The State of Play in Sydney region hospitals and ASUM PoC Emergency Workshop 1st August!
ASUM are putting on what should be an excellent Emergency US Workshop in Cooma on the 1st August
See bottom of page for the link!
Meanwhile, back at EMUGs HQ we are returning with an update on the The State of Play – Phase 1 Hospitals…
US training in the Sydney and nearby regions[Please let us know if you see any need for corrections. We went on best available info but there’s always room for error!]
Hunter New England area (John Hunter, Maitland, Calvary Mater, Belmont) :
- Clinical Lead in Emergency Ultrasound Training: Scott Flanagan, FACEM, CCPU
- Advanced Trainee Clinical Lead, Darren Moisey, CCPU
- John Hunter: 2 machines: Sparq, Sonosite M-turbo
- Maitland: 1 machine: Sonosite Edge
- Calvary Mater: 2 machines shared between ED/ICU: Sparq, Sonosite M-turbo
- Belmont: 1 machine: Sonosite M-turbo
- Currently most teaching outsourced to Sydney
- New staff specialists with US skills over last 2 years – aim is to increase local US teaching
- Focus group currently working on developing local and consistent US training including hands on US teaching course and ongoing credentialing (in person and via google hangouts using electronically saved US images)
- ICU led ECHO and CVC insertion workshops 6 monthly
Retrieval, Greater Sydney Area HEMS:
- Lead EM Ultrasound Enthusiasts: Cliff Reid FACEM CCPU, Chris Partyka, FACEM CCPU
- Access to non-ED Critical Care specialists with ultrasound-experience
- Rotating registrars often with CCPU
- Sonosite M-Turbo (x3 @ Bankstown Base)
- Sonosite Nanomaxx (1 each @ Orange & Wollongong Bases plus Mascot Fixed Wing Base
- Dedicated Ultrasound training day ultrasound during Registrar Induction program, six monthly
- Intermittent incorporation of ultrasound into Clinical Governance/Education days
- Formal accreditation, workshop and image review process under development. Aim for roll out in 2015.
Royal North Shore Hospital:
- Lead EM Ultrasound Enthusiast: Justin Bowra FACEM CCPU
1 day / fortnight for admin & runs a basic version of US training.
- Tony Joseph, Mark Gillett, Richard Lennon, John Vassiliadis: FACEMs who have US qualifications at or similar to CCPU level but no dedicated US time
- -5 machines: 2 x Philips Sparq, 1 x SonoSite, 2 x GE P5
- ED trainees taught basic echo once every 6 months (joint effort with ICU & Sharon Kay echocardiographer)
- US CVC insertion training program for all trainees (HETI sponsored)
- We teach the med students vasc access & basic cardiac in ALS [same new initiative of Sydney Uni critical care program]
- The San trainees also come & provide an outreach to RNSH one day/fortnight
Royal Prince Alfred Hospital:
- Lead EM Ultrasound Enthusiasts: Genevieve Carbonatto FACEM, CCPU
Sanjay Ramrakha FACEM, Brian O’Connell FACEM, UTEC, CCPU in process.
- Senior Advanced Trainees: James Dent CCPU, Juan Lee Chiang CCPU
- Advanced Trainee: Sandeep Gadgil
- 3 machines: Sonosite Xporte and M-Turbo, and Philips Sparq,
- Every Monday afternoon an advanced trainee is allocated 3hrs in the US department observing/practicing scans with sonographers
- Most Thursday’s Tina Cullen, Senior sonographer (general/vascular/echo) works in the ED supervising FACEMs and advanced trainees in PoCUS.
- Twenty FACEMs and advanced trainees participated in the inaugural in-house two-day ultrasound course covering eFAST /AAA in May. Second course to be run at end of year.
- Consultant three hour education sessions dedicated to DVT in May and Fascia iliaca block in July. Lung US training planned in coming months.
- RPA PoCUS Group set up in June following Medical Grand Rounds presentation on Bedside US in the ED. Increased interdepartmental communication and collaboration. QA issues being tackled. Increased training being addressed with interdepartmental PoCUS meetings. PoCUS Guidelines being formulated.
- Research in Lung PoCUS in the ED in planning stage. To be rolled out in Spring 2015.
St Vincent’s Hospital:
- Lead EM Ultrasound Enthusiast: Julie Leung FACEM, CCPU in process
- Other FACEMs with CCPU in process
- Advanced Trainee: Lee Blair, taking up ECI Registrar and PoCUS project part of job role.
- 2 machines: Philips Sparq and Zonare
- Looking at formalising US training and credentialing pathway
- Formal US guided CVC insertion teaching using the statewide accreditation module and observation
- Radiology-run case based teaching fortnightly with some US component
Sydney Adventist Hospital
- Lead EM Ultrasound Enthusiasts: : Justin Bowra FACEM, CCPU and Alan Giles FACEM. Each spends 1 day/week on US education
- Three Emergency US trainees (ACEM special skills accredited for 6 months, generally 3 months spent doing US)
- 3 machines: 1 Philips Sparq, 2 SonoSites
- ED trainees learn eFAST / AAA / BELS / DVT / Biliary / Lung / sometimes RCE (all CCPU accredited)
- “US School”: In-house US education every 4 weeks for all staff
- Nurses are taught AAA / BELS / Vasc access / EFAST (based on interest)
- Medical students are taught vascular access & basic cardiac in ALS
(Sydney Uni critical care program)
- Lead EM Ultrasound Enthusiast: Peter Smith FACEM
- 2 machines: Sonosite X-porte and a GE Loqic
- ED trainees have introductory ultrasound course
- eFAST /AAA (credentialed)
- Lung, DVT, Biliary, Renal, 1st trimester, vasc access, nerve blocks
- Nurse Practitioners skilled in nerve blocks (fascio-iliaca, femoral) and foreign body
Have you something to comment on or add?
Please let us know, this is a topic that can really be expanded on!
Watch this space for Phase 2 Hospitals – coming soon…
If you work another hospital not mentioned, send us a message and tell us what you think
ASUM Emergency US Workshop in Cooma, 1st August.
Cheers, The EMUGs Team