Author Archives: Scott Orman

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About Scott Orman

Emergency Medicine Specialist, Auckland Hospital; Auckland HEMS Doctor

Emergency Medicine = Combat Aviation!

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There is currently a huge amount of interest in lessons that medicine can learn from aviation, including concepts like CRM and the use of checklists. Efforts are being made to select and integrate these concepts into a form specific to emergency medicine – Andy Buck’s blog Resus Room Management is a great example of this, and is well worth a read.

Joe-NovakJoe Novak, an emergency physician who is a former F15 pilot (!) feels that due to its chaotic nature emergency medicine is analogous to combat aviation! These concepts are discussed in a lecture presented on Scott Weingart’s emcrit.org

Click HERE for the show notes and podcast

 

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In combat aviation:

  1. Aviate
  2. Navigate
  3. Communicate

In EM & Critical Care:

  1. Resuscitate
  2. Differentiate
  3. Communicate

Preparation for patient retrieval – podcast and checklist

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The first RFDS aircraft

The first RFDS aircraft

While Auckland HEMS does not currently perform many inter-hospital transfers, we anticipate that we will be doing more of this work in the future.

Our colleagues in Australia do a lot of these missions, and have produced some great FOAM resources.

This audio clip (right click to save) is a podcast from Minh Le Cong at prehospitalmed.com, in which he, along with Cliff Reid and Brian Burns from Greater Sydney Area HEMS discuss pearls and tips in preparing the critical patient for retrieval and transport.

Minh’s page for the podcast is here, and includes a very useful post by Tim Leeuwenburg from ruraldoctors.net in the comments section.

Tim’s checklist for patient transport is located here.

Prehospital Simulation Scenario Library

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  • For information about the use of these scenarios – click here
  • A structured debrief form for scenario use can be found here

April 2013:

Diving emergency

Severe asthma

Airway burns and inhalational injury

STEMI with in-flight complications

Obstetric and neonatal emergency

Calcium Channel Blocker Poisoning

 

December 2017

Here are a bunch of new scenarios as well as a new pre-hospital scenario template devised by EB.

HEMS prehospital scenario template

These are the scenarios that we use for our HEMS fellow orientation – they are password protected so there is no cheating! If you would like access to them – contact Emma.