Skip to content

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

Right Click and Choose Save-as to Download the Podcast.

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

Trackbacks & Pingbacks

  1. Preparation for patient retrieval – podcast and checklist | Auckland HEMS
  2. The LITFL Review 103 - Life in the Fast Lane medical education blog

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology FOAM

FOAMcast

Why FOAM it alone?

Prehospital and retrieval medicine blog

DrGDH

Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"

rain0021

A great WordPress.com site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

Prehospital and retrieval medicine blog

Monash Anaesthesia

Prehospital and retrieval medicine blog

Keeweedoc

A topnotch WordPress.com site

BoringEM

Bringing the boring to emergency medicine

resusNautics

Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine

GreenGP

Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians

expensivecare

Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum

AmboFOAM

Free Open Access Medical Education for Paramedics

the short coat

Prehospital and retrieval medicine blog

BoringEM

Bringing the Boring to EM

Keep Caring

When your shift turns to shit? Keep moving, keep caring!

Kangaroo Island doctor blogging about Rural Medicine in Australia

thebluntdissection

pulling apart cases from the ED...

Little Medic

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.

MEDEST

Prehospital Emergency Medicine

ruralflyingdoc

Just another WordPress.com site

MDaware.org

Prehospital and retrieval medicine blog

Intensive Care Network

Prehospital and retrieval medicine blog

Broome Docs

Rural Generalist Doctors Education

Resus M.E!

Prehospital and retrieval medicine blog

EMCrit Blog - Emergency Department Critical Care

Online Medical Education on Emergency Department (ED) Critical Care, Trauma, and Resuscitation

St Emlyns

Meducation in Virchester #FOAMed

Emergency medicine and critical care medical education blog

RFDS Australia - Queensland Section The STAR Program

Specialised Training in Aeromedical Retrieval

Follow

Get every new post delivered to your Inbox.

Join 7,615 other followers

%d bloggers like this: