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

Emergency Medicine Literature of Note

In memory of Dr John Hinds

C-Foam

Medical education in the tropics

Rural General Practice

Thoughts and experiences on the journey to enlightenment

phemcast

A UK PREHOSPITAL PODCAST

EM in Focus

time to get focused on your patients.

EDExam

The ACEM Fellowship Exam Resource

Dr. Smith's ECG Blog

In memory of Dr John Hinds

airwayNautics

"Live as if you will die tomorrow; Learn as if you will live forever"

Songs or Stories

Sharing the Science and Art of Paediatric Anaesthesia

IC-HU PROJECT: HUMANIZING INTENSIVE CARE

In memory of Dr John Hinds

Liz Crowe

Wellbeing Counsellor and Educator

#badEM

In memory of Dr John Hinds

EM Basic

Your Boot Camp Guide to Emergency Medicine

Medical Admission Note

In memory of Dr John Hinds

gasdoc2857

Ramblings from a gasdoc with interests in #anaesthesia, #intensivecare, #echo, #PHEM and #FOAM

pulmcrit – EMCrit

In memory of Dr John Hinds

Miss Chardy

Laughter in the Outback

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology Podcast

FOAMcast

A Free Open Access Medical Education Emergency Medicine Core Content Mash Up

Adventure Medic

Just another WordPress.com site

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.

JR Paramedic

In memory of Dr John Hinds

Monash Anaesthesia

In memory of Dr John Hinds

Keeweedoc

A topnotch WordPress.com site

BoringEM

Bringing the boring to emergency medicine

resusNautics

Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

EM nerd

In memory of Dr John Hinds

The Chart Review

In memory of Dr John Hinds

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

expensive care

end of life, ethics and communication in critical care

Nomadic GP

Adventures of a Rural Locum

AmboFOAM

Free Open Access Medical Education for Paramedics

Not just a GP

Why GP is the greatest job in the world

the short coat

In memory of Dr John Hinds

BoringEM

Bringing the Boring to EM

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

Follow

Get every new post delivered to your Inbox.

Join 14,228 other followers

%d bloggers like this: