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Posts from the ‘Prehospital medicine’ Category

Fly-in, fly-out: A viable option to address the chronic shortage of remote doctors

Rural Medicine Australia 2013 Conference Presentation by Professor Steve Margolis

So you want to work in a Flying ER?


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So you want to be an Outback Retrieval Doctor?

RFDS Mt Isa aeromedical team on primary trauma retrieval

RFDS Mt Isa aeromedical team on primary trauma retrieval

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Seconds from disaster – avoiding the airway clean kill

Image from Twitter. No financial disclosures

Image from Twitter. No financial disclosures

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Thoughts and prayers with PHARM colleagues in Norway

The darkest hour is right before the dawn

The darkest hour is right before the dawn

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Comparison of Success Rates between Two Video Laryngoscope Systems Used in a Prehospital Clinical Trial


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Patient safety in helicopter emergency medical services (HEMS): The safety management system

Originally posted on Auckland HEMS:

“Insanity: doing the same thing over and over and expecting different results”. Albert Einstein.

You could be right in thinking that “safety crusaders” are the glass half empty type, right? Those that believe “what can go wrong, will go wrong” (Murphys Law).

I’m not a pessimist, but I do believe in being prepared for the potential for error, or for when things do genuinely go wrong.  We need to avoid Einstein’s insanity; repeating that same thing and expecting different results the next time (as the next time might be a catastrophic outcome).  As HEMS clinicians we have a responsibility to get our patients from the pre-hospital to the hospital environment without harm, to the best of our abilities.  A culture of safety and forethought, identifying and mitigating for potential hazards (threat and error management) is a prominent facet of our work.

Both Aviation and medicine involve…

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A Military Aviation model for Patient Safety?

Originally posted on Auckland HEMS:

In the September 2013 edition of the British Medical Journal, Robyn Clay-Williams has published a thought provoking article on the modelling of clinical risk management on civil aviation practices, and questions whether a military aviation model may be more prudent when assessing and managing risk in the healthcare environment.  The abstract can be found HERE.

The author questions the appropriateness of translating sometimes rigid civil aviation processes (and a zero tolerance for risk) into healthcare, as some healthcare systems (such as emergency departments and intensive care units) need more flexibility and autonomy in their workings and risk management. She suggests managing risk in high stakes clinical environments such as these would be more conducive to a military aviation model – the parallels being teams with limited resources who deal routinely with unpredictable situations, complex and time critical operations (as would happen frequently in the pre-hospital environment or the ED…

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Canadian Air Ambulance – a 2014 overview

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PHARM Podcast 89 – Does Roc rock and Sux suck?

Dr Cliff Reid reveals Rocketamine to the world at SMACC 2013

Dr Cliff Reid reveals
Rocketamine to the world at SMACC 2013

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Prehospital RSI in the UK

Originally posted on AmboFOAM:

I’m currently away in Japan getting some skiing in, so I’m not up to much I terms of posting.

However, whilst waiting for my wife to return from a shopping rampage in Tokyo, I did catch this post over at the brilliant ScanCrit site about HEMS use of RSI in East Anglia.

It adds to the belief that I have long held: prehospital intubation is not bad if it is done well; it’s prehospital intubation done poorly that is bad.

While you are over at ScanCrit, check out the rest of the site, these guys (and gals?) post some excellent stuff.

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PHARM Podcast 88 – Prehospital airway and TBI


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In war, he who holds the higher ground,wins


Not ideal, read on and find out why!

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PHARM Podcast 87 – PALM with Hinds & Leeuwenburg

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PHARM Podcast 86 – The ARISE trial with Anthony Delaney

ARISE trial needs you!

ARISE trial needs you!

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

Pondering EM

One junior EM doc's journey through the curious world of Emergency Medicine...


A great site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

Prehospital and retrieval medicine blog

Prehospital and retrieval medicine blog


A topnotch site


Bringing the boring to emergency medicine


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


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


Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum


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