I was absolutely delighted this week to attend the first day of the Retrieval 2014 conference in Glasgow. I first came across this conference in 2013 when I followed the twitter feed which had #FOAMed gold quality tweets on all aspects of retrieval and resuscitation in general.
The conference is hosted by the Emergency Medicine Retrieval Service in Scotland, a fantastic group of clinicians who are really striving to deliver the highest quality care to Scotland. The geography of Scotland does mean that they have a really mixed practice and some real challenges in terms of geography, and in particular in terms of weather!
So, I had been asked to talk about paediatric sepsis, which is great as this is important although I did feel a bit an imposter as I am neither a paediatrician, have no advanced qualifications in paeds and I’m not a retrievalist. I realised this when it became apparent that I was the only person without a selfie slide of myself in a helicopter (although they do exist).
There were many highlights on the day. I got up at 0430 to get to Glasgow in time to hear @cliffreid speak. I don’t get up at that time for anyone you know……, and I was not disappointed. An excellent talk on leadership in retrieval, no slides, just a talk with authority and engagement. Many were mentioned with @karelhabig noted for his excellent qualities as a leader on many occasions.
We heard from Darren Walter (local lad to me and old friend) on the rather long gestation of UK MERIT teams. Interesting to hear how far we have come (not far enough) and how far we have to go (some way yet).
Jonny Gordon brought us up to speed on the forthcoming Commonwealth games in Glasgow. A major event with major responsibilities – I do not envy his workload over the next few months, though the level of planning already in place is clearly very impressive.
David Hogg was both tremendously engaging and also such a nice chap. His work with colleagues on Arran around resilience is truly impressive and his talk was superbly well delivered. Cliff and I agreed with absolutely everything he said apart from his assertion that Hobnobs are better than Jammie Dodgers – this is heresy, or perhaps a Scottish tradition, we could not work out which. Anyway, here’s his video demonstrating the amazing work that they do. His question on the day – how many services are in this video (there’s a lot!). http://www.arranresilience.org.uk/
Dave Lockey had some real insights into prehospital anaesthesia. Anaesthetists were better than EM docs in their series at achieving intubation, but the difference is small and both have very high rates of success (and surely they should be shouldn’t they?). He has moved to a one size fits all approach to drugs which I like (reducing complexity). Lots of other gold in that talk. We then heard Tim Parke talk on simulation which differentiated between ‘drills’ for procedures and full on simulation. I like this as the former is much easier to achieve in busy EDs. Gareth Clegg spoke on more amazing work from Edinburgh and the cardiac arrest research that they do. Filming arrests gives so much information but could be medico-legally hazardous so be careful. With consent we saw some amazing work from the Scottish service in saving a man’s life. Niall MacMahon brought us up to date with the CCP training program in Scotland using Moodle (which of course also powers St.Emlyn’s) & Richard Price shared his experiences of mobile education across the highlands and islands of Scotland (in a bus that was not a bus).
Finally I’ve re-recorded my talk and put it up on VIMEO for anyone who wants to watch. This talk is aimed at the generalist who may have to deal with children. Enjoy.
There is also a short version on the podcast site
I tweeted the talk as I went along (via tweetdeck) which interestingly helped spread the message but also meant that I could control the message (is that wrong??).
— Simon Carley (@EMManchester) April 24, 2014
Anxiety from DGH practitioners re delivering inotropes to kids real & valid. Retrieval teams have responsibility to support #retrieval2014
— annekegyles (@alg_1972) April 24, 2014
Don’t guess what to give. Use an online drug calculator.
— Simon Carley (@EMManchester) April 24, 2014
And lastly a mention to Lauren, Anneke & the many others who kept us going with some amazing tweets.
Real amazing couple of days at #retrieval2014. Lots of stuff to go away & think about, great to chat with fab people. Thanks for having me!
— Lauren Weekes (@WeekesLauren) April 25, 2014
— retrieval2014 (@retrieval2014) April 25, 2014
So keep a look out for the date of the conference in 2015. This is a great bunch of people motivated to be ‘good’ at what they do. We can ask for little more and if you can then you should join them next year.