About the Authors


David Borshoff


Dr Borshoff is a graduate of the University of Western Australia and began his medical career at Royal Perth Hospital. After completing specialist training he was admitted as a Fellow of the Australian and New Zealand College of Anaesthetists in 1996.

Following further post-fellowship training in cardiac and liver transplantation anaesthesia (Cambridge, UK), he returned to Western Australia to work in the cardiothoracic unit at Royal Perth Hospital and in private practice as part of the Metropolitan Anaesthesia group.

As a co-author of the European Society of Anaesthesiology operating room crisis checklists with the ESA Patient Safety taskforce, he has presented both nationally and internationally on human factors, checklists, emergency manuals and crisis management.

Dr Borshoff has been a member of the Western Australian Immersive and Simulation Based Learning Committee, is Chairman of the state branch of the Australian Society of Anaesthetists and currently the Director of Anaesthesia and Pain Medicine at St John Of God Hospital Murdoch, Perth, Western Australia.

He has given over 20,000 anaesthetics with a casemix that includes paediatric, orthopaedic, bariatric, obstetric, cardiac and general anaesthesia.

He holds a private pilot’s licence, maintains a strong interest in aviation safety and is an advocate of promoting CRM principles in the health environment.


Geoffrey Lighthall

North American Editor, The ACM

Dr. Lighthall is board certified in both Anesthesiology and Critical Care medicine, an Associate Professor at the Stanford University School of Medicine and a staff physician at the Veterans Affairs hospital in Palo Alto, CA USA.

His academic interests include the understanding and improvement of factors that impact the quality of patient care - particularly patients with critical illness. Areas of inquiry range from skill analysis and performance enhancement of individuals and treatment teams, to larger care delivery in hospital systems.

He is involved in the development of a hospital-wide rapid response system, widespread improvements in the delivery of emergency cardiovascular care, and the development of a wide variety of simulation-based educational programs for high acuity care. His research focuses on efficacy of medical emergency teams, outcomes of critically ill patients, and exploration of decision-making in critical care.

Scott D. Weingart

North American Editor, The RCM

Scott is an ED Intensivist from New York. He hold the degree of MD (Medical Doctor). Scott went to medical school and did his emergency medicine residency at the Mount Sinai School of Medicine and then did a fellowship in trauma and surgical critical care at the Shock Trauma Center.

His career goal and the purpose of his EMCRIT blog and podcast are to bring Upstairs Care, Downstairs – that is to bring ICU level care to the ED, so that patients can receive optimum treatment the moment they roll through the door. The audience for this forum is medical residents, attendings, nurses, paramedics, EMTs and students.




Paul Sadleir

Author / Editor The PCM

Dr Paul Sadleir is a specialist cardiothoracic anaesthesiologist and medical perfusionist who practices in both tertiary teaching and private hospitals. He has particular interests in minimally-invasive approaches to mitral, aortic and coronary surgery. He has echocardiography qualifications with the University of Melbourne, has completed the National Board of Echocardiography's APTEeXAM, and has a graduate diploma in professional writing. Dr Sadleir believes that, as is the case for anaesthetists, the true value of a highly trained perfusionist is only evident during a crisis, and it is for this reason that the most exceptional perfusionists will most rarely be appreciated.


Steve Same

Steve Same

Author / Editor The PCM

Dr Same Qualified from the University of Western Australia in 1976 and completed his anaesthetic training in 1983.

After working for 12 months as a specialist anaesthetist in Malmo Sweden, he returned to Perth to take up a full time position at the Royal Perth Hospital. 

Since 1988 he has worked fulltime as a cardio-thoracic anaesthetist, initially in public but since 1991 fulltime at the Mount Private Hospital.

Dr Same has always had a keen interest in medical perfusion and since 1987 he has been setting up and running his own perfusions. Having been involved with over 16,000 cardiac cases, approximately half of these in the role of medical perfusionist.

He has been a strong advocate for the cause of medical perfusion, including being a past president of the national association of medical perfusionists and attending perfusion and cardiac anaesthesia conferences in America and Europe every second year since 1988.

Dr Same is a staunch advocate of quality improvement and has served on at least 3 hospital committees continually from 1992 to the present day.

Being involved with the establishment of the Melbourne University based medical perfusion course, he realized there is very little in the current body of literature describing how to manage crisis situations in perfusion. Knowing how successful the Anaesthesia Crisis Manual has been he felt there was a need for a similar text to be used in an emergencies or to assist with simulation training.