What has not changed and what has evolved in defibrillator devices. A look at the evolution of modern defibrillators

Background:
Large numbers of Queenslanders living in rural and remote communities experience trauma care inequity, increased morbidity and mortality. Under-resourced clinicians in these settings manage in exceptional circumstances. In 2019, a training needs analysis (TNA) identified a lack of contextual, accessible, and inter-professional trauma education.

Aim:
To develop trauma education that meets the identified trauma training needs of clinicians.

Methods:
The Queensland Trauma Education (QTE) program developed by the Clinical Skills Development Service (CSDS) and Jamieson Trauma Institute includes a free face-to-face course and website providing open access training resource kits. Content is created and reviewed by trauma experts across the stakeholder network. A desktop review of aggregated website data, content, and participant responses to post-course surveys was conducted to assess whether the QTE program meets the needs identified in the TNA.

Results:
Participants’ responses revealed that the face-to-face course supports continuous learning, and is contextualised and relevant to various clinical needs, levels of experience, and multiple disciplines. Of 162 post-course survey respondents, 100% reported a “gain in knowledge”, with 99% reporting change their “clinical practice”. Analysis of website data demonstrates the physical accessibility of the online training resources (over 60,000 site visits, and 10,000 users from 10 different countries over two years). Simulation equipment is readily available for rural and remote facilities via the CSDS Pocket Centre Network.

Conclusion:
The QTE program addresses the previous deficits in trauma education and meets the needs identified in the TNA. The review also highlights further opportunities for continuous improvement and program sustainability.

Background/Introduction:
Healthcare workers face increasing hazards and stressors, such as violence, vicarious trauma, and cumulative exposure to critical events that pose a significant threat to psychological wellbeing. A 2021 survey at Royal Perth Hospital Emergency Department (RPH ED) revealed that 85.5% of staff were willing to participate in debriefing sessions after critical incidents.
Recognising this need, the MAKEspace debriefing tool was developed to promote Psychological First Aid in reducing psychological harm to healthcare workers.

Aim/Purpose:
This study aims to develop a psychological First Aid tool for use after critical incidents and to provide evidence-based follow-up care in the ED. Strategies included implementing posters, lanyards and targeted education sessions to introduce the MAKEspace tool.

Methods/Intervention/Activity:
Eleven "hot debriefing" sessions were conducted. The MAKEspace tool was used to gather information regarding incident timeline mapping, addressing questions, acknowledging a stressful incident, what went well/issues arisen, and earmarking actions to be followed up.

Results/Outcome:
Interviews were conducted with sixty-four ED staff members. Results showed that 60% were aware of the tool, indicating successful dissemination. 22% actively participated in a debrief, 98% reported positive responses to the tool, while 74% expressed a desire for follow-up support after critical incidents.

Conclusion/Recommendations:
These findings highlight the positive impact of the tool on ED staff well-being. Further education on the tool and evidence-based psychological first aid training is recommended to enhance peer support. By prioritising staff psychological well-being, healthcare organisations can create a supportive environment and improve mental health outcomes and resilience in the face of critical incidence.

Background: Rural communities and individuals are experiencing negative health outcomes including decreased life expectancy, lack of access to primary care services and higher rates of risk-taking behaviours. There are several factors that may increase negative health outcomes in rural and remote communities including inadequate resources, infrastructure challenges, health workforce staffing challenges and funding issues (AIHW, 2019; McCullough et al., 2021; Moffatt & Eley, 2011). Although isolated Australian communities face many challenges in health service delivery, this can foster innovation and a reimagining of health service models. Telehealth has been proposed as one option to help solve barriers in relation to distance and access to care in an appropriate and timely manner.

Aim: The aim of the project was to develop a framework for healthcare delivery in rural and remote communities. This presentation will present findings of a study that worked in partnership with rural and remote communities in Far East Gippsland, Victoria to explore new and innovative ways to improve health access and delivery of emergency and acute healthcare.

Methods: A qualitative study design was used to explore the experiences of community members in rural and remote communities to inform a framework for health service delivery. Semi-structured interviews were conducted, transcribed verbatim and analysed using Braun and Clarkes six step analysis process.
Results: Extending the telehealth service was identified as being part of a multi-layered solution for the area. A thematic analysis of the participant interview transcripts generated five main themes, “Accessing healthcare” – related to the rurality of the area, “Health services that work well” – current visiting services are beneficial and should continue, “Limitations of health service delivery” – distance to medical service and cross-border issues a problem, “Community solutions for better healthcare” – enhancing telehealth services and “Community informing policy” – important that rural people inform policy.

Conclusion: Rural and remote communities in Australia require a combined approach to health service delivery utilising the advances in telehealth technology in conjunction with a multi-disciplinary health hub service delivery model. Further research is required to evaluate the effectiveness of rural and remote health services to ensure communities have access to quality care.