COURSE DESCRIPTION

Specifically designed for healthcare providers who are exploring point of care ultrasound to enhance management of the patient with acute lung pathologies. Covering lung ultrasound in detail, supported by basic point of care echocardiographic evaluation, the course presents a systematic and comprehensive assessment with ultrasound,. This focused and targeted evaluation aims to enable a rapid and effective decision making, and improve triage, diagnostic, therapeutic and monitoring capabilities.

 

Lectures are condensed and delivered in an interactive format. The Hands-on Training is the cornerstone of the program. During these sessions, trainees will be guided to perform bedside scans on volunteers with normal and pathological findings and practise intervention skills on mannequins. With time set aside for bedside scanning and keeping the trainer to trainee ratio at maximum of 1:4, participants will have ample opportunities to practise during the Hands-on Training sessions. This course will lay the foundation required of the healthcare provider in using point of care lung ultrasound in the management of their patients, including those who are critically ill.

 

LEARNING OBJECTIVES

Upon completion of this course, participants will learn how to use ultrasound to:

 

• Perform standard lung examination

• Interpret ultrasound lung signs and artifacts

• Make ultrasound diagnosis of critical lung conditions: pneumothorax, pneumonia, atelectasis, pleural effusion and interstitial syndrome.

• Perform standard diaphragm examination; evaluate diaphragm thickening and excursion.

• Integrate sonographic lung diagnosis in the management of the critical ill

 

WHO SHOULD ATTEND

Respiratory physicians, critical care physicians, emergency physicians, physicians, surgeons, anaesthetist, nurse practitioners, residents, medical officers and healthcare workers involved in the management of ill patients.

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PROGRAMME

Click here to download Full Programme

WORKSHOP OUTLINE

Critical patients are moved constantly from location to location and their journey is fraught with complications. In fact, the movement has been thought to contribute to many errors and poor outcomes. This course is a one day compendium of simulation, quiz refreshers and talks on the important aspects of moving critical patients from point A to B safely. The faculty has decades of medical retrieval experience and it is open to ALL fields of health care who are involved in moving patients.

COURSE DESCRIPTION

Specifically designed for healthcare providers who are exploring point of care ultrasound to enhance the evaluation and management of the patients with abdominal symptoms. Covering the peritoneum and seven major abdominal organs, the

course presents a systematic and focused assessment with ultrasound. Lectures are succinct and delivered in an interactive format. The Hands-on Training is the cornerstone of the program. During these sessions, participants will be guided to perform bedside scans on volunteers with normal and pathological findings. With 5 hours set aside for live demonstration and scanning, and keeping the trainer to trainee ratio at maximum of 1:4, participants will have ample opportunities to practise during the Hands-on Training sessions. This course will introduce the fundamental concepts in evaluating the abdomen using point of care ultrasound for healthcare provider.

 

LEARNING OBJECTIVE

Upon completion of this course, participants will learn how to:

• Appreciate and identify basic normal sonographic anatomy of the liver, biliary system, kidney, spleen, pancreas, bowel and abdominal aorta.

• Perform focused assessment of these 7 major organ systems using the S.A.F.E.R LASSO approach

• Evaluate the peritoneal space for free fluid and free air

• Assess the liver for size, echotexture, focal mass, and features of portal hypertension

• Assess the gallbladder for size, wall thickness, stones and focal mass

• Assess the intra and extrahepatic biliary ducts for size and stones, and intrahepatic biliary ducts for aerobilia

• Assess the kidney for size, echotexture, stones, focal mass and pelvi-calyceal dilatation

• Assess the spleen for size, echotexture and focal mass

• Assess the pancreas for size, echotexture and focal mass

• Assess the bowel for size, wall thickness, distension and compressibility

• Assess the abdominal aorta for size, leak and dissection

• Integrate key sonographic findings in the assessment of patients with abdominal symptoms

 

WHO SHOULD ATTEND

Surgeons, physicians, emergency physicians, nurse practitioners, residents, medical officers and healthcare workers involved in the management of patients with abdominal complaints and emergencies. Participants should already have a

basic understanding of point of care ultrasound and ultrasound physics.

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PROGRAMME

Click here to download Full Programme

Tactical Emergency Casualty Care (TECC) and Rescue Task Force concept  (RTF) focuses on the medicine during these phases of care and provides guidelines for managing trauma in the civilian tactical or hazardous environment. 

While TECC has a tactical slant, it takes an all-hazards approach to providing care outside the normal operating conditions of most EMS agencies, such as responding to a mass casualty or active shooter  incident.

Procedures/Concepts Covered

It is a one day Introductory workshop on TECC  and RTF with lectures and critical practical skills stations to enhance the understanding of tactical medical response in austere environments. Differences between hospital and prehospital tactical medical response will be addressed

Programme objectives 

• Understanding the concepts of TECC and RTF from direct threat care to  tacevac care. Each phase of care is different and the management of casualties will take into considerations such as condition of casualties, environmental hazards or threats and resource management. Teamwork will be emphasised.

• Practical skillsets that can stop massive bleeding, expedite evacuation and resuscitate casualties in tactical situations will be covered. Tactical ABC's will be discussed.

• The function of a rescue task force is to provide security, medical and evacuation for the casualties.

• Realistic and Fun Scenarios that will allow the participants to utilise their knowledge and skills to manage tactical medical emergencies 

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Please join us for this exciting and educational one day workshop!

 

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Who should attend

1) Paramedics

2) Nurses 

3) Physicians

4) Anyone involved in Disaster Management

COURSE DESCRIPTION

Specifically designed for healthcare providers who are exploring an extended point of care ultrasound approach to enhance management of the critically ill patient. Covering 9 major pathophysiological  categories, namely pneumothorax, pulmonary oedema-consolidation, pleural-peritoneal effusion, pericardial effusion, pulmonary embolism, left ventricular (LV) systolic dysfunction, inferior venae cavae (IVC) assessment / aortic dissection-aneurysm, acute coronary syndrome and cardiac output / LV filling pressure), this course exemplifies the current approach of a systematic multi-organ multi-focused evaluation with ultrasound. With categorising the above findings into 9 Es (Empty thorax, Edematous lung, E-fast, Effusion (pericardial), Equality, EF, Entrance-exit, Endocardial inward motion and Echodynamics), the focused sonographic evaluation aims to enable a rapid and effective decision making, and improve diagnostic, therapeutic and monitoring capabilities.

 

Lectures are condensed and delivered in an interactive format. The Hands-on Training is the cornerstone of the program. During these sessions, trainees will be guided to perform bedside scans on volunteers. With 4 hours set aside for practical and keeping the trainer to trainee ratio at maximum of 1:4, participants will have ample opportunities to practise during the Hands-on Training sessions. This course will lay the foundation required of the healthcare provider in using point of care ultrasound in the resuscitation of the critically ill.

 

LEARNING OBJECTIVE

Upon completion of this course, participants will learn how to:

• Perform focused assessment of the heart, inferior vena cava, peritoneal space, abdominal aorta and lung.

• Screen for and identify the 4 major classes of shock: hypovolemic, distributive, cardiogenic and obstructive shock.

• Perform chest ultrasound for the diagnosis of pneumothorax, pleural effusion, consolidation and interstitial syndrome.

• Perform  focused  cardiac ultrasound  for the assessment  of pericardial  effusion,  left ventricular  systolic function,  stroke volume and cardiac output, right heart strain pattern, regional wall motion abnormality and estimate LV filling pressure.

• Perform extended FAST exam for the assessment of free intra-peritoneal,  pleural and pericardial fluid.

• Perform assessment of thoracic and abdominal aorta for aneurysm and aortic dissection

• Perform IVC assessment for collapsibility and distensibility.

• Perform focused ultrasound during cardiac arrest

• Evaluate for volume status, fluid responsiveness  and fluid tolerance.

• Integrate key sonographic findings to guide resuscitation of the critically ill.

 

WHO SHOULD ATTEND

Surgeons, physicians, emergency physicians, nurse practitioners, residents, medical officers and healthcare workers involved in the management of patients with abdominal complaints  and emergencies.  Participants  should have a prior basic understanding  of point of care ultrasound and ultrasound physics.

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PROGRAMME

Click here to download Full Programme

BRIEF OUTLINE

This is an introductory workshop to the practice of expedition and wilderness medicine.

It is for doctors, nurses, paramedics and other medical professionals wanting to add an element of adventure into their careers.

 

OBJECTIVES

To share the basic concepts and skillsets in expedition and wilderness medicine.

To introduce advanced learning resources relevant to environment-specific preparation and response.

 

BENEFITS

Participants will gain skills and practical knowledge to better understand their role as an expedition team medic and be more adequately prepared for future trips.

 

PROGRAM OUTLINE

A one-day workshop comprising both interactive classroom-based lectures (at Seng Kang General Hospital) and hands-on practical skills training (at Sengkang Riverside Park).

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FACULTY

• Dr. Jimmy Goh Kock Keng, Senior Consultant, Changi General Hospital, Singapore, Member, Royal College of Surgeons (Edinburgh) 

• Dr. Gayathri Devi Nadarajan, Associate Consultant, Singapore General Hospital, Singapore 

• Dr. Joy Quah, Associate Consultant, Singapore General Hospital, Singapore 

• Dr. Eoin Walker, Trauma Lead, Honorary Lecturer, Exeter University Medical School, World Extreme Medicine, UK

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PROGRAMME

Indoors (classroom lecture)

1. Introduction to Expedition Medicine

2. Medical aspects of planning & preparation for expeditions, including medical kit

3. Extreme environments and risk management: high altitude, extreme cold (polar) and extreme heat (desert)

4. Cold weather insulation and layering concept in outdoor clothing

 

Outdoors (SengKang Riverside Park)

1. Pre-hospital Trauma Care and Crew Resource Management

2. Improvised stretchers and casualty evacuation methods

3. Water purification methods

4. Basic navigation, map reading, intro to GPS

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Click here for Full Programme

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COURSE DESCRIPTION

Geriatric Education for EMS (GEMS) provides EMS practitioners the skills and knowledge to handle the unique medical, social, environmental and communications challenges of geriatric population. This is especially relevant as Singapore faces challenge in aging population.

 

Developed by NAEMT in partnership with the American Geriatrics Society, GEMS empower EMS practitioners to help improve medical outcomes and quality of life for geriatric patients. This course enhances the competence, confidence and compassion of EMS practitioners in responding to geriatric patients.

 

Features of the course include:

• Geriatric specific content on fall prevention, epidemiology, polypharmacy, end-of-life issues and do-not-resuscitate orders.

• Trauma care and disaster care for older patients.

• Case scenarios to encourage student interaction and discussion.

• An exploration of mobile integrated healthcare-community paramedicine (MIH-CP) and the EMS role in patient advocacy.

• Videos on MIH-CP, elder abuse and trauma care for the elderly, featuring real-world scenarios that demonstrate assessing, treating and communicating with older patients.

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PROGRAMME

07:30 – Registration

08:00 – Welcome and Introduction

08:10 – Lesson 1: Changes with Age

08:40 – Lesson 2: Communication

09:10 – Skill Stations 1 - Communication

09:40 – Lesson 3: Assessment of the Older Patient and Pharmacology and Medication Toxicity

10:10 – Break

10:30 – Lesson 4: Psychosocial Emergencies

11:00 – Lesson 5: Elder Abuse

11:30 – Lesson 6: End-of-Life Care Issues

12:00 – Lunch

12:45 – Lesson 7: Cardiovascular and Respiratory Emergencies

13:15 – Lesson 8: Trauma

13:40 – Skill Stations 2  - End of Life / Elderly Abuse / Trauma

14:10 – Lesson 9: Neurological Emergencies and Altered Mental Status

14:35 – Break

14:55 – Lesson 10: Other Medical Emergencies

15:15 – Lesson 11: Mobile Integrated Health Care

15:35 – Skill Stations 3 - Neuro / Other Medical

16:05 – Lesson 12: Disaster and Older People

16:25 – Questions / Review

16:30 – Written Exam

17:00 – Debrief and Presentation of Certifications

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WHO SHOULD ATTEND

• Paramedics

• Doctors & Nurses involved in pre-hospital services

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COURSE DESCRIPTION

Therapeutic temperature Management (TTM) was strongly recommended by ILCOR (2015) and NRC (2016) as a component of post resuscitation care. It has been known as an effective step to improve the survival rate and favourable neurological outcome of patient after cardiac arrest. Despite the recommendation, there is a lack of formal training among local providers.

 

In this 1-day workshop, you will be provided in-depth knowledge in TTM by our overseas and local TTM educators. 

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OBJECTIVES

• Updates of evidence and practice in Post-Resuscitation care & TTM

• Understand the use of TTM and research to improve the neurological outcome of patients post resuscitation.

 

WHO SHOULD ATTEND

• Healthcare providers from ED / ICU / Cardiology

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ORGANISER

Singapore National TTM workgroup

 

PROGRAMME

08:00 - Registration

08:15 - Welcome and Course Orientation

08:25 - Review and Update on Post-Resuscitation Care Evidence

08:55 - TTM and Cardiovascular Management

09:25 - TTM and Neurological Monitoring / Prognostication

10:05 - Break

10:25 - ICU Management of Post-Cardiac Arrest Syndrome

10:55 - TTM for Other Indications

11:25 - The Future of Post-Cardiac Arrest Care

11:55 - Lunch

12:55 - Cardiac Arrest Survivor Sharing

13:15 - Preparation for Small Group Discussion

13:25 - Group Discussion & Simulation Stations

15:35 - Break

15:55 - How to be a Champion: Roadblocks and Barriers

16:25 - Singapore TTM Registry

16:55 - Closing and Presentation of Certificates

17:05 - End of Course

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ABOUT THE WORKSHOP

An intensive 1-day workshop that will allow participants to practice both common and complex resuscitative procedures that an Emergency Physician should know. This workshop will allow learners plenty of hands-on opportunities to practice these skills on cadavers, aided by the presence of experienced and enthusiastic local and overseas faculty.

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This workshop is suitable for doctors, trainees, and specialists working in or interested in the field of emergency medicine. Participants are encouraged to sign up early, as there are limited spaces for this workshop.

 

 

PROCEDURES COVERED

Procedures include ultrasound-guided vascular access, intraosseous needle insertion, surgical airway, resuscitative thoracotomy, tube thoracostomy, pericardiocentesis, laparotomy (for emergency hysterotomy), emergency limb amputation, arthrocentesis, and lateral canthotomy.

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PROGRAMME

0800 hrs – Registration

0830 hrs – Introduction

0900 hrs – Procedural Skills Session

1030 hrs – Break

1000 hrs – Procedural Skills Session

1230 hrs – Lunch Break

1330 hrs – Procedural Skills Session

1500 hrs – Tea Break

1530 hrs – Procedural Skills Session

1700 hrs – Debrief

1730 hrs – End

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The detailed programme and workshop reference materials will be mailed out to participants at a later date.

ABOUT THE WORKSHOP

This is a 2-day course that is delivered via the flipped classroom approach. Lectures will be available online as are lecture notes before the course. The workshop will predominantly focus on clinical case discussions with Toxicologists.

 

This course is suitable for all healthcare providers interested in basic clinical toxicology. Internal Medicine and Emergency Medicine trainees will also find this course highly relevant.

 

 

TOPICS COVERED

• Introduction and approach to toxicology and toxidromes

• The Febrile Toxicology Patient

• Approach to Altered Mental Status

• Cases on paracetamol & salicylate overdose

• Cases on toxic alcohols, anion & osmolar gaps

• Cases on respiratory poisoning 

• ECG interpretation in toxicology, card iotoxic drugs

• Cases on seizure and organophosphate poisoning

• Snakebites and envenoming

• Corrosives and paraquat

• Recreational drugs

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FACULTY

Local: 

1.  Dr Gregory Cham (Course Convener)
   Clinical Toxicologist and Senior Consultant Emergency Physician, Ng Teng Fong General Hospital, Singapore
   Assoc. Programme Director, National University Health System Emergency Medicine Residency Programme
    

2. Toxicologists from the Section of Clinical Toxicologists, College of Emergency Physicians, Singapore

 

Overseas: 

1. Dr Shuan Greene
   Clinical Toxicologist and Emergency Medicine Physician, Austin Health, Melbourne, Australia
   Medical Director, Victorian Poisons Information Centre
   Director, Austin Hospital Clinical Toxicology Service

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PROGRAMME

24 February 2020, Monday

8:00 AM - Registration
8:30 AM - Start of Day 1 Programme
4:30 PM - End of Day 1 Programme

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25 February 2020, Tuesday

8:00 AM - Registration
8:30 AM - Start of Day 2 Programme
4:30 PM - End of Day 2 Programme

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* Note: Detailed programme will be emailed to the confirmed registrant closer to date.

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