About Scott Orman

Emergency Medicine Specialist, Auckland Hospital; Auckland HEMS Doctor

Checklists – Part 1

By Damjan Gaco, MD, ARHT HEMS Fellow


The origin story of checklists goes as follows: A pilot in the 1930’s stepped off a newly built bomber and said something along the lines of “that is too much plane for one person to handle”. In an ever more complicated world, those words echo true today – especially in the field of medicine. For example, the act of intubation carries many steps – all important: pre-treatment, induction, intubation, back-up plans, confirmation of tube placement, post-tube sedation, and post-intubation care. A post written two years ago by then Auckland HEMS Fellow Dr. Robert Gooch outlines this ever-complicated environment, and the ultimate goal of reducing burden on clinicians.

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The Clot Module

From Dr Chris Denny, Auckland HEMS Medical Director:

Dear colleagues,
1. We need your help.
We are testing a new clinical module: The ‘Clot Module.’
Why do we want another module? To borrow an ergonomic phrase – to task cluster.
2. Please read this article (password-protected for Auckland HEMS team members only) from the 2014 Annals of Surgery; the abstract is here
3. Our early experience with prehospital blood transfusions suggest that while the mechanics of administering blood are straightforward, the cognitive stress associated with trying to perform this task, plus obtain vascular access, plus keep the patient alive, in the dark, in the rain, makes it a challenge in real life. Our vision is to cluster:
  • Two units of whole blood stored in our Credo Blood Cooler


  • Pumps sets
  • TXA
  • Belmont Buddy Lite Fluid Warmer
  • checklists, wristbands and paperwork


Early testing in Clinical Simulation Lab (AW169 mock-up)

Early testing in Clinical Simulation Lab (AW169 mock-up)

4. In the spirit of the ‘flipped classroom’, please review these three videos before or at the start of your next HEMS shift. We will then progress through a series of drills to enable our clinicians to improve their knowledge and skills in the arena of advanced circulation. Please see yourselves in the role of test pilots. It is through usability testing that lessons will be learned.
5. There are many people to thank for getting us this far:
Dr. Paul Blakemore (Auckland HEMS Fellow)
Dr. Richard Charlewood (New Zealand Blood Service)
Jonathan Davies (UK Medical Student on Resuscitation elective with Auckland HEMS)
Stefan Gabor (ARHT Clinician Educator)
Rob Gemmell (ARHT Paramedic Lead for Equipment & Ergonomics)
Dr. Alana Harper (Auckland HEMS Lead for Safety & Quality)
Dr. James Le Fevre (Auckland HEMS Lead for Strategy & Innovation)
Dr. Cameron Rosie (Auckland HEMS Lead for Operations; Equipment and Ergonomics)
Plus our colleagues at Sydney HEMS, MedSTAR and the Scottish EMRS for sharing their wisdom.
Please share your questions and suggestions with us.

Auckland HEMS Air Ambulance Fellows wanted!

Fellow – Adult Emergency Department076540
Update April 2015: Applications for this round of Fellowship positions are now closed. If you wish to make an informal enquiry about working with Auckland HEMS please use the ‘contact’ section of this website. Thank you for your interest in Auckland HEMS!

Helicopter Emergency Medicine Service (HEMS)

Fellow position – 6 month fixed term (ACEM accredited special skill term in Air Ambulance)

June 2015 – December 2015

Auckland City Hospital is the largest public Hospital in New Zealand and one of the best trauma centres in the country .The Emergency department is a modern purpose built, world class facility that opened in 2003. We have an enthusiastic team of clinicians who have expertise in resuscitation, ultrasound, simulation, toxicology and retrieval medicine. The closely knit team consists of  FACEM’s, Medical officers and Resident Medical Officers. The department sees about 60,000 adult patients annually with a high patient acuity.

The department in conjunction with the Auckland Rescue Helicopter trust run the Helicopter Emergency Medical service (HEMS) which has been successful in providing fully integrated care for trauma patients. The department is also active in research and is currently involved in a number of key national and international projects.

The Adult Emergency Department is accredited by the Australasian College for Emergency Medicine (ACEM) for Advanced Training. We run a highly successful fellowship training program and are accredited for special skills training for Air Ambulance retrieval work which is both ICU inter-hospital transfer and primary response by Helicopter.  The Department is affiliated with the University of Auckland, Schools of Medicine and Health Science and is actively involved in clinical and university based teaching. The department runs several courses including the ACME course, ACLS, Ultrasound and difficult airway courses.

Eligible Applicants

This Fellow position is an ACEM special skills post in Air Ambulance and will involve working on the Helicopter Emergency Medical Service (HEMS) and in the National Air Ambulance ICU retrieval service.

Suitably qualified candidates can discuss the position with the AED Clinical Director, Dr Anil Nair at aniln@adhb.govt.nz  or Dr Chris Denny Medical Director of the HEMS service at CDenny@adhb.govt.nz.

For more information please contact Ansonette Willemse, Recruitment Consultant, at Ansonett@adhb.govt.nz quoting job title and reference number 076540.

Apply now at www.careers.adhb.govt.nz. Please attach a Cover Letter and your latest CV as only applications submitted online via the ADHB website will be accepted. Any emailed applications will not be acknowledged or considered.

Applications close: 3 March 2015.

For the biggest health sector job board in New Zealand visitwww.kiwihealthjobs.com

Auckland HEMS dealing with unsuccessful job applicants

Auckland HEMS deals with an unsuccessful job applicant