Habig: To Air is Human

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Habig draws from his experience in aeromedical retrieval to consider how we improve our medical practice. See Intensive Care Network for the podcast and more SMACC media.

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Habig: To Air is Human

  1. 1. “To Air is Human” Lessons From The Air Karel Habig
  2. 2. No Disclosures
  3. 3. Safety in Medicine?
  4. 4. •Pic of AW139 cockpit
  5. 5. PlaneCrashInfo.com
  6. 6. Boeing 2010 Accident Rate by Aircraft Generation
  7. 7. • Cockpit vs RESUS bay
  8. 8. •Aviation Safety beyond CRM • NONtechnical Factors • ENGINEERED SAFETY • STANDARD OPERATING PROCEDURES • CHECKLISTS • TYPE RATINGS CURRENCIES AND LINE CHECKS • REPORTING SYSTEMS
  9. 9. •Interhospital patient
  10. 10. QuickTime™ and a H.264 decompressor are needed to see this picture.
  11. 11. QuickTime™ and a H.264 decompressor are needed to see this picture.
  12. 12. •PAED RSI
  13. 13. Assumption No policy ‘Difficult’ airway Equipment location Critical desaturation Decision to intubate
  14. 14. •Aviation Safety beyond CRM • NONtechnical Factors • ENGINEERED SAFETY • STANDARD OPERATING PROCEDURES • CHECKLISTS • TYPE RATINGS CURRENCIES AND LINE CHECKS • REPORTING SYSTEMS
  15. 15. PATIENT PREPARATION
  16. 16. EQUIPMENT REDUNDANCY IV x 2 Suction x 2 ETCO2 x 2 Laryngoscopes/ Blades/Tubes x 2
  17. 17. • Equipment STANDARD SET-UP
  18. 18. INDUCTION SAFETY
  19. 19. • Training • RSI Currency SIMULATION
  20. 20. BACKUP PLAN
  21. 21. Daily Case review Coffee n Cases 24 hr Follow Up Fortnightly Clinical Governance Days Case presentations Monthly M&M Clinical KPIs Airway Audit Quarterly Induction training Clinical Currencies
  22. 22. Its all about First Look... 380 PREHOSPITAL RSIs 2009-2012 Overall >99% intubations successful 91% on First Look
  23. 23. Google “Sydney hems” Email: KHabig@ambulance.nsw.gov.au

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