Home » Posts tagged 'Rural' (Page 2)
Tag Archives: Rural
A flyer from SAPMEA is available with registration details
Great to talk to Dr Ken Milne who is actively trying to narrow the knowledge transfer gap of traditional methods (up to a decade from evidence to practice) using SoMe and FOAMed – a keen medical myth buster and small town emergency physician in rural Goderich, Ontario Canada (Ken claims is ‘Canada’s prettiest town’).
Ken hosts the excellent sceptics guide to emergency medicine blog and podcast, which is a MUST for rural doctors alongside existing resources like BroomeDocs and KIDocs.org
Ken is giving a keynote at this weekend Rural Doctors of South Australia conference – via the internet from Canada! Let’s hope we can entice him to join the rural stream at SMACC14 on the Gold Coast next year.
Now onto the podcast….
Rural practice embraces the breadth of medicine. FOAMed can help us keep up to date and deliver “quality care, out there”.
We all know that critical illness does not respect geography – I have been inspired by the FOAMed coming out from the luminaries of the EM/Crit Care field – with lessons applicable to the rural doctor.
If you are a rural doctor – think about coming along to SMACC2014 on the Gold Coast in March next year- it’s ostensibly about “social media & critical care” – but the lessons are broader and applicable to rural doctors across the breadth of their work.
The SMACC2013 podcasts are rolling out and downloadable now from iTunes – click here to listen.
Meanwhile, stop worrying, dive in and enjoy the FOAMed…
Imagine this scenario. Your longterm cardiac cripple patient – the one you successfully rescuscitated from a VF arrest some 8 years ago and who has eked out an existence due to an implantable defibrillator – has finally succumbed to a chronic illness and is deceased.
You’ve managed to wade through the completion of the death certificate – but 3 hours later are telephoned by the Funeral Director who tells me that the patient is to be cremated.
Here’s the question – does the ICD need to be removed? If so, does it need to be deactivated first? And can you do this as a “Medical Macgyver” with just a multitool and a strong arm?
Needless to say it is a Saturday and the cardiology clinic is closed until Monday. The nearest tertiary hospital is 600km away…
Would you cut the wires?
Retrieval nurses Ben Stanton & Sue Coretti were over on Kangaroo Island today to do some in-house training for our nursing staff on paediatric emergencies – the major strength being using local equipment and staffing, demonstrating failings in logistics rather than strategy.
After two hard days and a brief 10 mins of pelican feeding outside the hospital, I dropped Sue & Ben at the airstrip and grabbed a few minutes to quiz Sue about her role in training rural clinicians in emergencies (see her excellent presentation from last year’s Cairns aeromedical conference) and to discuss practical tips for dealing with such emergencies.
I also asked Sue about her feelings as an APLS Director and whether they matched my frustrations as an EMST Director … and mooted the possibility of greater involvement from medSTAR in the FOAMed community in the future?
Have a listen to the podcast :
Anthony Lewis is a prehospital doctor and anaesthetist from NSW. Along with colleagues has set up ALSi (iSimulate) – two iPads communicating via WiFi to function as a slave screen (cardiac or anaesthetic monitor, defib, CTG trace) controlled by a ‘facilitator’ iPad.
Time was, we would undertake simulation training in the Sim Lab of a tertiary centre. Technology like iSimulate allows us to do high-fidelity sim in our OWN hospital or unit. Tacking a sim case on to the end of every ICU ward round is invaluable – training staff in common and uncommon scenarios using own equipment and staffing.
I think that this sort of stuff is fantastic – not just for the ‘usual suspects’ of LS courses (APLS, ELS, ATLS/EMST etc) but also for delivering high fidelity sim to the isolated rural doctor.
Future developments will include a variety of monitor screens (skins) and possibly the ability to have slave and facilitator screen in separate locations.
All we need now is Google Glass and the surround-vision fidelity of sim will be a reality on a budget!
Readers will be aware that the TeleDerm service run by ACRRM’s RRMEO service is under threat, with uncertainty over continued MSOAP funding.
Dr Jim Muir has been providing an exemplary TeleDerm service, whereby rural & remote doctors can upload a photo of a skin lesion along with brief clinical history, for a TeleDerm opinion
It’s low coast, effective and worthy of continuation
Sadly I was called away to the Hospital so rather than the planned three-way link, you get the benefits of Gerry’s dulcet tones interviewing Jim ‘the perfect face for radio’