Category Archives: General PH&RM

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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CANCELLED: CLINICAL GOVERNANCE DAY Wed 22 APRIL 2015

In view of the severe weather conditions in New South Wales the Sydney CGD has been cancelled. We are sorry for any inconvenience this has caused, but staff safety is our top priority. Other non-essential NSW Ambulance meetings have been … Continue reading

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Training in Prehospital Trauma Care

Quality Training in Prehospital Trauma Care This talk from the 2014 London Trauma Conference covered how the training of clinicians in prehospital & retrieval medicine needs to focus on performance rather than just knowledge. Simulation is the key, and to … Continue reading

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Clinical Governance Day Summary 3 December

Clinical Governance was a day of two halves; a morning of hard hitting clinical governance in the form of the morbidity and mortality review, and the airway audit. The afternoon was a brief look at the management of head injuries followed … Continue reading

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