CGD 22nd February 2017

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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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CGD returns!

25th-jan-cgd-flyerOur Clinical Governance Day returns on 25/1/16. We have the Christmas period to catch up on so there will be oodles of M+M with lashings of Airway Registry with plenty of opportunity to explore the recent challenges our caseload has presented. We will top that off with a Learning From Excellence segment and a review of winch cases.

Please note that GSA HEMS is now based at Toll NSW Ambulance Helicopter Rescue Base which is on the far side of Bankstown Airport at 33, Nancy Ellis Leebold Drive.

All NSW health staff are welcome to attend (a sign-in is required on the day).

 

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Clinical Governance Day 14/12/16

Next week sees a Christmas Quiz filled with a little medicine and padded with questionably useful trivia. No prizes have been decided upon yet but the loser will be volunteered for an interstate bariatric ballon pump transfer over the festive period.

We shall follow that with a refresher of the STORM course run by Chris Partyka and Jimmy Bliss. Sonography in Trauma Orientated to Retrieval Medicine has been accredited by ASUM and is an invaluable introduction to the use of point of care ultrasound both in the field and in hospital based acute critical care scenarios. It is also rumoured to have come second to the USA PATRIOT act in an awesomely shoehorned acronym (ASA) competition.

Finally, we will have a review of the airway registry for November by Clare Hayes-Bradley.

A BBQ lunch will be available in the hangar.

All NSW health staff are welcome to attend (a sign-in is required on the day). You can find directions at https://sydneyhems.com/contact/

Looking forward to seeing you there!16th-nov-cgd-flyer

 

 

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ECMO Spectacular: CGD 30th November

It’s the big one – ECMO jobs represent a small proportion of the work we do but a significant clinical and logistical challenge. It’s time to rise to that challenge with an ECMO themed CGD on 30th November!

At next CGD the team from RPA will be joining us to cover all things ECMO, from cannulation and basics (maybe a little physiology), troubleshooting and transfers, simulation and even ECMO CPR!

Our own Nat Kruit is going to throw some ECMO cases into the mix to ensure we can face future ECMO cases with increased confidence and competence.

With Sarah Coombes kicking off the day with our monthly M&M review and a BBQ lunch (TBC) in the hangar, you don’t want to miss this one.

All NSW health staff are welcome to attend (a sign-in is required on the day). You can find directions here.

Looking forward to seeing you there!

30th-november-cgd-flyer

 

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C2T2C2 Study  

 

November 8th will see the commencement of the C2T2C2 study. The aim of this study is to determine the utility of transcutaneous capnometry measurement of arterial carbon dioxide in transported adult patients.

Control of pCO2 is essential in the management of patients at risk of secondary brain injury. At present, end-tidal CO2 (ETCO2) is the only means of determining a patient’s CO2 during the transfer period. ETCO2 can vary significantly in patients with lung pathology and only gives a general indication and trend of the patient’s arterial pCO2.

Transcutaneous CO2 (TcCO2) on the other hand, has been used for many decades for monitoring neonatal ventilation.

Recent technological advances have seen the development of TcCO2 devices which are smaller, more portable and potentially more reliable enabling their potential use in transported adult patients but are yet to be tested in this environment.

All intubated and ventilated interhospital patients with an arterial line insitu are eligible for the study.

Arterial blood gas analysis at the referring and receiving hospitals will be used as the gold standard.

Non-traumatic cardiac arrest patients and those aged < 18 years are excluded.

Further information can be found on the introductory video and attached study posters (see link below). These are also available in the computer room. https://sydneyhems.com/resources/research-audit/research-resources/transcutaneous-co2-trial-c2t2c2-resources/

Many thanks for your help.

Fraser Magee- Retrieval Registrar, NSW Ambulance Aeromedical Service

 

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