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Category Archives: Tips
One Lung Ventilation in Retrieval Medicine
Part of our education day on Jan 4th 2023 focussed on the rare but confronting need to move to one lung ventilation (OLV) in the pre-hospital or retrieval environment. We heard from Dr John Floridis, a rural generalist and emergency … Continue reading
Posted in General PH&RM, Interhospital, Tips
Tagged 1.2.7, dlt, double lumen tube, one lung ventilation, single lung ventilation, slv
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Reflecting on two months as a Sydney HEMS registrar
Uniform fitted. Induction complete. 10-mission milestone reached. It has been a learning frenzy. I’m a UK-trained emergency physician, and am two months into my year as a Sydney HEMS registrar. Some of my early reflections on the experience have had … Continue reading
Posted in General PH&RM, human factors, Tips, training
Tagged 1.2.1, 3.1.1, 4.1.1, education, induction, pre-hospital, retrieval, Trauma
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Getting the hang of the Hamilton Ventilator:
About the Hamilton we use: Most common Vent settings we use and how to set them up: (S)-CMV: Synchronised Continuous Mandatory Ventilation mode- a pressure- regulated volume controlled mode SIMV: Synchronized intermittent mandatory ventilation- a volume-controlled mode. Power on. Complete … Continue reading
Posted in General PH&RM, Interhospital, Tips
Tagged 1.1.9, 1.2.7, equipment, hamilton, interhospital, ventilation, ventilator
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Comms for Docs: Understanding Communication Interfaces and Options in Our Aviation Setting
Pre-hospital and retrieval medicine, with its high acuity patients, high adrenaline environment, noise levels, geographical challenges, and the unexpected nature of what each individual job can bring, creates an environment in which communication is critical; both in terms of communicating … Continue reading
Posted in General PH&RM, Tips, training
Tagged 1.1.9, 3.1.1, 3.1.2, 3.1.3, comms, communication, radio, sat phone
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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 … Continue reading
AiR – Learning from the Airway Registry [January 2018]
Intubations this month: 27 Airway Registry learning points reflect the challenges described and wisdom shared by Sydney HEMS personnel and guests at the Clinical Governance Airway Registry presentation for January 2018. Cases are discussed non-contemporaneously, anonymised and amalgamated over a … Continue reading
Posted in Airway, Airway Registry, Tips
Tagged AiR, airway, Airway Registry, beach, FOAMed
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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).
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 … Continue reading
Posted in Airway, General PH&RM, simulation, Tips, training
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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
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
Greater Sydney Area HEMS 