Thanks to Dr Ash Loughman for his fellowship level presentation on the effects of obesity on ventilation and respiration.
Obesity and Respiration
Thanks to Dr Ash Loughman for his fellowship level presentation on the effects of obesity on ventilation and respiration.
Obesity and Respiration
Update from Becky Pile ED physiotherapist
3 months running now
VFRAC reviews all referrals next day and then funnels cases:
Can manage other acute injuries eg. Achilles rupture
VFRAC needs to be booked for next day – please tell your clerk
No limit on booking numbers
Already a reduction of about 26% diverted from fracture clinic
Patient satisfaction information survey pending – being collected now
Adults only so far – no paeds
Dr Lucia Le Kim – deputy director with Dr Terence Yuen
Governance includes:
All clinicians as they progress through their careers should develop an awareness of wider process of healthcare delivery in the hospital context, over and above individual patient cases
Risk
Traps
Failsafes
Eg. Chest pain: ECG to be seen by senior / EOU consultant review /
Mitigate risk by good communication
Avoid premature labelling / diagnosis
Take actions to re-stratify risk
Dr Bindu Bali
Paediatric arm of adult forensic service
Mandatory reporting – suspicion of physical or sexual abuse; not mandated to tell the family per se
Social work / IRS support to support clinician or family / access to phone
Issues regarding confidentiality if contacted by DHHS
Safety concerns can trump privacy legislation however it is a grey area
Admission often necessary to facilitate further survey but if no further medical needs exist then DHHS is responsible for safe accommodation
RED FLAGS: household violence / heavy use of drugs + alcohol / serious mental illness / child’s vulnerability (eg premobile / preverbal)
Bruising:
Dr Ashley Loughman – see presentation here
Early goal directed therapy
How to assess meta-analyses
PRISM metaanalysis
Metaanalyses