BOPDHB Checkup June 2019 | Page 14

Mock mass casualty tests emergency specialists. Local Intensive Care Paramedic Gilly Gates showing leadership during a tense scenario. Mock mountain biking mass casualty tests emergency specialists A mountain biking adventure through the Redwoods soon turned to an exhilarating mass casualty rescue mission for emergency medicine specialists participating in a mock trauma. Record numbers of emergency and critical care specialists across Australasia descended on Rotorua last month for the Australasian College for Emergency Medicine (ACEM) winter symposium aptly named ‘Te Wero – The Challenge’. Tauranga Hospital ED Consultant Suzanne Moran was part of the organising committee and ED Consultants Finn Coulter and Paul Blakemore delivered two workshops. The Advanced Airways workshop had both didactic and practical hands on elements. Organised by Finn with ENT Surgeon Chris Lowe, ENT Registrar Rachael Bentall and Anaesthetist Dr Owen Callender, participants not only got exposed to the latest available equipment, but also the unique experience of viewing Finn’s vocal cords on the big screen delivered via nasal endoscopy while he talked! Participants visited from around the world and received practical rescue & extraction sessions from NZ experts. The Whakarewarewa Redwoods was the scene for the pre- hospital rescue workshop. This was a unique full day workshop carried out on mountain bikes and introduced participants to the challenges of managing severely injured casualties in an austere environment. It was quite a significant logistical undertaking and faculty, role players and volunteers included members of the Auckland Helicopter Emergency Medical Service (HEMS), two of our local St. John Intensive Care Paramedics, ED Registrars Kathryn Parnham and Paul Campbell and ED SHO Nicole Toy. Thirty emergency medicine specialists jumped on their mountain bikes for an exhilarating ride around the forest. Following each trail they happened to come across simulated casualties included hunters with firearm injuries and forest workers trapped under logs. Participants were required to deliver a number of interventions including definitive airway management and field amputation and the exercise finished with all participants involved in a multiple casualty scenario. We’ve received lots of positive feedback. It’s been ongoing and we have a growing list of people keen for us to organise another exercise like this. 14 Playing the role of Fire Officer, ED SHO Dr Nicole Toy is first at the scene to help ‘injured logger', ED Registrar Dr Paul Campbell during the ‘life before limb’ field amputation scenario. Finn and Paul are passionate advocates for the delivery of high-level emergency medicine and feel the great successes of the day, like many of the advances made here in our own ED, were only possible because of the tremendous support of our specialist colleagues. Thanks also to Tauranga Hospital Resuscitation Coordinator Andy Davies who generously provided advice and equipment.