Cognitive bias and risk management are vital understandings to high performance teams in medicine . My extreme sports seem like extreme risk to many people but I have survived 20 years in these disciplines following risk management strategies learned in critical care medical environments. I am interested in the role cognitive biases play in every day and critical decision pathways. In particular I am interested in the Affect Heuristic. My talk borrows from my extreme sport and critical care experience to highlight the role that fear plays in every decision we make and how we can lessen the emotional bias of the Affect Heuristic. It will be a fun and visually spectacular presentation.