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Successful high-performance teams do not happen by chance, they are created. Not only do these teams have medical expertise and a high level of mastery of resuscitation skills, but they are able to demonstrate effective treatments while utilizing effective communication. In a high performance resuscitation team, there are no members that are better than another. The team leader is a role that requires a “Big Picture” mindset and it has many different moving parts. The roles of team members must be carried out in a proficient manner based on the skills that those team members are authorized to do because of their scope of practice. It’s vitally important that the resuscitation team understands their role assignments. In a high performance resuscitation team there are typically 6 roles: Team Leader, Compressor, Airway, AED/Monitor Defibrillator, IV/IO medications and delivery, and the Timer/Recorder.