Education Day: Wednesday 14th October 2020

Our next Education Day will be held on 14th October by video-conference. Please do not attend Bankstown base unless you are presenting, attending a workshop or rostered on an operational shift.

Dial-in details are available to employees of NSW Health. The programme is below:

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Clinical Governance Day: Wednesday 30th September 2020

Our next GSA-HEMS Clinical Governance Day will be held on 30th September by video-conference, this will be abridged due to the incomplete month being covered. Please do not attend Bankstown base unless you are presenting or rostered on an operational shift.

Dial-in details are available to employees of NSW Health. The programme is below:

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Education Day: Wednesday 16th September 2020

The next Education Day will be presented in conjunction with our colleagues at NETS NSW. This is a virtual meeting: please do not present to the Bankstown Base.

Dial in details are available to employees of NSW Health. The programme is below:

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Clinical Governance Day, Sept 2nd 2020

GSA-HEMS CGD 2nd Sep

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Education Day – 22nd July 2020

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Clinical Governance Day – 8th July 2020

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Education Day – 24th June 2020

june 2020

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Zoll X Series Monitor HR/PR Tone – Deep Dive

‘The patient’s sats were 100% when I pushed the induction drugs. I thought the sats were fine as the pitch of the beeping from the monitor stayed the same, but when I looked back the patient had already started to desaturate!’

The Zoll X Series monitor is carried on our helicopters and road ambulances, and is widely used by retrieval services across Australia. Like many monitors it has a HR/PR tone function which can improve situational awareness, but its functionality is only briefly mentioned in the Operator’s Guide. While the above quote is fictional, it illustrates a potential source of confusion with this function.

Excerpt from the Zoll X Series Operator’s Guide (https://api.zoll.com/-/media/public-site/products/x-series/9650-002355/9650-002355-05-sf_f.ashx)

Some of our monitors are set to HR/PR Tone ‘On’ and HR/PR Selected Source ‘ECG’ by default. This means when the ECG leads are applied to the patient, the monitor will beep with each heartbeat, however the pitch of the tone stays constant regardless of the oxygen saturations, because the selected source for the HR/PR tone is the ECG.

However, the monitor will use another available source for the HR/PR tone if the selected source is not available. For example, if only the pulse oximeter is attached to the patient, then that will be used as the source for the HR/PR tone. The pitch of the tone will change with the patient’s saturations, and is lower than if ECG is the source even with saturations of 100%.

Clinicians tend to be divided between those who prefer a quiet monitor, and those who prefer the HR/PR tone on as an audible cue to the patient’s oxygen saturations. In the latter case, it is important to ensure that ‘Sats’ and not ‘ECG’ is selected as the source of the HR/PR tone.

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Clinical Governance Day – 10th June 2020 (updated)

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Education Day – 27th May 2020

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