There is lots FOAMEd relevant to PHEC out there. For the rural doctor in Australia, I would recommend
- PHARM (Minh le Cong, former rural GP now retrievalist, airway, ketamine & FOAMed enthusiast)
- RESUS.ME (Cliff Reid’s excellent RESUS.medical education blog)
Anyone who has seen Cliff talk (his ‘how to be a hero’ talk at SMACC2013 was inspirational) or heard his infamous ‘propofol assassins‘ rant will now the value of this master of FOAMed
I would recommend these two posts to start with :
Many people ask about packaging of patients for transfer. I tend to use an A-B-C mnemonic to help me remember – running from A (Airway) through to N (notes/next of kin). Try to make sure all relevant plumbing is in situ (ETT, A-line, ICC, NGT, IVx2, IDC) and secured properly. I am a big fan of using minimum volume extension lines (one ml dead space, up to 160cm long) for infusions, taped to the head end so easily accessible in transit.
Here’s a summary of a TRANSFER CHECKLIST as an aide memoire.
Listen also to this excellent podcast from Minh le Cong, Cliff Reid and Brian Burns on what the rural doctor can do to aid transfer (original file from PHARM).
Also check out the following BLOGS :
A Day in the Life of a BASICS Doc - BASICS docs adding expertise to ambulance and retrieval scenarios
Auckland HEMS - useful site, especially their sim scenarios
MedSTAR SA - pretty red suits and an excellent retrieval service for rural South Australia
RFDS Resources for Health Professionals - excellent resource for rural doctors
SCAN CRIT - tall, blonde and not afraid to let it hang out in the sauna, these Norse Gods bring EBM to FOAMed
SYDNEY HEMS - excellent resources with many of their SOPs and Manuals applicable to rural doctors
Click to watch an excellent demo of RSI techniques from the FOAMed world from the GSA-HEMS mob.
This approach is applicable not just to a retrieval service, but the conduct of RSI in any setting,particularly the smaller rural hospital with limited staff and backup.
Below is a short video to engender debate on the role of rural doctors pre-hospital