EMST is very much an entry-level course, but is well suited to the needs of rural doctors who often have to manage trauma as a solo doctor with limited resources. It should be borne in mind that over 40% of major trauma originates in rural Australia, so there is real bang for buck in getting effective trauma care delivered to these patients, whether y rural GPs or aeromedical services.
- difficulty accessing medical equipment (videolaryngoscopy, infusion pumps and fluid warmers were common ‘wish lists’)
- difficulty with triage and training for nursing staff in rural hospitals
- desire for cross-training with RFDS/Retrieval service in terms of infusion regiments, SOPs and equipment
- be responsible for providing clinical system advice and broad support to rural resident medical practitioners in country South Australia, in their identified area of expertise
- act as a point of contact for clinicians in country regarding system issues, as related to their specialty area, and participate in problem resolution
- participate in the development of policy and procedures that guide clinical practice in country. In addition, the Chief Consultants will work with the Chief Medical Adviser, Country Health SA and other country health staff related to decision making and policy setting as related to their speciality area
A simple issue, like availability of difficult airway equipment or new advances like tranexamic acid could and should be addressed by these consultants.
Perhaps it’s time for some new blood in CHSA to represent the rural proceduralists in SA?