Episode 100

Vital Signs: 8 Things Your Organization Should Be Monitoring But Probably Isn't

After one hundred episodes of watching organizations fail, Maartje van Krieken has identified the eight vital signs that were almost always present before the crisis hit.

To mark one hundred episodes, Maartje does something fitting: she pulls from the voices that have shaped the show and builds something new from them. Guests like Brent Hagan, Joe Bockerstette, Emma Collyer, Sumit Chowdhury, Mac Garghan, Elisabeth Vealey, and Holli Moeini all make an appearance, their insights woven into a framework that is bigger than any single conversation. The pattern across all one hundred episodes is not the crisis itself but what came before it. The signals were there. They just were not being read.

That framework is eight vital signs, borrowed deliberately from medicine. Are the same people in your organization always running to the rescue? That heroism is a fragile system held together by individuals who will eventually burn out or leave. How much energy goes into figuring out how to do the work rather than doing it? What conversations have been postponed for six months, a year, two years? Maartje also examines the signals that live at the edges: the outsider who last took a genuine look, the gap between the story a leader tells and what the numbers show, the board that has gone quiet not because it agrees but because it no longer knows what to ask, the strategic partnership where candor has been replaced by politeness, and the dead bodies every organization has but few cultures make it safe to name.

The question this episode leaves you with is simple but uncomfortable: how would you honestly answer each of these eight questions about your own organization right now?

Episode Breakdown:

00:00 Eight Vital Signs Every Organization Should Be Monitoring

02:50 Heroics as a System Failure

08:55 The Conversations Leaders Keep Avoiding

15:08 When Your Numbers No Longer Match Your Story

21:10 Partnership Health and the Cost of Quiet Erosion

24:00 The Dead Bodies Every Organization Has But Nobody Names

Links

Connect with Maartje van Krieken:

Book your Business Stress Test Conversation Here: https://calendly.com/de_maartje/talk-more-25min

Connect with Maartje on LinkedIn

Visit The Chaos Games Consulting website

Visit The Business Emergency Room website

Subscribe to The Business Emergency Room on YouTube

Subscribe to Maartje’s Substack

Host Maartje van Krieken is a crisis strategist and decision-making expert who thrives in high-stakes business environments. Combining disaster management training, hands-on experience in global industries, and leadership skills honed as a seasoned sailor, she helps businesses navigate chaos with precision. Whether tackling transformation, scaling challenges, or leadership bottlenecks, Maartje delivers actionable insights to turn turbulence into traction.

Podcast production and show notes provided by HiveCast.fm

About the Podcast

Show artwork for The Business Emergency Room: For Leaders Facing Volatility, Uncertainty, Complexity & Ambiguity (VUCA)
The Business Emergency Room: For Leaders Facing Volatility, Uncertainty, Complexity & Ambiguity (VUCA)
Triage, Tools & Tactics to recover from or prevent business chaos in this VUCA business environment

About your host

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Maartje van Krieken

Maartje van Krieken is a crisis strategist, executive consultant, and your at host of The Business Emergency Room podcast, where growing businesses go when things get messy. With a career that began in frontier oil and gas and spanned war zones, boardrooms, and billion-dollar pivots, Maartje has spent over two decades helping organizations steer through chaos and come out stronger.
Now through her consulting firm, The Chaos Games, Maartje works with medium-sized businesses, especially those scaling rapidly or navigating uncertainty, to diagnose breakdowns in leadership, collaboration, and decision-making before they become business emergencies. Her signature approach blends practical triage, people-first strategy, and blunt Dutch honesty to help teams realign fast.

​The Business Emergency Room delivers high-impact insights for business leaders, board members, and investors who are tired of the symptoms, disconnection, friction, paralysis, and want the tools to fix what’s really going wrong. Maartje’s episodes cut through fluff with stories, frameworks, and metaphors that turn even the most complex chaos into something leaders can act on.
Maartje is based in New Orleans and speaks regularly on navigating organizational storms, building business resilience, and turning reactive firefighting into proactive leadership. Whether you’re scaling a business, running a team, or dealing with dysfunction, The Business Emergency Room is the place to find straight talk and smarter tools.