Category Archives: General PH&RM

  AC Joint Injuries a non-evidenced based strapping technique which anecdotally controls pain and keeps patients mobile eg to walk out from a scene the aim is to provide a lifting mechanism to support the weight of the arm which … Continue reading

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Clinical Governance Day 24th February 2016

  This is the first Clinical Governance Day of the term, and it is an excellent one. Welcome to our new registrars! A bit of Mortality & Morbidity (January) packed with learning points and always good for the soul! Ever wondered what’s … Continue reading

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Airway microskills references

Here the references for articles quoted in the Airway Microskills Clinical Governance Day Use of Storz C-Mac® Khan RM, Haris A, Sharma P, Kaul N. Oxygenating patients during difficult videolaryngoscopy. Anaesthesia. 2015 Sep 15;70(10):1214–4 Masters J, Rope T. Suction tube-facilitated … Continue reading

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New Traumatic Cardiac Arrest Guideline

Our Standard Operating Procedure for the management of traumatic cardiac arrest prioritises the rapid management of reversible causes (hypoxia, tension pneumothorax, hypovolaemia, and cardiac tamponade). Although it has been in operation for several years, it can still appear unfamiliar to … Continue reading

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Clinical Governance Day 4th November 2015

The next Sydney HEMS Clinical Governance Day is coming up next Wednesday, November 4th at Bankstown. We will have our usual features of Airway Audit plus Morbidity and Mortality which always makes for brilliant discussion.  One of our paramedic/physician teams will dissect a … Continue reading

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Ventricular Assist Devices

We may come across patients with Ventricular Assist Devices (VADs), either in the prehospital or interhospital setting. Prehospital & retrieval medicine practitioners should have a basic understanding of how they function,  what can go wrong, and how to troubleshoot in emergencies. … Continue reading

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Lessons from our HEMS Airway Registry

Our monthly audit of airway cases held at our Clinical Governance Days seeks to improve identifies learning points at Clinical Governance days. Here are some key points from a recent Clinical Governance Day. Slip, slop, slap, slide and SEEK SHADE! The … Continue reading

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Clamshell Thoracotomy Training

Induction Training for new HEMS Team members includes a procedure lab for life, limb and sight saving procedures. Here’s an excerpt from a session on clamshell thoracotomy by Dr Geoff Healy

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Clinical Governance Day 29th July 2015

All NSW Health staff welcome, sign-in required. See here for directions

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Intraosseous hypertonic saline is probably safe

A previous study on swine with uncontrolled haemorrhagic shock who were given intraosseous (IO) hypertonic saline demonstrated a high rate of complications such as soft tissue necrosis and venous thrombosis(1). This led to a recommendation of caution in patients requiring … Continue reading

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