About 6 months ago I posted about the ‘end of the medical conference‘ after a fairly humdrum experience at Rural Medicine Australia 2012 in Perth. This negativity was picked up by others, notably EM-IM Doc
SMACC2013 has changed all that.
Suffice it to say, SMACC2013 was noticeable for
– incredible collegiality between ED, ICU, prehospital and rural clinicians, be they student, paramedic, nurse or doctor
– opportunity for meritocracy-type interaction between colleagues from both Australia and overseas
– memorable for Gerard Fennessy delivering part of his anaphylaxis talk in song (ya’ muppet)
– moving and inspiring talks from the likes of Weingart, Lex and Reid
– SCAT paramedics abseiling in from the rafters as GSA-HEMS (lead by Karel Habig) made a surprise last minute showing in SimWars
– excellent organisation and venue. Thanks to the organising committee for all their hard work.
SMACC2014 will be in Brisbane 17-19 March 2014. Book now. Rural doctors – you NEED to embrace FOAMed. Casey “not the porn star” Parker and I have been banging on about this now for sometime – we need to raise the bar and bring “quality care, out there”
So, my mission for 2013-14
(i) to try and persuade ACRRM and RDAA that we need to embrace FOAMed as rural doctors
(ii) to try and implement an Australian version of BASICS – to improve the current gap in rural prehospital care (rural docs with airway/resus skills are well placed to provide appropriate interventions before retrieval arrive – but need to be equipped, trained and have formal call out criteria)
(iii) to ensure that EVERY small rural ED (and better still , every ED, ICU in Australia) is familiar with and engaged in processes such as
– Toby Fogg’s excellent airway registry
– RSI kit dump and checklists
– adequate difficult airway kit and knowing how to use it
– checklists for crisis management and ‘logistics not strategy‘
– regular sim and resus room management training
None of the above ideas (and more) will be unfamiliar to FOAMites – indeed, they’ve been bounced around for a few years now..but still they are not out there where they are most needed. This must change.
Concomitant with that will be more FOAMed relevant to rural docs – not just ‘airway’ and ‘shock’ but of relevance to critical care in the bush
Might seem a big ask..but I can dream.
After all, critical illness does not respect geography!