Vascular & Osseous Access in Resuscitation

Cliff Reid and Geoff Healy discuss challenges in prehospital intraosseous and intravenous access, covering how to avoid pitfalls and what their own individual practice preferences are in the prehospital and in-hospital settings (22 mins).

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Clinical Governance Day – Wednesday 22nd March

The next GSA-HEMS Clinical Governance Day is on Wednesday 22nd March at the new NSW Ambulance / Toll base.  This month we’re lucky to welcome Luke Regan who will be talking about the challenges of prehospital care in the Scottish highlands and the Highland PICT project.  Check out the website for more information.  In addition we have a review of a challenging vertical access and winch job by Marty Pearce as well as our regular mortality & mortality, learning from excellence, airway audit and review of winch operations.  All this and a BBQ lunch!

March 2017 CGD

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HEMS Education Day Summary 2017/1

The inaugural HEMS Education Day was held in the ACE Training Centre. Here is an overview of points covered.

Mission Oversight

Cameron Edgar outlined the mission oversight process, its history, and the ways in which it has reduced risks of helicopter operations. The policy is HELI.OPS.34 – Mission Oversight.


Jimmy Bliss provided an interactive session on clinical handover, as our first topic from the Diploma in Retrieval and Transfer Medicine syllabus

Winch Stretcher Packaging and Airway Workshop

Marty Nichols ran a workshop outlining use of the patient protection bag and the NEANN Immobilisation & Extrication Jacket (NIEJ), in order to manoeuvre a patient into the winch stretcher using just two rescuers. This created an opportunity to explore optimal intubating positions in remote environments for patients in the winch stretcher. Solutions included (a) placing the stretcher on a rock platform


‘Rock’ platform allowing kneeling-height ergonomics

(b) using the NIEJ to elevate the head to the level of the stretcher side


The NIEJ has been used to support the patient in a head elevated position on the edge of the basket stretcher. Note optimal ear-to-sternal-notch alignment.


This use of the NIEJ has the added advantage of moving the patient further up to allow neck extension if a surgical airway is required


This exploratory workshop enabled the team to review options, none of which are official policy or operating procedure.


The immersive sim designed and run by Rob Scott covered a trauma patient requiring multiple life saving interventions. Themes covered included handover, positioning of bags and equipment, task delegation, and prioritisation of resuscitative interventions.


Literature Update

The day closed with excellent summaries by Kevin Ostrowski and Claire Seiffert of recent literature and guidelines we should be familiar with:

Weaver AE, Hunter-Dunn C, Lyon RM, Lockey D, Krogh CL. The effectiveness of a “Code Red” transfusion request policy initiated by pre-hospital physicians. Injury. 2016 Jan;47(1):3–6.

Frontera JA, Lewin JJ III, Rabinstein AA, Aisiku IP, Alexandrov AW, Cook AM, et al. Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage. Critical Care Medicine. 2016 Dec;44(12):2251–7.

Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016. Critical Care Medicine. 2017 Jan;:1.


The next HEMS Training Day will be on Wednesday 5th April 2017





Posted in Airway, General PH&RM, simulation, Tips, training

First Education Day – Wednesday 8th March

march-8th-education-day-flyerThe NSW Aeromedical Retrieval Service would like to welcome you to our first Education Day for 2017 this Wednesday 8th March. This will be a regular event every 4 weeks and we would love to see a wide and varied attendance to maximise everyone’s learning experience.

This week we will be kicking off with Cam Edgar giving us some excellent perspective on Complex Mission Oversight and Planning. Jimmy Bliss will be providing some insight into studying for the Diploma of Retrieval and Transfer Medicine and covering off on how to approach Clinical Handover. We then have some great simulation and workshops to get involved in before rounding out the day with a look at some of the latest literature in Prehospital and Critical Care medicine. All this and a BBQ lunch!!!

See you there!

The Education Team

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CGD 22nd February 2017


Next CGD at the new ACE training facility is on Wednesday 22nd February starting at 9am. We’ll be reviewing our cases, airway management and winch missions from January.  In addition we have a discussion of roping missions by Sam Immens and Jason Minns from Toll will be presenting an aviation safety case study.  There will also be a BBQ lunch.

All NSW Ambulance and Toll employees are welcome to attend.

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Seeing Is Believing

Our Sydney HEMS specialist Clare Richmond is one of the brilliant women in this video who inspire the next generation of authors, marine biologists, and HEMS physicians. The video was made for Sydney Opera House’s flagship All About Women festival.

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Helicopter Underwater Escape Training

New aeromedical clinicians in New South Wales will undergo Helicopter Underwater Escape Training (HUET) at Toll’s Aeromedical (ACE) Training Centre, Sydney, Australia. The ACE is also the site of the HEMS Team Induction Course from February 2017. This amazing facility is one of the results of the new Toll NSW Ambulance Rescue Helicopter partnership.

Ace Training Centre HUET Overview

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