Simulation ‘Crisis Management’ at Westmead Hospital

Simulation Training 2017-2018

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Download The Course Manual:

ACTS 2017 COURSE MANUAL
The PRINT Term Student MANUAL

Download The Course Slides:

THE COURSE SLIDES

Skills Handouts:

BLOOD GASES
ALTERED MENTAL STATE 
ARRYTHMIAS
BRADYCARDIA AND PACING
ALS – DEFIB USING ‘COACHed’
ECG
HYPOTENSION
ALS – SPECIAL CIRCUMSTANCES

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Since 2011 Westmead’s Simulated Learning Environment for Clinical Training’ (SiLECT) has been providing courses to address the need for acquiring skills in Crisis Management.  SiLECT is directed by Dr Ros Crampton FACEM and Dr Gerri Khong FRANZCA.

ACTS‘ will focus on the latest teaching in advanced life support, local clinical guidelines and the management of common emergencies.  Furthermore, we will openly discuss how to apply our skills in real life “Crisis” situations and look at some of the common issues with working in teams.

ACTS will also be run for Medical Students in a modified form and be known as “Introduction to Life Support (ILS)“.

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For the Junior Doctor of today real-life clinical experience in the wards is second to none in terms of professional development.  However, for training to effectively manage time critical emergencies simulation has an increasingly important role.  Simulation is especially useful for applying technical skills, developing communication skills and effective teamwork

We believe that you need the traditional ‘flagship’ simulation courses (e.g. ALS and ATLS) as well as regular “bite sized” experiences (e.g. in-house team training).

Access to accredited courses along with everyday reflective practice help develop the Junior Doctor’s ‘Crisis Management‘ skills.  Further regular brief simulations help refresh these skills. A combination of flagship courses and in-house / in-situ simulation are probably the best way to maintain clinical credentials and crisis management skills for all busy healthcare professionals (see our loading and maintenance dose theory below).

With more interns than ever being trained in Australian hospitals (and in turn our trainees having less and less responsibility in their early training especially in major teaching hospitals) regular simulation ensures our team is continually ready for action.

Single Simulations v ‘Loading’ Dose with Regular Follow up

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Many institutions such as Stanford and UCLA are running ‘bootcamp‘ style programs based around the “just in time” and “last minute” readiness for internship concept.

At Westmead we hope to get our 2017 junior doctors through a newly refined ACTS program (4 hours) with weekly refresher sessions (1.5 hours for 6 Participants) on Wednesday (and some Thursday) afternoons.

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What should you expect at an ACTS course or STAR program?

Above all the courses will be interactive and fun to attend.

Expect faculty to support your learning in a comfortable, ‘safe‘ and private environment.

During the full 4-hour “ACTS” course we will learn together using short case based discussions (no ‘death by power-point’) and through facilitated patient simulations.

While there will be no ‘formal assessment’, participants are expected to familiarise themselves with the selected pre-reading materials to get the most out of their allocated training time.

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What are the Objectives?

Faculty Objectives

  • Ensure Participant Safety and Satisfaction
  • Advance Patient Safety at Westmead Hospital and beyond

 Participants Objectives for the Overall Program

  • Discuss when to call for help and who to call – Medical Emergency Teams (MET), Patient Activated Criteria for Escalation (PACE) and Advanced Life Support (ALS) Calls.
  • Describe the Management of Common Medical Emergencies
    • Describe the use of a systematic approach in assessment of the deteriorating patient (A-G assessment)
    • Demonstrate Basic Life Support (revision)
    • Discuss Advanced Life Support Skills (an introduction)
    • Demonstrate ECG and Arrhythmia Interpretation
    • Discuss Arterial Blood Gas analysis
    • Demonstrate the Use of Checklists and Cognitive
  • Discuss Working effectively Interdisciplinary Teams
    • Demonstrate effective Teamwork and Communication
    • Understand the concept of Crew Resource Management (CRM) and ‘Human Factors’
    • Demonstrate Safe Handover with appropriate brevity (use of an I.S.B.A.R. handover)
  • Discuss the Local Guidelines for Common Emergencies
    • Describe the ‘Criteria for Escalation’ (MET, PACE and ALS calls)
    • Discuss Myocardial Infarction (e.g. STEMI) – this requires an immediate ALS Call at Westmead Hospital
    • Describe the Management of Acute Respiratory Distress (a leading indication for ALS calls)
    • Discuss Septic Shock – “Recognition, Resuscitate and Refer” (a leading indication for ICU admission)

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We thank HETI for their past support and collaboration:  

The HETI JMO team provided funding support for the 2015 programs.

Relevant HETI podcasts include:

Anaphylaxis: Click here

 Sepsis and Septic Shock: Click here


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