In this Rapid Review, we look at decision making around the intubation of patients with Covid-19.
This training provides modifications to intubation, designed to achieve first attempt intubation without aerosolisation.
The video will take you through:
- Role allocation
- Preparation for RSI outside the room including:
- Personal protective equipment
- Preparation for RSI inside the room including:
- Post intubation
Watch the video now. Total duration 6:54
The International Emergency Medicine Education Project (iEM) has been providing free emergency medicine educational resources for medical students since June 2018. Content produced by 175 contributors from 27 countries has already reached thousands of students from 197 countries around the globe.
COVID-19 has impacted many aspects of our lives and education is no exception. Because of the pandemic precautions, many medical students are missing their normal course of education.
iEM has been working rapidly to find a solution to help students and educators and have launched an e-learning platform (www.iem-course.org) designed to provide free online emergency medicine courses for medical students around the world.
Emergency Medicine Core Content Course
This course is designed according to undergraduate emergency medicine curriculum recommendations of the International Federation for Emergency Medicine and the Society for Academic Emergency Medicine (SAEM).
All students around the world are free to register and use the resources provided in this course.
The course consists of 11 main lessons covering 37 topics. Each topic has video and reading assignments to reach the expected knowledge foundation. Videos are provided by Lecturio.
Chapters were chosen from iEM Education Project 2018 eBook and SAEM CDEM Curriculum website. The iEM’s image and video archives, and other available FOAM resources were also used where appropriate.
It is a 4-week (28 days) course. Studying an average of 5 – 7 hours each week will be enough to cover video and reading assignments. After enrolment, the course content will be available for 35 days.
For more information and to register visit: https://iem-course.org/courses/emergency-medicine-cc/
Other iEM project resources include:
Flickr image archive contains images and short videos provided by iEM contributors. All photos and short videos are free to download. These items can be used in presentations and exams.
YouTube video archive is where clinical videos and interviews with world-renowned experts are shared.
SoundCloud audio archive contains iEM 2018 eBook chapters recorded in audio so students can download and listen anytime and anywhere.
All iEM resources are cost and copyright free for all medical students and educators.
There is an urgency to support Australian ED clinicians with real‐time tools as the COVID‐19 pandemic evolves. The COVID‐19 Emergency Department (COVED) Quality Improvement Project has commenced and will provide flexible and responsive clinical tools to determine the predictors of key ED‐relevant clinical outcomes.
The COVED Project includes all adult patients presenting to a participating ED and meeting contemporary testing criteria for COVID‐19. Outcomes measured include being COVID‐19 positive and requiring intensive respiratory support. The dataset has been embedded in the Electronic Medical Record and the COVED Registry has been developed. Regression methodology will be used to generate clinical prediction tools. This project will support EDs during this pandemic.
For full details regarding this project and to read and download further information, click to read more.
Listen to the first two episodes of the COVED podcast below:
The COVID-19 pandemic: A clinical guideline developed by the Australasian College for Emergency Medicine
The COVID-19 pandemic will stretch hospital resources all over the world. This guideline is a framework for all Emergency Departments to work from as we plan and respond to the pandemic.
With our states, countries, metropolitan, rural and regional emergency care facilities all at different stages of community impact, and with markedly different workforce, infrastructure and resources available, local implementation of these guidelines will differ.
However, there are general principles of COVID-19 and non-COVID-19 emergency care that will apply to all workplaces:
- There is no patient emergency more important than the safety of our healthcare workforce.
- Appropriate, judicious use of personal protective equipment (PPE) is paramount.
- Planning for the increased numbers of patients requiring critical care services is important.
- Special consideration should be given to vulnerable people, both patients and staff, such as those who are older or have comorbidities, as well as Indigenous populations.
The COVID-19 pandemic will stretch hospital resources all over the world. Emergency
Departments (EDs) in high-income countries are vulnerable, but those in low and middleincome countries are likely to be impacted more significantly.
Developed by the Australasian College for Emergency Medicine (ACEM), this guide provides consensus-based advice on how to optimise resources during the pandemic.
The information is structured into four components:
The information in this guide is generic in nature, and will not be applicable to every ED.
Although the guide references technical guidance from the World Health Organization
(WHO), local guidelines and procedures should be followed wherever they exist.
Congratulations to A/Prof Gerard O’Reilly, Emergency Physician – Alfred Health, for receiving a project grant from the Australasian College for Emergency Medicine Foundation aimed at promoting emergency care across Bangladesh.
Bangladesh has a population of 160 million and is amongst the poorest countries in Asia. It has some of the worst health indices and the burden of injury is substantial. The incidence of disasters is extreme, including cyclones, floods, famine, epidemics, building collapses, bomb blasts and complex emergencies, such as the ongoing Rohingya refugee crisis. There is no effective emergency care system, so there is minimal resilience to these disasters.
The ‘Bangladesh Emergency Care System Improvement’ project (BECSI) will be carried out in collaboration with the World Health Organization (WHO) and key emergency care stakeholders in Bangladesh.
The stakeholders in Bangladesh remain desperate to improve emergency care in Bangladesh, starting with:
- A national consensus on current priority actions for emergency care system improvement
- The introduction of an emergency care system improvement program
The BECSI project will use the WHO Emergency Care System Assessment (ECSA) process, which has been conducted in over 30 countries, yielding feasible priority actions and practical next steps for emergency care system development.
The BECSI project will promote the development of emergency care in Bangladesh by:
- Providing a national forum for multi-sector (government, policy, hospital, management, disaster response, prehospital, clinicians) engagement, consensus and an agreed report for emergency care system improvement, and
- Supporting national representation and participation in the introduction of an Emergency Care System Quality Improvement program.
This 12-month project will commence in April 2020. Learn more about this project
Providing the best possible care to the greatest number of patients: implementing ED systems in Papua New Guinea
Situated in the Western Highlands of Papua New Guinea only accessible to the capital Port Mosby by air, the Mount Hagen Public Hospital (MHPH) services more than 400,000 people in this remote region.
In November 2019, the MHPH has officially launched new triage and patient flow systems, designed to help identify patients with urgent healthcare needs so that they can be prioritised for assessment and treatment.
The new systems were initially developed by the World Health Organization, Médecins Sans Frontières and the International Committee of the Red Cross. Adaption and implementation support was supported by a team from the Australasian College for Emergency Medicine (ACEM) including Alfred Emergency physician, Dr Rob Mitchell and nurse, Jean-Phillipe Miller.
The new systems include:
- A three-tier triage system, recently developed by the World Health Organization for resource-limited settings
- An electronic ED patient registration system, to record patient presentations and monitor ED performance
- A system for presenting complaint coding, to provide burden of disease data and enable disease surveillance
The implementation of these systems will not only enable a rapid response to urgent patients, but will also support the provision of safe and efficient emergency care in Mt Hagen and other sites in Papua New Guinea. They are assisting the emergency department to save lives daily through a fast, high-quality triage process, patient registration system and data registry.
“It may be the ‘land of the unexpected’, but a lot of positive change can occur in a short amount of time in Papua New Guinea.” Dr Rob Mitchell
Professor Peter Cameron, Academic Director of Alfred Health’s Emergency and Trauma Centre, was recognised in The Australian as the best Australian researcher in the field of Emergency Medicine.
This is an area of real strength for Australian universities where many institutions, including some outside of the research- intensive ones, do well.
Read the whole article: Health & Medical Sciences: Australia’s Research Field Leaders
It may be the ‘land of the unexpected’, but a lot of positive change can occur in a short amount of time in Papua New Guinea. In only three years, the Mount Hagen Public Hospital (MHPH) has gone from an ED lacking in systems, leadership and direction, to a department with all of the foundations for a promising future.
Read the whole article: The road to paradise: Developing Emergency Medicine in the highlands of Papua New Guinea in the “Your ED” magazine.
By Dr Rob Mitchell – Emergency physician at the Alfred Emergency and Trauma Centre in Melbourne and Project Lead for the Mount Hagen Emergency Department Triage Development Initiative. Learn more about the project.
Miller spoke to The Sydney Morning Herald from Beirut about his day-to-day experiences working in the refugee camp with the International Committee of the Red Cross. As the only field hospital servicing the camp, it has treated more than 2000 patients since opening on May 30, and Miller said it was treating “a huge amount” of children.
A boy, 10-year-old Omar, was in a wheelchair when he arrived at the hospital, “He was one of the first patients to undergo surgery. He had an old fracture. We removed a piece of dead bone and fixed his leg and put him in a cast and he’s soon to be walking. “Those moments are very special where you can see the difference you’ve made,” Miller said.
After a month in the camp, he was on his way home to Melbourne, where he works at The Alfred hospital. Read the whole article in the Sydney Morning Herald.