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PHARM Podcast 66 : Patient preparation in retrieval medicine

Cliff Reid with my favourite talk of the conference: how to be a hero

Cliff Reid with my favourite talk of the conference: how to be a hero

Dr Brian Burns and need to carry a scalpel

Dr Brian Burns and need to carry a scalpel

Retrieval docs Cliff Reid and Brian Burns of Greater Sydney Area HEMS have a chat with me on pearls and tips in preparing the critical patient for retrieval/transport.

Show note references:

  1. Interhospital patient assessment
  2. Rural Doctors Net

Now on to the Podcast


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3 Comments Post a comment
  1. Useful podcast, thanks to you all for these tips and comments.

    Seems to me that there remains scope to minimise the therapeutic vacuum or clinical inertia between rural doctors resus / stablisation prior to retrieval team arrival. Two things come to mind

    - having a shared mental model of ‘what needs to be done’ using similar protocols/equipment eg: NODESAT apneoic diffusion oxygenation, bougie, checklist, team training for RSI

    - checklists for transfer. Hard to have ‘one size fits all’ but certainly making sure plumbing completed (large IVs, NGT, IDC, A-line), inotropes drawn up and running, analgesia, sedation etc

    I use an A-to-N approach for handover (Airway thro to Note/Next of Kin) – see example TRANSFER CHECKLIST at http://ruraldoctors.net/rern/prehospital-foamed/

    The tip on not taping eyes shut was useful – I’ve un-learned slugging everyone with propofol, now I will un-learn this last vestige of elective anaesthesia training. I presume you still cover the eyes to protect against errant IV lines/wristwatch/sleeves? Do you use those lightweight disposable eye goggles?

    My last tuppence worth – as well as rural docs using similar protocols/mental models as retrieval, try and snaffle some of those minimum volume extension lines – use to run in infusions/boluses to large bore IV side ports, with extension lines running to the head end – saves a lot of unnecessary & difficult guddling around under webbing/straps/blankets for the patient in transfer.

    April 25, 2013

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  1. Preparation for patient retrieval – podcast and checklist | Auckland HEMS
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