Research and international em (ghd lowres)

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These are the slides for the presentation given on "Research and International Emergency Medicine" at the Global Health Drinks forum in Sydney on March 22nd 2012. (http://globalhealthdrinks.org/events/international-emergency-medicine/)

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Research and international em (ghd lowres)

  1. 1. Bishan Rajapakse MBChB, Otago, NZ Emergency Medicine Advanced Trainee (ACEM), PhD candidate (ANU),Global Health Drinks –22nd March 2012 Dr Bishan Rajapakse - Research and International Emergency Medicine 1
  2. 2. http://bishansworld.posterous.com/anu-research-fest-2010-going-beyond-the-endpo Dr Bishan Rajapakse - Research and International Emergency Medicine
  3. 3. •  Who am I and why I took the path of “research” and international EM•  Research findings and experiences•  How to “Take the plunge”? SURPRISE ENDING!!! #globalhealthdrinks Dr Bishan Rajapakse - Research and International Emergency Medicine
  4. 4. Dr Bishan Rajapakse - Research and International Emergency Medicine
  5. 5. •  Prevalent in developing world – 200,000 deaths / year worldwide•  15-30% mortality See slide share for full presentation on OP Rx http://www.slideshare.net/ bishanrajapakse Dr Bishan Rajapakse - Research and International Emergency Medicine
  6. 6. Resuscitation Study2006 2008 2010 AChE Research Dr Bishan Rajapakse - Research and International Emergency Medicine
  7. 7. •  file://localhost/Users/bishan/Movies/ Beyond the Endpoints (hi res).dv 7 Dr Bishan Rajapakse - Research and International Emergency Medicine
  8. 8. “Imagination is moreimportant than knowledge”“Anyone who has nevermade a mistake hasnever done anything new” Albert Einstein Dr Bishan Rajapakse - Research and International Emergency Medicine
  9. 9. Bishan Rajapakse, Andrew Dawson Dr Bishan Rajapakse - Research and International Emergency Medicine
  10. 10. •  Difficult to access education –  Can’t come to central locations•  Consultant educators are limited Dr Bishan Rajapakse - Research and International Emergency Medicine
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  12. 12. •  25 Question MCQ (45mins) •  Scenarios Assessments (10mins)• Personal feedback given at follow up sessions Dr Bishan Rajapakse - Research and International Emergency Medicine
  13. 13. Pre Post 6 week 3 months post Training postCalls for help 45% 53% 76% 74%Initial Airway 22% 88% 60% 67% Opening Initial 40% 83% 68% 81% breathing Check Correct 8% 79% 82% 88%compression ratio Dr Bishan Rajapakse - Research and International Emergency Medicine
  14. 14. •  Greater chance of policy change•  Integration of networks – Sustainability – Builds capacity for local action!•  Career development Dr Bishan Rajapakse - Research and International Emergency Medicine
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  19. 19. •  Emergency medicine a developing specialty •  Ambulance and Paramedic training 19Dr Bishan Rajapakse - Research and International Emergency Medicine
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  23. 23. 23Dr Bishan Rajapakse - Research and International Emergency Medicine
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  26. 26. •  Dangers –  Roads –  Animals –  Civil instability•  Isolation, alienation and depression•  loss of clinical skills Dr Bishan Rajapakse - Research and International Emergency Medicine
  27. 27. •  Academic work is hard, and can be tedious!•  Financial loss•  Often have to write a Thesis•  Takes time! –  May lengthen a specialist training considerably 27 Dr Bishan Rajapakse - Research and International Emergency Medicine
  28. 28. The journey of a thousand milesbegins with one step. Lao Tzu Dr Bishan Rajapakse - Research and International Emergency Medicine
  29. 29. Back to 2005….. Dr Bishan Rajapakse - Research and International Emergency Medicine
  30. 30. •  Social Work/ Community service•  Fun, Travel, Adventure•  Finding “roots” 30 Dr Bishan Rajapakse - Research and International Emergency Medicine
  31. 31. “Always follow your ‘heart’and your own dreams aslife is too short to followsomeone else’s dreams” Dr Bishan Rajapakse - Research and International Emergency Medicine
  32. 32. •  Step 1 – Dare to dream•  Step 2 – Be aware of your fears•  Step 3 – Write down both•  Step 4 – Keep fears at bay, let the heart say what it must, then trust!•  Find your mentors : Forums, People, friends, Books & Movies Dr Bishan Rajapakse - Research and International Emergency Medicine
  33. 33. •  Don’t compare yourself with others!•  BE inspired•  Inspire others Dr Bishan Rajapakse - Research and International Emergency Medicine
  34. 34. •  Amazing Experience •  Eye opening •  Pros and Cons •  Similar Opportunities exist! 34Dr Bishan Rajapakse - Research and International Emergency Medicine
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  37. 37. Discussion: …..Time for your thoughts!Dr Bishan Rajapakse - Research and International Emergency Medicine
  38. 38. •  http://www.facebook.com/groups/ international.em•  http://lifeinthefastlane.com/2011/06/ alternative-emergency-medicine-training/•  http://www.slideshare.net/bishanrajapakse•  http://bishansworld.posterous.com/•  http://about.me/bishan.rajapakse•  Twitter: @trainthetrainer•  Email: bishan.rajapakse@gmail.com Dr Bishan Rajapakse - Research and International Emergency Medicine
  39. 39. •  Please provide me with feedback on this talk (2min survey) so that I can learn and improve! –  If you attended the “Global Health Drinks” on 23/3/12 •  http://www.surveymonkey.com/s/BCHNWJY –  If you just viewed this talk on slideshare •  http://www.surveymonkey.com/s/BJVCVCV Dr Bishan Rajapakse - Research and International Emergency Medicine
  40. 40. Going “beyond” the Endpoints!Beyond the endpoints are the bits that are not seen,The thoughts and emotions that lie behind the PhD’s sheen,And whilst they will not appear in the final binding,They are the reminders of how the road was so very winding.Research is more about the journey than its destination,It is to respect the ‘process’ as well as the final creation,And the process lies within the changes we experience in “ourself”,Which sometimes speaks more than that book up on the shelf.My story is long, but I’ll try and keep it short,It won’t be like some kind of scientific report!For this is about a journey of mind and soul,How this process has helped me feel whole.I collected data in the depths of Sri Lanka,Amongst my own first culture,Where beautiful rivers flow, and green paddy fields grow,With coconut trees that surround, where wild elephants can easily be found.
  41. 41. I collected data in the depths of Sri Lanka,Amongst my own first culture,Where beautiful rivers flow, and green paddy fields grow,With coconut trees that surround, where wild elephants can easily be found.I studied suicidal poisoning and its medical cure,In villagers who drank pesticides when they felt desperate and insecure.Some would say it was a cry for help,Either way, they did not do well.We tried to understand how to ease the terrible prognosis,By studying a portable machine that could help in treatment and diagnosis,But whilst collecting this data, an additional vision was to develop,Another study - “training doctors in resuscitation”- was soon to envelope.Whilst in Sri Lanka my mind expanded more than I would have believed,Working with different cultures and systems into which I’d soon be weaved.And with this I began to see my thesis as more than a mere ‘cog in a wheel’,For perhaps, it may bring about change in the world, in a way that is real. Bishan Rajapakse, 23.3.10

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