PHARM – no one works in isolation.

IMG_0981Clare Richmond is the mastermind behind the SWEETs16 two-day Prehospital workshop. Don’t miss the chance to learn from her during SWEETs!

Tell us about how you ended up being a PHARM (prehospital and retrieval medicine) educator.

– I’m an emergency physician by background, based in Australia – 24hour flight time from Sweden! In my final years of training in Sydney, I undertook a year with NSW Ambulance with Sydney HEMS (Helicopter Emergency Medical Service), and The Sydney Clinical Skills and Simulation centre which allowed me to find a fantastic balance of pre-hospital and retrieval medicine and simulation based education which I am fortunate to continue today. Since then I’ve worked in PHARM in outback Australia and Central London, and returned to Sydney HEMS as part of the education team using those valuable simulation skills for training our team. Throughout all of this I have continued as an emergency physician in Sydney as it’s a part of medicine I continue to love.

You were at SWEETs 15 to deliver the highly appreciated critical care course together with Cliff Reid. Why did you want to come back for SWEETs16?

– Cliff and I both enjoyed coming across to Sweden – the participants thirst for knowledge and translating skills into scenario based training was incredible to be a part of. I felt I met a group of people at the conference who are constantly trying to improve emergency care for patients in Sweden, and in that developing a speciality to be proud of. Coming back for Sweets16 with a pre-hospital course is an honour, to learn together and consider the possibilities for emergency medicine in Sweden with the pre-hospital course. And i love FIKA and Plopp! Both are great reasons to come back to Sweden for.

The prehospital care workshop is like a critical care course with a prehospital touch. Why is that relevant for emergency physicians working in-hospital?

– The majority of the population exists outside the emergency department (thank goodness!), accidents happen and people become unwell in the environment which they undertake their normal activities. our paramedic and PHARM colleagues bring the patients to the in-hospital clinicians nicely packaged with treatment in process. A lot of work has taken place to get the patients to that point. This course is designed to give the participants a taste of what it is like to work in the environment outside of the hospital bubble. For some it will build on or inspire a desire to work in pre-hospital care, for others it will provide a greater appreciation for our colleagues who work outside rain, hail or shine (or snow….).  For those who will never work in the pre-hospital setting the challenge of taking your critical care out there and discuss the actions with our awesome faculty will really help you to think about how you work in the warm and cosy emergency department, and for those that do it will give you a chance to hone your skills. The advantage of a workshop based course means no sitting through lectures and talks but getting hands on treating patients – the team will tailor the workshops to the participants who attend.

Are there any controversies in prehospital care that will be discussed during the workshop? 

– Yes, there will be a few controversies discussed during the workshops that I’ve anticipated (and I’m sure some that I don’t know about). For example Thomas Dolven will discuss the use of cervical spine collars in extraction, Joacim Linde will talk through cases in Swedish HEMS and the role of the physician in the pre-hospital environment. I’m looking forward to lively discussions and deliberate practise of skills, whilst working through the scenarios we have put together.

Your talk at SWEETs is called Team training for safe prehospital care (Wednesday 14.50 – 15.30). What are you take home points from that talk?

– In this talk I am going to talk about the role of the team in PHARM – no one works in isolation. Team training has evolved over the years at Sydney HEMS and I’ll discuss some of the background behind training with a wider group to benefit the patients we care for on a daily basis. I’ll talk about some of the benefits and controversies in PHARM and PHARM education, as well as touch on stress inoculation training.