Archive | Emergency Care Learning

BASICS Scotland Adult Tele-education Course Starts 28th August 2017

BASICS Scotland would like to announce the dates for the next Adult Tele-education Course, presented by Karyn Webster. This 10 week course will start on Monday the 28th August and run for 10 weeks with a 2-week break in October.

Tele-education by BASICS Scotland is an online learning resource ideal for remote and rural practitioners eager to reinforce and develop their skills in pre-hospital emergency care. The benefit of Tele-education is that participants can take part without having to leave their home or place of work. The course is delivered entirely over the web, with weekly 1-hour live sessions in a video conferencing format which participants can attend or view the recordings later at a time more convenient for them!

Topics on this course include:

  • Allergy & Anaphylaxis
  • Asthma
  • LVF – Adult Pneumonia
  • Stroke & TIA
  • Chest Pain & Thrombolysis
  • Head Injury
  • ENT Emergencies
  • Wounds
  • Burns & Tetanus
  • Pain Relief
  • Seizures

If you are interested in taking part in this course or would like more information head over to the BASICS Scotland website and complete an application form today!

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Next EMRS CG VC meeting on Friday

The next EMRS ScotSTAR Clinical Governance meeting is due to take place on Friday 12th May, at 1.30pm.

These meetings take place at the EMRS base next to Glasgow Aiport, and VC links are invited (via the NHS Scotland VC Network) from rural practitioners (GPs, nurses, paramedics) across Scotland.

The team values input and opinion at these meetings from rural practitioners. Combining the insight of both referring site clinicians and retrieval teams into the intricacies of missions audited creates a fantastic learning environment. Attendees come away from these meetings enthused and encouraged to provide the highest possible levels of care for our patients.

The meeting on Friday brings a few cases under the longitudinal audit microscope. The EMRS team have chosen two of the most challenging cases, one primary and one secondary retrieval and opinion will be welcomed in dissecting out the details so that we can learn from combined experience.

To join the meeting, contact Anne Cadman (details in agenda below) with your VC details.

Download the agenda for this meeting

The above text was modified from an email sent out recently by Dr Randal McRoberts, Consultant at EMRS and lead for the Clinical Governance meetings.

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BASICS Scotland Annual Conference & AGM

BASICS Scotland are pleased to announce their annual conference will take place at the Carnoustie Golf Hotel on Saturday the 9th September 2017.

This year’s theme is “It takes a system to save a life” and there are some fantastic speakers and workshops lined up including:

  • Deputy CMO for the Scottish Government and the Keynote Speaker, Dr Gregor Smith
  • National Clinical Advisor Dr David Caesar on Scotland’s Trauma System
  • The Sandpiper Wildcat Team and their “Story So Far”
  • Angela Lewis of Personal Support Aviation on Human Factors and Responder Welfare

…and many more!

To learn more about the speakers and sponsors at this year’s conference, or to book your place now, visit conference.basics-scotland.org.uk

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BASICS Scotland Paediatric Tele-Education Course

basics_logo_new_large_csNews just in from BASICS Scotland about their latest educational offerings…

We are pleased to announce the latest start date for our popular Paediatric Tele-Education Course

Book now for 24th April Start!

This popular course is specifically designed to refresh your knowledge of Paediatric Emergency Medicine

The course covers 9 topics over 9 weeks presented live over internet based video conferencing and recorded for you to watch at your own convenience.

Live sessions will take place on Tuesday evenings 7pm-8pm to allow those with busy schedules during the day to participate.

Topics covered include:

  • Fever and Meningitis
  • Head Injury
  • Seizures
  • Allergy & Anaphylaxis
  • Asthma
  • LRTI
  • Epiglottitis & Croup
  • Gastroenteritis & Dehydration
  • Pain Relief

Can’t make the live sessions?

Don’t worry, each live session is recorded and made available on our E-learning website for you to view in your own time – access to course materials ends 6 weeks after last live session.

Book Now as closing date for registration is Friday 7th April 2017.

What does it cost?

The cost for this course is:

  • £135 for BASICS Scotland members
  • £150 for non-members

To download the information flyers and application form, visit the BASICS Scotland Tele-education page.

To help evaluate the benefits and cost-savings of Tele-education and Remote Skills Training, BASICS Scotland have commissioned a report which can be viewed on the BASICS Scotland website.

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15th March: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

Wednesday 15th March 2017, 7-8.30pm

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

The programme for our meeting on 15th March can be downloaded here, and includes a number of general updates about BASICS Scotland work including our new responder debriefing pilot, a national guideline development group for prehospital care, and 2 cases from Highland.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members and counts towards your CPD!

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

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BASICS Courses update

News just in from BASICS Scotland about their CPD day and other forthcoming course information…

CPD Day

We are pleased to offer you the opportunity to attend this specially developed course for BASICS Scotland Responders.

The course is a one day event designed for and specific to doctors, nurses and paramedics who are already BASICS Scotland Responders.

Dates available: 17th and 18th May 2017

Venue: Mobile Skills Unit which will be located at Dr Gray’s Hospital, Elgin

This course is limited to 8 delegates per day so make sure to register your interest asap to guarantee a place.

The course content will include:

  • Simulation training with video augmented debriefs
  • Human factors training with an external expert

Cost to attend is now only £50

Full details and programme available by clicking on the download PDF button below.

If you would like to register for this course please do so by sending an email to courses@basics-scotland.org.uk and provide us with your preferred day of attendance.

As the numbers are restricted places will be given on a first come first served basis and a waiting list will be kept in the event of a cancellation.

Download PDF information from BASICS Website

Future Face-to-Face Courses

If you are looking to attend a PHEC Course of PHPLS Course this year please find below the list of courses available for 2017 below.

10th – 12th March ’17

PHPLS

Carnoustie Golf Hotel

24th – 26th March ’17

PHECC

Carnegie Conference Centre, Dunfermline

21st – 23rd April ’17

PHECC

Islesburgh Hotel, Shetland

12th – 14th May ’17

PHECC

Peebles Hydro, Borders

9th – 11th June ’17

PHECC

Skye

22nd – 24th August ’17

PHECC

Clinical Skills Centre, Western Isles

15th – 17th September ’17

PHECC

Newton Hotel, Nairn, Highland

6th – 8th October ’17

TBC

Orkney

20th – 22nd October ’17

2 x IMC Ref

DGRI, Dumfries

10th – 12th November ’17

PHECC

Craigellachie, Grampian

24th – 26th November ’17

PHECC

DoubleTree, Dundee

If you would like to register for any of the above courses please do so by sending an email to courses@basics-scotland.org.uk

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Scotland’s Mobile Simulation Unit – our experience on Arran

In January 2017 the team at Arran Medical Group and Arran War Memorial Hospital hosted a visit from the NHS Education for Scotland Mobile Skills Unit (MSU) – or ‘Skills Bus’ as some folk refer to it. In case you haven’t seen it: the MSU is a lorry, which expands into a workshop area where patient simulation scenarios can be run from a separate control room (also on the lorry). This setup enables a modern simulation facility to be delivered anywhere in Scotland – particularly rural areas – as it only requires a flat piece of land and an electricity hook-up similar to most caravans.

The skills unit just needs a flat area of ground, and an electricity hook-up. We were grateful to Scottish Fire & Rescue for hosting the unit at Lamlash Community Fire Station.

The folks at the Managed Educational Network (MEN) at NHS Education for Scotland (NES) [don’t worry, the acronyms will stop soon!] are keen for awareness to be raised about the unit, particularly its benefits to rural teams. We hope this description of our experience will encourage others to consider arranging a visit with the associated teaching that can often be organised to coincide.

Tell me more about the unit…

The MSU operates from its base in Tayside, and can be booked by contacting the MEN team. At the time of writing, Lynn Hardie is overseeing the unit’s bookings and couldn’t have been more helpful in organising for its delivery to Arran for a week.

Once the unit is set up and expanded by the driver, who usually returns the same day back to their base following delivery, there is a large teaching area which comfortably seats up to 12 people. The unit has heating and lighting, and offers a comfortable teaching space.

The unit can be set up – using the James-Bond style concealed TV – to deliver didactic teaching presentations. Whilst this is its most basic of functions, there are some areas in Scotland which will will find this to be a useful function as part of a more comprehensive course.

However, the main purpose of the Unit is by using its SimMan, SimJunior or SimBaby, along with various provided medical paraphernalia, to enable a wide range of patient assessment simulations to be carried out. The unit has been custom-built: its layout enables pragmatic connection points for the mannequins; there is a separate control room set up with appropriate control software; and an impressive ‘SMOTS’ video system records scenarios from three different angles. This is useful both for monitoring progress through a simulation, as well as for playback during scenario feedback.

This sounds a bit complex

The kit is certainly modern, technically impressive, and requires familiarisation. However the MEN runs excellent (and free) Faculty Development Courses (FDC) – usually at the Scottish Simulation Centre in Larbert – to introduce potential hosts to the simulation equipment and also the daily setup and operation of the unit.

We found the FDC to be fun, interesting and useful – not only for the operation of the unit but for generic skills in running simulations and delivering effective feedback.

The unit also comes with relatively idiot-proof set up instructions, as well as an A-Z guide of equipment and a very helpful troubleshooting guide. This is all covered in the FDC and the MSU team also make themselves available by phone to help sort out any urgent problems during a visit.

OK, but who can we get to help us?

Dr Mark Davidson, Consultant with the ScotSTAR paediatric team, was one of several skilled colleagues who provided excellent teaching during the week.

The unit can be used by confident local teams to deliver training, however we would highly recommend requesting input from the ScotSTAR transfer teams who are often able to provide outreach support for rural training visits. In our case, over the duration of a week, we allocated Monday & Tuesday for paediatric acute care, Wednesday for obstetric emergencies, and Thursday & Friday for adult acute care. For this we were able to enlist the excellent help of the ScotSTAR Paediatric Retrieval Team, the Scottish Multiprofessional Maternity Development Programme (SMMDP) and EMRS (Emergency Medical Retrieval Service) who each came to Arran and delivered excellent teaching – including simulation sessions – during their stay.

In addition we invited a number of clinicians at Crosshouse Hospital – to whom we usually refer our cases – and their involvement was crucial both in clarifying local protocols and also understanding some of the challenges that we face in the rural and community hospital setting when referring to them and their teams.

How did it go?

Our local fire station provided excellent additional presentation space to run workshops, lectures and ample catering facilities.

We found that smaller groups worked best for simulation sessions. We also benefitted from the free use of our Lamlash Community Fire Station (who also kindly provided electricity and additional training space) as well as a daily donation of snacks and food for our Faculty from the Co-op.

Over the week the programme progressed through paediatric, obstetric and adult sessions. We allocated 10-14 clinicians into each morning or afternoon session, usually splitting them up into two groups to alternate between simulation and workshop training. We also held lunchtime ‘drop-in’ update sessions on topics such as sepsis, DKA (diabetic ketoacidosis), drug overdose and ECG interpretation; and we invited our First Responders to an evening of simulation too.

We delivered over 540 training hours during the week to Arran’s GPs, nurses, nursing assistants and paramedics/technicians, and collated feedback using SurveyMonkey – which was generally very positive and indicated an enthusiasm for doing more simulation training in the future.

What went particularly well?

Multidisciplinary colleagues worked together in simulations, and this reflected the nature of work on Arran in our community hospital.

Our teams enjoyed working in the same multi-disciplinary setup that we usually work in. For example, at our community hospital, it is common for a GP, two nurses, a nursing assistant and paramedics to continue working on an emergency case on arrival at the hospital, and we emulated this in teaching scenarios. The quality and experience of our Faculty – comprising experienced consultants, nurses and paramedics – was clearly appreciated by participants, along with the relevance of the teaching.

Prior to the training week, we surveyed our colleagues to identify what they felt were priority areas for development. As expected, sepsis and acute coronary syndrome were low down the priorities – there has already been a focus on these areas in our hospital (and nationally) over the last few years. Higher up were – obstetric emergencies, unresponsive/hypoxic children, severe asthma, drug overdose and major trauma; and so these were the areas that we focussed our training on this year.

During the week we kept a ‘Great Ideas’ board updated using post-it notes, to capture great suggestions and points for further consideration following the course. Collating this at the end of the week provided not only a snapshot of over 40 learning outcomes, but a great range of action points for implementation, as a result of discussion during the week.

What would we have done differently?

Based on feedback, we might have built in more time for skills stations – for example airway management, NG tube placement, chest drain insertion and femoral line access. There is equipment to provide this training on the Unit, however we opted to focus on more simulation training for our week.

Any further efforts to keep groups small and reflective of typical team configurations would have had benefits too, although the feedback indicated that most of the time this was achieved.

We also found – as do organisers of similar training – that running a week can be tiring!  Inevitably, there is a bit of running around before and during the week, to sort out equipment, printing documents and keeping a track on the programme.  Two of us kept an eye on this, and our advice to anyone considering running a training week would include the importance of running the week as a team, with adequate time to oversee the logistics!

What about funding?

We used local training funding to free up time in order for two Arran clinicians to attend the Faculty Development Course, as well as some admin time required before, during and after the training week. Funding was also identified for GP locums – and this, combined with restricted leave during the week – meant that we were able to maintain normal service whilst maximising participation in the training scenarios.

The crucial advantage that we had by involving ScotSTAR teams is that they were able to fund their input via their own team outreach budgets – this is centrally funded with the aim of supporting rural clinicians, and so the conversion factor between local funding and the ‘worth’ of the week was 3-4 (i.e. we gained nearly four times as much value from the local funding required to organise the week).

Interested?

The SMMDP programme ran a fantastic, relevant- and fun – one day course on obstetric emergencies for us. Twenty staff from all disciplines attended.

David Hogg (GP) and Ailsa Weir (Senior Charge Nurse) oversaw the week of training. We can both be contacted via Arran War Memorial Hospital if you wish to find out more about our week. Lynn Hardie (Mobile Skills Unit Project Officer) was instrumental in organising the unit to be available, and our attendance at the Faculty Development Course. Lynn’s contact details are available on the MEN website.

In terms of team contacts, Sandra Stark (Nurse Consultant, ScotSTAR Paediatric Team) and Kate Silk (Programme Administrator at SMMDP) were our key links and very helpful in setting up the training. Every rural area in Scotland has an EMRS ‘link consultant’ and this should be the route that EMRS involvement is requested. In our case we were grateful to Dr Drew Inglis and Dr Doug Maxwell for their input.

If you are keen to consider a visit to your local area, contact the MSU team in the first instance, and they will be able to advise on availability, and advise on how to set up an appropriate programme of training.

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Retrieval 2017 Conference programme now available

Details are now available for the annual Retrieval conference, hosted by the Emergency Medical Retrieval Service of Scotland.

Once again, there is a broad range of topics covered, and another impressive line-up of local and international speakers.  As well as clinical topics, there are also presentations about working with the media in the prehospital setting, and ‘Looking After the Team’ – being aware of the stressors and pressures placed on responders in the emergency prehospital setting.

Registration is now available and abstracts can also be submitted via the Retrieval 2017 website.

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BASICS Scotland reports on over 15,000 hours of tele-education

BASICS Responders provide prehospital care across Scotland, especially in rural and remote areas.

BASICS Scotland – the charity that promotes the provision of high quality pre-hospital emergency care by health professionals across Scotland – recently produced a report that brings together experience of providing over fifteen thousand hours of online educational material.  And the conclusion: it’s cost effective, it increases access (particularly to remote and rural practitioners) to high quality education, and it works.

Tele-education has been available from BASICS Scotland since 2011, and since then the team have built on their experience to improve the learner’s experience, and reflect on what makes this form of learning most accessible.

Some participants manage to join these sessions in real-time, but the sessions are also recorded so they can be viewed at a later date via the BASICS Scotland website.  The sessions are usually packaged to run over ten weeks, covering adult and paediatric emergency prehospital care respectively.  A dedicated IT Facilitator assists participants with any initial difficulties in using the Adobe Connect software – which has proven to be an effective platform on which to deliver the content.  Participants who are watching in real-time are able to ask questions or type comments, and all of this is recorded for later viewing too.

As well as tele-education, BASICS Scotland also uses this technology for its Clinical Governance meetings (open to all member responders) and for Board meetings.  Scottish rural broadband speeds continue to pose some problems, but having knowledgeable IT assistance allows some of the technicalities to be tweaked, to maximise the use of available bandwidth.

The report (PDF) can be downloaded from the button below.  Further details on the tele-education programme can be found here, along with all the other training opportunities that BASICS Scotland provides.  A BASICS Scotland tour of the Adobe Connect platform can be found here.

Download the report here (PDF 733KB)
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15th December: Next BASICS Scotland Clinical Governance Meeting

basics_logo_new_large_csBASICS Scotland Clinical Governance Meeting

15th December 2016, 7.00pm – 8.30pm

 

The BASICS Scotland Clinical Governance Meetings are held quarterly and are provided over internet based video conferencing allowing you to have a face to face meeting with your peers from the comfort of your own home or work place to share and discuss clinical cases that you may have been involved in or are interested in.

Each meeting consists of a selection of cases which are presented by the person involved and is then opened up for discussion giving you the opportunity to learn from others.

Our meeting on 15th December will feature the following cases:

  • Fall from a horse: Iain Craighead (Highland)
  • My drive to Newcastle: Paul Gowens
  • An Entrapment: Brian Fitzsimmons (Highland)
  • Multiple Casualties: Mark Worrall (Ayrshire)

The meeting will also cover ‘Rudeness and clinical performance‘ with Richard Price.

Join us at the next meeting

This is a free benefit to all BASICS Scotland members and counts towards your CPD!

If you haven’t been to one of our meetings before and would like to attend this or future meetings please email or call Craig Stewart at the BASICS Scotland office – cstewart@basics-scotland.org.uk or tel: 01764 663671.

Invites will automatically be sent out to everyone who has previously attended one of our Clinical Governance Meetings.

The programme for this meeting will be distributed in due course and invites will be sent out on the Tuesday before the meeting.

Not sure how it works?

Never attended one of our internet based video conference sessions using Adobe Connect and unsure of how it all works? Contact Craig at the BASICS Scotland office (cstewart@basics-scotland.org.uk or call 01764 663 671 ) and he will be more than happy to help you get set up.

You can also catch up on previous meetings which will give you a good idea of what is involved by logging into the members area of the BASICS Scotland website ( http://basics-scotland.org.uk/members/clinical-governance/recordings/ ).

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