How to survive at the edge of chaos

如何在混沌边缘求生

Babbage from The Economist

2026-09-16

39 分钟
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No plan survives the first five minutes of battle. So how do you prepare for “Minute Six”? Emergency physician Kevin Fong has spent a career working at the “edge of chaos”, as a doctor with a Helicopter Emergency Medical Service, as a clinical advisor for NHS England's covid-19 response, and through his work with NASA. He explains why human ingenuity in the face of the unknown is the best asset of any group in a crisis. Guests and hosts: • Kevin Fong OBE, emergency doctor and the author of “Minute Six” • Alok Jha, The Economist’s science and technology editor Topics covered: • Helicopter Emergency Medical Services • Feedback loops • Britain’s covid-19 response Transcripts of our podcasts are available via economist.com/podcasts. Listen to what matters most, from global politics and business to science and technology—subscribe to The Economist.
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  • The Economist.

  • Military strategists have a famous rule of thumb: no plan survives the first five minutes of battle.

  • So what happens after that?

  • My guest today has spent a lot of time at that specific boundary,

  • at the moment when plans are just not enough to get you through.

  • Kevin Fong is an anaesthetist and an emergency doctor

  • who regularly works with the Air Ambulance Service in England.

  • He's also worked with NASA to understand how humans can better tolerate space flight.

  • And he was a clinical adviser to the National Health Service in Britain during COVID-19.

  • He's been in a lot of emergency situations, having to make life-or-death decisions in the moment.

  • Now, he's distilled what he's learned into a new book, "Minute Six".

  • There, he explores the nature of chaos and crisis, and how teams can cope with unpredictability.

  • I'm Alok Jha, and this is Babbage from The Economist.

  • Today, how to survive on the edge of chaos.

  • Kevin Fong, thank you very much for joining us on Babbage.

  • Great to be here.

  • You and I go way back.

  • Way back.

  • We've been through a lot of things together.

  • I've watched your career ascend to the edge of space and back.