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Emergency Care Capacity

Development -

Are specialists really a priority?

The 2nd IEC Symposium, 2013

Chris CurryAssoc. Professor, University of Western Australia

Emergency Physician, Fremantle Hospital

chris@chriscurry.com.au1

Specialists contribute leadership

2

Contents

• Aust/New Zealand – ambulance crews, nurses,

– undergraduates, postgraduates

• PNG - PTC, ELS, SIREN, Snakebite, Advanced Diploma,

HEO training, emergency nurse training

• Nepal– pre-hospital care, BLS

• Myanmar– ambulance crews, nurses, postgraduates

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4

Who cares?

• Medical director, ambulance service

• NZ Ambulance Board

• ‘Frontline’ - journal of Institute of Ambulance Officers

• Emergency nurse training, conferences,

• ‘NZ Practice Nurse’ journal

• Introduction of EM to medical undergraduate

curriculum

5

G FitzGerald. Emergency Medicine, Dec 1991; 3(4): 243-7 6

EM in

Papua New Guinea

1996 establishment of program

2000 EM a priority in the National

Health Plan

2002 emergency physician in residence

and visiting EPs

2006 first graduate

7

consequences

COURSES

• Primary Trauma Care

• Emergency Life Support

• SIREN – Serious Illness in Remote Environments

• Snakebite management

Advanced Diploma in EM for HEOs, nurses, CHWs

Enhanced HEO training

Emergency Nurse training at PMGH

8

Providing PTC

courses

EM trainees

as

Primary

Trauma Care

course

instructors

9

Instructors

on courses

Senior

Instructors

work on an

Emergency

Life Support

course

Asthma

and the

Coke bottle spacer10

An EM trainee

instructs

on an

Emergency

Life Support

course

11

An EM trainee

instructs

on a

Snakebite

Management

course

12

Training for Advanced Diploma in EM

13

Enhancing HEO training

14

EM in

Nepal

2011 Launch of program for

Doctor of Medicine,

Emergency Medicine

15

Leading emergency care development

16

Nepal Academy for Disaster and

Emergency Medicine

NADEM

17

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19

20

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2013 – first consideration of nurse training

22

EM in Myanmar

Phase 1 – 2012-2013

-2014-2015

Diploma of EM

Phase 2 – 2016

Master Med Sc EM

23

24

2013 – first consideration of nurse training

25

It is about ‘who cares’

Hierarchy is important in developing country

cultures

Leadership is critical – from the specialists

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