Emergency Trauma Management

The FOAMed world provides an ever expanding array of websites, blogs, podcasts, holodeck simulations and vodcasts to take in.  It can be a little overwhelming at times with the volume of information that is out there creating a bit of cognitive overload.

Whilst I love to roam the wilds, there are always a few blogs that I come back to time and time again for their ongoing high quality material (much as I’m sure you, dear reader, do to this one I am sure)

Now I have another to add to the list of mainstays that will blend online FOAMed with real life, in the flesh training.

Andy Buck (@andybuck) of the FACEM preparation site EDExam (which contains lots of useful stuff for all even though the focus is on preparation for FACEM exams) and Amit Maini of EDTCC (@sithlord2004) are collaborating on a new project: Emergency Trauma Management Course.

ETM Course is a work in progress, but Andy and Amit have recently got their blog live, and it contains content from some of the big names in the medical education world like Minh Le Cong.

I spoke with Andy and Minh a SMACC about this course and I believe that there is potential for it to be of enormous benefit not just to ED physicians, but to paramedics as well.  It is all about the initial management of the trauma patient: assessment, management of trauma airways, human factors, dealing with the elderly, young or obese trauma patient and so on.  It is very real world stuff.
“Classroom” days will be hands on, practical (and no doubt intense) with focus on simulation and skills workshops.

Obviously there may be techniques taught that are not common practice in ambulance.  However the majority of issues for the immediate resuscitation of trauma patients both in and out of the ED are the same, so I believe that there will still be an enormous amount of crossover.

I also think that there is another potential benefit in paramedics getting involved in this, or similar courses, and that is breaking down silos between hospital and prehospital care.  I have often heard the complaint from paramedics that ED staff don’t really understand what we have to deal with in the field.  (I may have been heard to say it myself, I admit)
This may be true in many cases, but if it is, at least half of the fault lies with us, the paramedic.  We need to engage our colleagues in the hospital setting and learn to work with them more effectively.  Communication and understanding of each others roles, skill sets and viewpoints can only improve patient care.  Training together is an excellent way to really start building relationships.

So I will be keeping an eye on ETM to see when courses become available and I will be doing my utmost to get onto one of them as soon as I can (and if they’ll have me!)  I urge everyone to consider doing the same, if not with ETM (but really, with ETM) then on some other course or in some other fashion.


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1 Response to Emergency Trauma Management

  1. Hallelujah – break down the silos indeed. In ED we may have little understanding of the challenges of PHEC unless involved in it. This week case illustrative – driving around in the bush with no signage, following tracks across paddocks to remote farmhouse at 2am. Ambulance bogged, RRV still able to move but unable to transport patient. Local farmers helped with tractor – a 4 hr epic adventure for a straightforward case of PFO. ED wonders why took so long call to response and delivery….patient sober by time arrive ED!

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