I design control rooms and their replays systems, and its not quite as bad as one might think. On large shows (if run properly) each replay op will have 4-6 camera inputs to watch, with one or two outputs. Ops that have been working for a long time get used to the rhythm of the sport theyre working. Cameras angles are arranged roughly the same way at every venue (partially cuz I do that too, and obviously we have guidelines), so you know the looks you have available. Like others have mentioned, theres a certain adrenaline rush to having a show go well, and when a production crew is working well together the whole thing feels like a well practiced dance.
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