Christine Stead is the CEO of ELSO: the Extracorporeal Life Support Organization. ELSO is the premier global nonprofit for ECMO and ECLS, connecting providers, researchers, and regulatory agencies across 66 countries and nearly 800 contributing centers worldwide.

Earlier this year, Dan's conversation with Thomas Preston explored trust and communication at the bedside. They discussed what it takes for a single ECMO team to function in a single room under pressure. On this Teamcast, released in collaboration with The Emergency Mind Podcast, Christine joins Dan to talk about how ELSO held the field together during COVID: a live registry built in weeks, a global capacity map, real-time coordination running patient-by-patient across time zones. Getting information out mattered more than getting it perfect, because withholding it presented a different kind of risk.

They also get into ELSO's founding philosophy, the systems-of-systems challenge in out-of-hospital cardiac arrest, and an upcoming center certification program that has been two years in the making. If you find this episode useful, the best way to support the work is to subscribe and leave a quick rating or review.

This conversation originally aired December 6, 2022.

Dr. Michael Platt is a Professor of Neuroscience, Psychology, and Marketing at the University of Pennsylvania and holds joint appointments at the Perelman School of Medicine, the School of Arts and Sciences, and the Wharton School. He is the founder of the Wharton Neuroscience Initiative and the author of The Leader's Brain.

Preston and Michael work through the neuroscience underneath three questions: Why do emotional interventions sometimes produce learning, and sometimes just produce resentment? What does it actually mean to have a "social brain," and what happens to it when you cut people off from each other? And what are the neurological precursors to the thing teams call flow?

Listen to learn the marble metaphor for habit and development, the default mode network as a muscle that atrophies without boredom, the role of synchrony in what rowers call "swing," and a standing challenge to the introverts in the audience (go talk to your neighbors).

Michael's closing recommendations are three things most likely to keep your brain and your team's brains healthy under pressure.

We're continuing our conversation on human performance by asking why some performers keep improving under pressure while others hit a ceiling. One of the most powerful answers is curiosity. In this Teamcast, released in partnership with The Emergency Mind Podcast, Dan talks with Marius Aleksa, a performance advisor who has coached elite performers across professional baseball, special operations, medicine, and high-level athletics. Together, they explore how curiosity helps people recognize their strengths, uncover hidden leverage points, and build the kind of solid foundation that supports growth at the edge of their ability.

Andy Walshe has spent his career at the frontier of human performance, from Australia's post-Sydney Games high-performance system, through a decade at Red Bull, to his current work with Liminal Collective across elite sport, government programs, and executive development. His assessment of where the field actually stands: about a ten out of a hundred.

Harry and Andy dig into what that means. They cover the challenge of building operator-centered performance programs inside organizations still stuck on the basics; why character and creativity are the two most important elements most programs underweight; and how the rise of AI is forcing a reckoning with what makes humans irreplaceable. Andy's term for it is Imagineering: the capacity to generate the questions worth asking, not just consume the answers the machine provides.

They close on the cognitive warrior as the emerging frontier: why cyber and analyst communities, starting from scratch, may end up leading the DOD in human performance, and what Monday could look like for anyone building high performance programming.

If you find value in this discussion, the best way to support our work is to subscribe and leave a quick rating or review — it helps us reach the teams that need to hear these conversations most.

Six years ago this week, on May 7, 2020, we released our first Teamcast on Residue. In that episode, Preston shared a conversation with Coleman Ruiz on the psychological and emotional substance left behind after choosing the hard path. The episode, and the paper that grew out of it, traveled further than we expected. Eight operators have since told us that paper is the reason they are still here.

In 2018, at a Wounded Warriors event in Alexandria, Tom Hardy introduced the idea of Residue to Preston. Preston then turned to FDNY Chief David Morkal, who pointed him toward Denis Leary. Denis's response became an essential part of MCTI's paper.

Six years later, this is the first time Preston and Denis have actually talked in person. They get into what method actors and mission critical operators share, the difference between trauma and burden, dark humor as survival, the Clark Kent–at-the-barbecue experience, and why music does the work that nothing else quite does, as evidenced by Denis singing in the car on the way to the recording. Denis's response to our Monday morning question is in there, too.

If this conversation is useful, the best way to support our work is to subscribe and leave a quick rating or review. It helps us reach the people who need to hear it most.

What do theater, crisis response, military service, and social work have in common? More than you might guess. Adam Milano, faculty at UNC's School of Social Work, a military veteran, and theater-trained performer, joins Dan Dworkis to discuss how high-performance teamwork under pressure looks a lot like ensemble art.

In this episode:

• You can't turn off the human part — and you shouldn't
• Invisible excellence: the best work goes unnoticed
• Your job is to make your teammates look brilliant
• Your third emergency today is someone else's first

This conversation was released in partnership with The Emergency Mind Podcast and originally aired on February 16, 2026. If this conversation was useful, the best thing you can do is subscribe and leave a quick rating or review — it helps us reach the teams that need to hear these conversations most.

Ceci Craft has worked inside two of the most demanding performance cultures in the world — Army Special Operations and Major League Baseball. She's currently the Philadelphia Phillies' Director of Mental Performance, Life Skills, and Education, leading a staff of seven coaches across their MLB affiliates and the organization's academy in the Dominican Republic.

When she made the move from working with Operators to working in baseball, she thought she had her bearings -- "No one's being shot at, and no one's died, so I'm fine." -- It took her a while to recalibrate her perspective from the special ops world and to recognize that losses in the athletic world are different kinds of losses, but still real ones.

Preston and Ceci dig into the gap between how mental performance practitioners are trained and what the job actually requires — the ethical conundrums no ethics course prepares you for, the difference between a clinical model built on client readiness and a performance context that operates on its own timeline, and why "coach, don't profess" is harder to practice than it sounds.

They use imagery as a case study — exploring habituation, audience fit, and how to teach live skills more effectively. They examine what Ceci calls "healthy versus junk food confidence": the difference between confidence that holds up versus confidence that collapses under real pressure. And they close with one of the more honest conversations about identity and transition: what it actually costs to walk out of a high-performance tribe, and what helps.

If this conversation is useful, the best way to support our work is to subscribe and leave a rating or review. It helps us reach the people who need these discussions.

To celebrate NASA’s Artemis II test flight, scheduled for launch on Wednesday, April 1st, we're re-casting Preston's conversation with NASA astronaut Reid Wiseman from May 2023. The Artemis II test flight will be crewed by Commander Reid, Pilot Victor Glover, Astronaut Christina Koch, and Canadian Astronaut Jeremy Hansen for the 10-day lunar flyby mission, which will test the Orion spacecraft's life-support systems for the first time with humans aboard.

In this Teamcast episode, originally aired on May 24, 2023, Preston and Reid discuss the transition from extensive training to real operations and why it is inevitably chaotic in mission critical work. Wiseman describes arriving on the ISS after four years of training and initially feeling “useless,” emphasizing mastery and learning rapidly rather than expecting perfection. They explore selection for “rate of learning,” humility, mentorship, shared situational awareness across small crews, and mission control. They also address human-machine automation, the need for human override, the integration of new team members, and curriculum elements such as small-team work in unpredictable natural environments, repeated rehearsals with failures, and getting comfortable being uncomfortable.

Commander Reid Wiseman is an American astronaut, engineer, and naval aviator. He served as Chief of the Astronaut Office until November 14, 2022. He was a member of the Expedition 40/41 crew, which launched to the International Space Station on May 28, 2014, and returned on November 10, 2014.

If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

This week’s Recast is from Oct 2021. The episode explores how high-pressure performers can train, maintain, and recover their mental skills, with emphasis on using the right tools in the right way and avoiding unqualified “backyard” approaches. Host Harry Moffitt speaks with performance psychologist and cognitive coach Paddy Steinfort, who has worked with elite sports teams like the Philadelphia Eagles, Blue Jays, and 76ers. Paddy draws on his personal athletic experience and his education in psychology to discuss how people can prepare for demanding environments, remain effective when pressure rises, and build sustainable habits over time.

Paddy and Harry examine how to place attention on the right cues, how to execute the right actions despite discomfort, and how routines can become superstition-driven avoidance. They also discuss how coaches and organizations can better support psychological performance. The two provide practical ways to manage ongoing stress, strengthen individual and group processes, and keep progressing toward long-term goals.

If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

In this episode of the Teamcast, Dr. Preston Cline and Dr. Art Finch discuss MCTI's most recent paper, “The Fourth Generation of Military Special Operations Selection and Assessment". Thanks to our collaborative inquiry community, we've received feedback and observations from special operations team members across the Five Eyes. Preston and Art reflect on that feedback and contrast the historical “psychological model” with rites-of-passage approaches. They cover the effort to sustain force numbers while still selecting the cognitively diverse candidates teams need. They discuss the balance between tacit knowledge and psychological science, and the need to avoid pendulum swings where either side dominates. You'll also hear what causes programs to erode unless leaders manage change intentionally.

1. Read and download the mentioned paper here: https://missioncti.com/resources/

If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

This week’s Recast is from April 2020.

Why This Episode Matters Now:

In 2022, the war in Ukraine revealed something our partners had been experiencing but we hadn't fully articulated: the traditional model of intact, homogeneous teams wasn't sufficient for the emerging operational environment. Individuals with diverse expertise, geography, language, and allegiances needed to rapidly converge into what we call Tactical Swarms—heterogeneous cross-functional units that form, solve emergent problems, and disperse.

Our recent white paper, The Fourth Generation of Military Special Operations Selection & Assessment, explores this evolution in depth. But six years ago, Preston laid the foundational concepts in this conversation with Coleman.

What the Research Shows:

Many operators who excelled at teamwork—performing with known, homogeneous teams—struggled with teaming: the ability to rapidly build cohesion within heterogeneous groups. This episode examines why routine versus critical communication and field observations across special operations, emergency medicine, and other high-stakes environments. In this episode, Preston and Coleman describe how tactical swarms and X teams differ from traditional team structures, and they distinguish between routine and critical communication and when teams must shift between them.

Recent Research:

1. Cline, P.B. (2026). The Fourth Generation of Military Special Operations Selection Assessment: A Community of Praxis [White paper]. Mission Critical Team Institute. DOI 10.13140/RG.2.2.28255.73121. https://missioncti.com/wp-content/uploads/2026/02/The-Fourth-Generation-of-Military-Special-Operations-Selection-Assessment_Final_2-Feb-26.pdf
2. Falk, D., Cline, P., Donegan, D., & Mehta, S. (2023). A Novel Framework for Routine Versus Critical Communication in Surgical Education—Don’t Take It Personally. Journal of the American Academy of Orthopaedic Surgeons, 31(3), 115–121. https://doi.org/10.5435/JAAOS-D-22-00912 https://missioncti.com/wp-content/uploads/2023/08/FINAL-A-Novel-Framework-for-Routine-Versus-Critical.pdf

If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

This episode contains a term that may be offensive; it is used to describe gendered communication dynamics. We have included it to accurately represent the event, and it is intended for educational purposes only.