Emergency Medicine Education Training - PowerPoint Presentation

1. Emergency Medicine Education Training EMET, Modbury Hospital, South AustraliaClinical Lead : Peter Stuart. Program Support Officer : Michelle PhillipsI recently did an EMET obstetric workshop. The next weekend I had a patient present with massive PV bleeding from an incomplete miscarriage. The case was identical to a simulation I had undertaken. The retrieval service was grounded and I had to manage the patient until a road crew could arrive. She was in shock requiring fluids / blood transfusion. The bleeding continued despite removal of clots, oxytocin, prostaglandins and tranexamic acid and was only controlled after I applied bimanual pressure, a trick I had learned at the EMET course. Rural GP, May 2018 I began attending EMET sessions as a Nursing student and continued during my graduate year. Straight after finishing my graduate year I found myself in a rural hospital as the nurse in charge. The on-call GP was 30 mins away ! A vehicle roll-over occurred on my shift and we received three seriously injured patients. I began my assessment chanting the “DRsABCDE”s as I had been taught. The knowledge and confidence I gained from attending EMET enabled me to assess and initiate resuscitation with the result that all three patients survived and I am now more comfortable in managing emergencies. Registered Nurse, February 2018At a recent EMET course we were taught how to set up and use the oxylog ventilator. Simulations allowed us to become confident to use the ventilator in clinical care. The next week one of my COPD patients presented with a life threatening exacerbation. Normally I would have treated this palliatively but instead decided on a trial of BiPAP. To my amazement she responded well and was able to return home after several days. Previously I did not have the confidence to use CPAP/bIPAP but will be now using it routinely in my practice.Rural GP, March 2018 At a recent EMET workshop I had the opportunity to participate in simulation training with my colleagues. A month later I came upon a VT arrest. We began CPR promptly and achieved a return of circulation in 2 mins. It all went smoothly because we now have a well prepared and well rehearsed team. Thank you EMET. Rural GP, April 2018 I attended a recent EMET ultrasound workshop. We were encouraged to practice using the machine. A few weeks later while practicing on myself I found my own gallbladder polyps saving me from the risk of developing gallbladder adenocarcinoma in my 40s or 50s Rural GP, April 2018 One of our registered nurses was on night duty after attending an EMET evening on Neurological Emergencies. A young patient presented to the hospital complaining of a severe migraine headache. The nurse correctly identified the possibility of subarachnoid haemorrhage and arranged transfer of the patient. The diagnosis was later confirmed and a positive outcome was achieved for the patient. The nurse received a massive confidence boost that has greatly assisted her in the role of managing a country hospital at night.DON, Rural Hospital, 2018To practice in the country you have to make decisions and to do this you need confidence. EMET builds people up and gives them courage.Clinical Nurse, South East RegionI recently had a patient with life threatening epistaxis. I had attended an EMET workshop a short while previously and was confident in handling the case of massive epistaxis. Great teaching !.Rural GP, 2018 One of our RNs doing their graduate year had a patient develop anaphylaxis shortly after she administered medication. The RN had completed EMET training and correctly recognised and treated this life threatening condition based on her EMET teaching. Result : patient alive and well. RN very happy and thankful for the EMET simulation training.Registered Nurse, July 2018 I am a medical student who during my rural placement attended multiple fantastic EMET workshops. The week after the eye emergencies workshop I saw a patient with acute angle closure glaucoma and was confident to diagnose and organise management thanks to the training. Thank you EMET. Final year Medical Student, 2017 The EMET sessions are very interactive and educational and I’ve always come away learning something which has changed my practice or approach. Having a wide spectrum of health professionals in the one room gives a very holistic perspective to the topics being presented and I find value in this peer learning. There is a lack of development opportunities in regional areas so EMET is a welcome clinical resource. Intensive Care Paramedic, Riverland regionOne the best things about EMET has been applying Peter’s approach to teaching (eg all have gaps in knowledge, no blame technique, the importance of enthusiasm in teaching, repetitious scenario based training - hands on). Our staff’s confidence has grown more than 100% and they are demonstrating excellent practice in the early recognition and treatment of a wide range of emergencies and achieving excellent clinical outcomes. For example last year we had two VF arrests – both survived with no neurological deficit !Clinical Nurse, York Peninsula / Mid North RegionWe keep a copy of the ”ABCDs of Emergency Medicine” (provided by EMET) in our ED. It is my first reference point in an emergency because it has relevant key points in a format that is immediately accessible. The most memorable EMET session for me was learning a system for interpreting blood gases. I now feel much more comfortable interpreting blood gas results in stressful circumstances with the unwell patient. I also use the online emergency clinical scenarios and tutorials provided by EMET. These were an invaluable refresher before getting back to emergency work after a break. Rural GP, Barossa, Fleurieu, Hills RegionEMET Teaching: 2015 to June 2018Face to Face Teaching: 1085 hoursNumber of Participants: 4759Medical (33%), Nursing (58%), Prehospital (9%)Number of SA Sites visited: 36 Number of Skills / Simulation Workshops: 357RACGP/ACRRM accredited courses: 24Emergency Medicine Certificate/DiplomaEMC Graduates: 25. EMD Graduates: 6 Current Trainees: 10 EMC, 2 EMDI started attending the EMET workshops in my third and final year of my bachelor of nursing. I am now a registered nurse working at the Naracoorte Hospital in South East SA. The teachings of Peter and team have been absolutely invaluable to myself and fellow rural nurses. I often find myself hearing his words in many situations throughout my work day. Would love to see him back.RN, Naracoorte,