Introduction

Posted on December 3, 2014 by andrewwfagan

Chapter #1 – Introduction to the Course

Welcome to the introductory podcast episode of the Auckland Helicopter Rescue Trust simulation based, pre-hospital critical care curriculum. This episode will introduce the ARHT education team and outline the goals and structure of the curriculum.

Below you will find some more information relating to the concept of a “flipped classroom” as well as the use of simulation in medical education.

Web links:

Review of Flipped classroom – http://www.flippedlearning.org/cms/lib07/VA01923112/Centricity/Domain/41/LitReview_FlippedLearning.pdf

The 7 thing’s you should know about the flipped classroom – https://net.educause.edu/ir/library/pdf/ELI7081.pdf

How Flipping the Classroom can improve the Traditional Lecture – http://moodle.technion.ac.il/file.php/1298/Announce/How_Flipping_the_Classroom_Can_Improve_the_Traditional_Lecture.pdf

Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence.
McGaghie WC1, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB.
Acad Med. 2011 Jun;86(6):706-11.

Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review.
Issenberg SB1, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ.
Med Teach. 2005 Jan;27(1):10-28.

Could simulated emergency procedures practised in a static environment improve the clinical performance of a Critical Care Air Support Team (CCAST)? A literature review.
Lamb D.
Intensive Crit Care Nurs. 2007 Feb;23(1):33-42.

The utility of simulation in medical education: what is the evidence?
Okuda Y1, Bryson EO, DeMaria S Jr, Jacobson L, Quinones J, Shen B, Levine AI.
Mt Sinai J Med. 2009 Aug;76(4):330-43. doi: 10.1002/msj.20127.

Simulation as a tool to improve the safety of pre-hospital anaesthesia–a pilot study.
Batchelder AJ1, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N.
Anaesthesia. 2009 Sep;64(9):978-83.

Auckland HEMS app updates

Posted on November 24, 2014 by Scott Orman

Firstly, thank you to all of you for your interest in and support of the Auckland HEMS app! In addition to the Auckland HEMS team, we have over 250 app test pilots from other services and locations, and have received valuable feedback about functionality and content.

Prehospital transfusion SOP

The app has undergone a series of updates in recent days, as you may have noticed from the push notification spam appearing on your phones (apologies, this is an automatic feature that I have not yet figured out how to turn off!) The iBuildapp platform offers automatic updating on users’ phones, so you should (in theory) have the most up-to-date version already; if however the app is crashing I suggest deleting and re-installing it. Android users may encounter an ‘error 961’ when reinstalling the app, if so follow these instructions, or perhaps just buy an iPhone…

The most important additions to the app are the SOP and checklist for prehospital blood transfusion. As of today, Auckland HEMS will be carrying a unit of Whole Blood on prehospital missions.

interactive checklists

Other additions include:

* Interactive checklists – Auckland HEMS checklists now include tick boxes that can be filled in as the checklist is completed. There is not yet a functional feature to export the data (this is a work in painful progress!) but in the meantime a completed checklist can be preserved on a smartphone by taking several screenshots.

* Expanded ‘resources’ section – a project has begun to turn the resources section into a prehospital and aeromedical reference library, with links to podcasts, video, and other useful clinical material. What do you think should be in the ‘resources’ section? Please use the feedback button in the app to let me know about your favourite resources so they can be included.

* Map feature with live tracking

Thank you again for your interest in the Auckland HEMS app, and please keep the feedback coming!

resources

map feature

map feature

Auckland HEMS prehospital blood transfusion – coming soon to a helicopter near you

Posted on October 18, 2014 by Scott Orman

Bloody hell.

Pretty much summarizes the severe traumas that define the essence of our trade.

And sometimes, the answer to critical bleeding is to give blood.

We are grateful to our colleagues at Sydney HEMS, who advise: “blood is provided to transfuse patients with life-threatening bleeding after meticulous attention to hemorrhage control.”

Auckland HEMS is poised to begin providing prehospital blood as part of our bundle of critical clinical interventions. We are fortunate to collaborate with the New Zealand Blood Service and with our local District Health Board to provide this service. http://www.nzblood.co.nz

Herein, please find our training video. We welcome your feedback.

Our draft Blood SOP is undergoing usability testing with our clinical teams. Once finalized, we will share this for FOAM.

This is an unsystematic review of the current literature. A few themes are emerging:

1. There is now evidence of survival benefit in the military and in the civilian literature.

2. Beyond packed red blood cells, services are also exploring the use of plasma, and of whole blood.

3. Pouring in blood is frivolous without meticulous hemorrhage control.

4. If we are to forge strong links in the chain of trauma survival, these critically ill patients must move quickly to definitive care. We are working with our local trauma centres to move seamlessly from out of hospital into ED, Resus, Operating Theatres and Critical Care. Please share your experiences with us.

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Dr Chris Denny, Auckland HEMS Medical Director

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(Auckland HEMS team members click HERE for access to the draft SOP)