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TRANSCRIPT
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
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
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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
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Leading emergency care development
16
Nepal Academy for Disaster and
Emergency Medicine
NADEM
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2013 – first consideration of nurse training
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EM in Myanmar
Phase 1 – 2012-2013
-2014-2015
Diploma of EM
Phase 2 – 2016
Master Med Sc EM
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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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