Thanks to Dr Su Pham
Thanks to Dr Su Pham
Thanks to Dr Danielle Nizzero, Plastics registrar, for her presentationHand trauma – Danielle Nizzero (plastics team 2018)
ANZAC Day commemorates all Australians and New Zealanders “who served and died in all wars, conflicts, and peacekeeping operations” and “the contribution and suffering of all those who have served”.
Although I personally find it difficult to celebrate the outcomes of war, acts of aggression are a part of our lives and we, as Emergency Physicians, need to be prepared to treat individual victims as well as prepare our departments in case of a disaster. Additionally, many of you have been, or will be, invovled in working in conflict areas. Please take a moment during the public holiday to reflect on the victims as well as the strength and courage of the many who protect the innocent, strive to create peace and treat the victims of aggression.
We have added some relevant educational links:
Major burns are often transferred to the tertiary centres in Melbourne.
The issues to consider include:
It is easy to forget to provide adequate and appropriate pain releif while focussing on the resuscitation of the patient and the management of severe injuries.
The key issues:
Pain Management in Trauma A review Study_Injury and Violence 2016
Often asked in OSCEs, preparing for a disaster or mass casualty event is not just a hypothetical.
Thanks to ED physicians Dr Karen Winter, Dr Ruth Hew, Dr Stacy Turner, Dr Raj Patel, Dr Terence Yuen and radiology fellow Dr Aaron Ow for co-ordinating the 2018 trauma session.
Review the following posts relevant to the workshop stations:
Review the presentations by Dr Karen Winter and Dr Ruth Hew below:
Review the massive transfusion protocol and get familiar with the fluid warmer (avoid the lethal triad: acidosis, coagulopathy, hypothermia)
Here’s the video from March 2018’s consultant education, on the theme of traumatic arrest.
It includes a case discussion of a gunshot wound to the chest in a young women with cardiac arrest, a talk on the management of traumatic arrest and the utility of CPR, and finally a discussion on ED thoracotomy.
The quality’s not great and we lost the AV halfway through, so I’ve patched in a PowerPoint presentation of the second part.
There’s also a video from the Alfred procedures course on thoracotomy- please don’t distribute this further, as it’s released to candidates on the course only.
Hope you enjoy, please post any comments or questions and we’ll attempt to answer them.
Thanks to nurse practitioner Ian Law for his presentation on paediatric fractures. Review it here:
In 2015 the European Resuscitation Council changed their recommendations, slightly new algorithms, rates and the usual arguments about adrenaline and amiodarone. In my mind this detracts us from what is important. Scott Weingart is famous for saying we should be able to resuscitate better than a dermatologist who will attend the same ACLS course as yourself.
So how do we improve?
Resources in the slides:
Thanks to Plastics registrars Dr Daniel Reilly and Dr Felicity Connon and ED Nurse Practitioner Ian Law for their presentations on burns.
Burns - ED
Review burns management also at the Victorian Adult Burns Service (Alfred Health) – website has multiple modules:
Thanks to Plastics registrars Dr Daniel Reilly and Dr Felicity Connon for their presentation.
Assessment and Management of Hand Injuries