HORIZON SPEECH - Welcome Reception
Coral Bay Nurse saves his own Life
I am a Novacastrian born and bred. Grew up going to Lambton High and playing rugby league. originally my plan was to play for the knights and be a carpenter. I chose nursing after a night out up at the Gold Coast during schoolies week. I met a girl who said she was doing nursing and my mind was changed.
I did my diploma and bachelor of nursing at Newcastle university. My grad year was at the John Hunter Hospital in 1994 and my first placement was emergency. I left Newcastle the following year to really begin my nursing career. I have worked in a bone marrow transplant unit, Royal Brisbane hospital ed and then off to the bright lights of central Qld, Alpha.. I then went off for a stint in London. since returning to Australia I haven't really stopped. I have enjoyed work in a nickel mine, a power station , a remote nurse on the Cocos ( keeling) Islands, Kalgoorlie, Coral bay and Cairns and the snow fields of Mt Hutt New Zealand.
It was in paradise at Coral Bay that I would experience my heart attack. Coral Bay is 1200km from Perth, 180 Km from Exmouth its nearest town and a population of transient workers. There are approximately 1000 to 5000 people pending time of year. There are no police, no fire brigade, no qualified ambulance officers. It is a single nurse post with Doctors on web cam. There are a very good team of ambulance volunteers.
Shock in Tox
A/Prof Betty Chan is an Emergency Physician & Clinical Toxicologist. Currently she is the head of the clinical toxicology unit at Prince of Wales Hospital in Sydney. She is also a VMO toxicologist at the New South Wales Poisons Information Centre. Her current research interests include digoxin, lithium, dihydropyridine and sodium channel blocker toxicity.
Tom is a FACEM who works full time at Royal North Shore Hospital in Sydney. He has interests in clinical quality management, clinical redesign and teaching. His other activities include medical coverage for rugby union at a local and state level and helping his wife raise their four children.
Western NSW Patient Flow
Trained in medicine at University of Newcastle, NSW. Worked in Northern Territory, and UK. Rural Generalist GP in Bourke and Milton-Ulladulla, practicing anaesthetics and operative obstetrics. Trained as an Emergency Physician at Royal North Shore Hospital and Liverpool Hospital in Sydney. Retrieval medicine on rescue helicopter in Sydney for several years as well as RFDS in Dubbo. Currently Chief Medical Officer RFDS NSW, Director of Critical Care, Dubbo Hospital. Associate Professor, Sydney University, School of Rural Health Dubbo and State Retrieval Consultant with NSW Ambulance. Dr Greenberg has Fellowships of Australian College of Rural and Remote Medicine, Australasian College for Emergency Medicine, and Royal Australasian College of Medical Administrators.
Geriatrics; not safe for admission
Dr Carolyn Hullick is an Emergency Physician in Belmont and John Hunter Hospital in Newcastle, NSW. From 2003 to 2012 she was the Director of Emergency Medicine at John Hunter and Belmont Hospitals. During that time, John Hunter ED won the International Press Ganey Award for Patient Satisfaction for large EDs and the Premier’s Award for streaming patient flow through the ED. For 2008/09 she was a Harkness Fellow in Health Policy and Practice with the Commonwealth Fund, based at Weill Cornell Medical School in New York City. She investigated improving care for older people in the Emergency Department. She is the clinical lead for HNE Aged Care Emergency Program, supporting over 130 aged care facilities to manage residents at home wherever possible
End of Life
Cases in Trauma - Panel Chair
Subject to Change (a 3-book whistle-stop tour of management practices from the last 40 years)
Emergency physician with a passion for getting our systems right and supporting our staff to be the best version of themselves. Currently a Staff Specialist at Shellharbour Hospital in the Illawara, I have worked in UK, NZ and Oz. Hoping to translate some ideas from the commercial to the medical world and give you food for thought in your everyday practice.
Good ideas are good ideas wherever you find them, and not defined by who came up with them.
Stemming the flow? Oxygen delivery for breathless kids and nervous grown ups
Dr Chris Trethewy is a Senior Staff Specialist Emergency Physician based at Gosford Hospital. He is currently the head of Emergency Department Research for the Central Coast Local Health District. He is also a medical director of the Tamworth Retrieval Service and a state medical consultant for the Ambulance service of New South Wales. He has a long history of multidisciplinary education, collaborative research and training. He is a conjoint senior lecturer at the University of Newcastle and has an interest in critical care and improving the performance of the individual clinician and the team.
FARM INJURY & RURAL TRAUMA
Kate King (RN MN) is a Clinical Nurse Consultant in Trauma at John Hunter and John Hunter Children’s Hospitals and grew up on a farm in Orange which almost makes her an expert on farm injuries and rural trauma. Working at the only Major Trauma Service outside of metropolitan Sydney and the only one with farm animals in their trauma call criteria allows Kate to provide a unique perspective on rural trauma.
Dr Con Glezos is a fellowship trained Specialist Orthopaedic Surgeon on Sydney's North Shore. He is the Director of Trauma Surgery at Royal North Shore Hospital and also operates at the Sydney Adventist, North Shore Private and Ryde (Public) Hospitals. Dr Glezos has particular expertise in knee and hip joint replacement, revision joint replacement surgery, arthroscopic knee reconstruction, as well as surgery of the wrist and hand. He has extensive experience in the emergency surgical management of limb trauma and fractures, including sports and workplace injuries. Having completed medical training at Sydney University in 2001 and Fellowship Examinations in Orthopaedic Surgery with the Royal Australasian College of Surgeons in 2011, Dr Glezos undertook 12 months post-fellowship subspecialty training in hand surgery followed by a further 12 months subspecialty training in hip & knee arthroplasty, and arthroscopic knee reconstruction. Dr Glezos is active in Orthopaedic research, having presented at both Australian and international meetings and having numerous publications in international peer reviewed journals. He is an Early Management of Severe Trauma (EMST) course instructor and a speaker for the Prevent Alcohol and Risk-Related Trauma in Youth (P.A.R.T.Y.) program. Dr Glezos continues to teach nurses, physiotherapists, medical students, junior doctors and training Orthopaedic and Emergency Specialists. He also provides continuing medical education to doctors in General Practice and has participated in Orthopaedic Outreach trips to neighbouring Pacific nations including Fiji and Tonga.
Farmer Wants a Doctor... Rural ED Workforce Issues
Liz is a Senior Staff Specialist in Emergency Medicine working at Tamworth Rural Referral Hospital since 2010. Her experience includes the pre-vocational and vocational development of medical staff as Chair of the TRRH General Clinical Training Committee, co-Director of Emergency Medicine Training at Tamworth and TRRH lead for Emergency Medicine Education and Training. Liz is interested in the professional development of junior and middle grade medical staff, including IMGs, and developing skilled and confident regional and rural clinicians.
Neil is an emergency physician from Sydney, at NSW Ambulance (Greater Sydney Area HEMS), Sydney Children's Hospital, and Royal Prince Alfred Hospital. He's worked in prehospital and retrieval medicine for the last 20 years, primarily in NSW but also in the UK, QLD, and the NT.
Dr Tanya Burgess is a fully qualified, Australian trained Orthopaedic Surgeon who has undertaken sub-speciality training in Hand, Wrist and Microsurgery. She has extensive training in all conditions of the Hand and Wrist and has a special interest in management of dupuytren’s disease, acute hand injuries and arthroscopic management of hand and wrist disorders.
Dr Brett McClelland is a fully qualified, Australian trained Orthopaedic Surgeon who specialises in Hand, wrist, peripheral nerve and Microsurgery. He manages every condition of the hand and wrist in both adult and paediatric patients.
Workshop Presenter & Committee
Jeremy Pallas is currently working as the Clinical Nurse Consultant in the Emergency Department of the John Hunter Hospital in Newcastle, NSW. He has a keen interest in contemporary resuscitation with a specific focus on Acute Heart Disease and Trauma. Jeremy is passionate about the continual evolution of the modern emergency nurse. He has a strong belief in the value of a well-educated and well supported emergency nurse, and through his daily practice he strives to continually push this agenda. Jeremy is also a simulation educator working in the Hunter New England Simulation Centre to facilitate and instruct on a number of different emergency training courses.
What we need and what we get Rural vs Metro
Sarah is an Emergency Physician who trained in the UK, but relocated to Australia in 2004. She has specialised in PreHospital and Retrieval Medicine for the last 15 years and is currently the A/Executive Director of Aeromedical Operations for NSW Ambulance. She is a USAR Specialist and an AusMAT Clinical Team Leader.
ACS RULE OUT
Dr Conrad Loten MBChB FACEM has a research interest in safe assessment of chest pain in the ED, and application of the rapidly expanding evidence base regarding high sensitivity troponin.
Bleeding to death
Dr Cino Bendinelli is a double certified General Surgeon specialising in endocrine surgery.
Dr Bendinelli is an active clinical researcher and academic. Current research focuses on post-operative outcomes in patients undergoing parathyroid surgery. He has also published research in areas including minimally-invasive video-assisted thyroid and parathyroid surgery; traditional versus laparoscopic approaches to adrenal surgery; minimally-invasive parathyroidectomy in pregnancy; and acute management of retrosternal goitre. As conjoint Senior Lecturer at the University of Newcastle, NSW, he tutors and examines undergraduate medical students as well as post-graduate students. Since 2008 he has held the position of Deputy Director of the Trauma Unit at John Hunter Hospital (the busiest Trauma Centre in NSW). He is heavily involved in Emergency General Surgery.