical work right now is the mobile sedation service, where I provide sedation services for dentists and families, as well as the risk management company that we talked about, blue Pacific. It's just a way to deliver on our mission to help keep practices safe and life safe, so I think that's the best way to go about it.
Deb Tauber:Thank you, Perfect, thank you. Thank you for sharing and happy simulating.
Dr. Richard Marn:Thank you.
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