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Teaching 4th May

Communicating Bad News Well...


Teaching next week will be a blast.

We have "guest teachers" coming: Rob Melvin and Heng Cheok will be delivering a whole session on how to Communicate Bad News, and do it well! A simulated patient will be present... yes a real life actor will be there!

It is important that everyone attend as I guarantee you will get a lot out of the day.

This together with a conference update from ICEM Cape Town by Rob, and a case presentation by one of your fellow registrars.

Be there, 10:00 am, tutorial room 3 at NCHER.


Teaching at Monash Medical Centre 20th April




The trauma workshop

Tomorrow, we will be having our first ever mini trauma workshop conducted by Dr Shaun Baxter, drawing from his extensive experience from working as a senior registrar in a major trauma centre.  He will be covering a wide range of topics and incorporating some skills sessions, namely ICC insertion the "foolproof way", IV access insertion and spinal trauma management (yes there will be real ribs!!!).  We will begin in Tutorial Room 2 in NCHER at 10 am.

An early promo for the upcoming Paediatric Emergency Teaching to be held in Monash Medical Centre on the 20th of April.  This will replace regular teaching for that week. Click here for the flyer.




Teaching 16th March

Regional Forum last week was a great success, thanks to all you fabulous registrars who helped in lots of ways! The educators hope you took something away from learning to set up for a giant simulation session and working with us.  Well done to Cynthia and all the wonderful confederates!

Now back to usual business....

Next week, we have our very first Journal Club run by Chamara (keep a look out for a paper on email due to be sent out soon), followed by the Mental State Examination and management of acute severe behavioural disturbance (see DisturbED by Peter Jordan) and 2 hours of paediatric teaching.  The topic being High Flow Nasal Prong then CAHU triggers meeting where we discuss all Paediatric transfers out from TNH.

A reminder to save the date.  Emergency Cardiology Update by Dr Amal Mattu coming up in September.

See you there.  Attendance is compulsory with the exception of night duty and leave.



Hopefully you have all  heard about the DisturbED project.

DisturbED (Documenting Improvements in Safe and Timely Use of Restraiint By the ED) is a combined quality improvement project and practice based observational study.  Acute Severe Behavioural Disturbance is the 5th most common reason for prsentation to our ED and presents a huge management challenge.

Much high quality Australian  research has been conducted in recent years that provides much evidence to assist with optimising management of ASBD. Patients do not like mechanical restraint. Droperidol as safe and rapidly effective. Longer acting agents are often required secondarily. Close monitoring is essential. Sedation Scores are useful.

Our final year medical student Nicole Southi is collecting data 3 months pre and 3 months post promotion of the new ED chemical sedation guideline to measure a number of outcomes indicative of quality care.

Please familiarise yourselves with the guideline posted around the ED, on the walls, in the DisturbED folders on every ED desktop or here.

A more detailed summary of the project, the evidence behind it and our preferred sedation score can also be found here.