Thanks to Dr Sheri Abramovic for this sensitive presentation about an incredibly difficult resuscitation case.
Thanks to Dr Sheri Abramovic for this sensitive presentation about an incredibly difficult resuscitation case.
Thanks to Dr Lauren de Luca and Franki McMahon from the Obstetrics and Midwifery department for their excellent presentation at Regional teaching on the 5th of September. Review their presentation on the emergency delivery – (has been broken up into 3 parts):
Part 1: the normal delivery
(20min)
Part 2: post partum haemorrhage
(10min)
Part 3: Difficult deliveries – shoulder dystocia and breech presentation
(14min)
Many thanks to Prof Anne-Marie Kelly for her presentation on PE in pregnancy.
Shoulder dystocia is a relatively uncommon obstetric emergency. Despite this, care providers, particularly at Sunshine Hospital, must still be aware of the steps to take to address dystocia in the event obstetric support is unavailable.
Shoulder Dystocia guideline (WH – last review 2013)
Watch a short video filmed by Dr Neil Long FACEM, in collaboration with the midwifery education team of Sunshine hospital (5min)
Mechanically, shoulder dystocia occurs due to a mismatch between the antero-posterior width of the baby’s shoulders relative to the mother’s pelvis, causing obstructed labour. All techniques seek to manipulate these dimensions and correct this mismatch.
Key points:
Additional resources
watch: longer video also describing salvage techniques (10min)
watch: a dramatisation, solely to stimulate your adrenaline response (4min)
Thanks to Dr Bridie Stewart HMO
(36min)
Thanks to Dr Althea Askern for her presentation. Review it here:
O&G for the ED 2017
Key points:
Review also: Dr Aekta Neel’s presentation in 2016
Consider also: LACTMED – a resource for the use of medications in lactation
Gynaecology registrar Dr Althea Askern presented on common and not-to-miss gynaecology and obstetric issues. Review her talk.
She also provided detail on the return of the Early Pregnancy Assessment Service (EPAS). Inclusion / exclusion criteria and contact details can be found on OzeMedicine but in short:
Dr Tissa Wijeratne presented an update on stroke trials. See the current list of ongoing stroke trials at Western health.
Paediatric Emergency physician Dr Bindu Bali provided a session on neonatal resuscitation focusing on good ventilation and familiarity with the neonatal resuscitaire. Review the neonatal resuscitation guideline:
anzcor-neonatal-flowchart-january-2016
UPDATED 9/3/17 – See Dr Neil Long’s additional notes regarding the stations below
On the 14th December ED Consultant Dr David Alexander and simulation registrar Dr Neil Long staged the annual simulation olympics with this year’s event – “the Pentathlon” – featuring resuscitation stations such as “the swimmer”, “the runner”, “the fencer”, “the shooter” and “the rider”.
Congratulations to registrars Gordon Carter and Mark Daley representing “the Republic of Ireland” who stormed home for the gold medal.
Thanks to all the registrars who came and participated.
[L-R: Sze-Chi + Jess, Son + Kiri, Sheri + Jamie, Rob + Annie, Emily + Maddy, Heather + Ben]
Thanks to Dr Luigi Marino, Dr Raj Patel, Dr Sam Robertson and the simulation centre staff for their help running the morning.
UPDATE
Video coming soon