Research and international em (ghd lowres)

Dr Bishan Rajapakse - Research and International Emergency Medicine 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 http://bishansworld.posterous.com/anu-research-fest-2010-going-beyond-the-endpo

Dr Bishan Rajapakse - Research and International Emergency Medicine

•  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



•  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


AChE Research 2006 2008 2010

Resuscitation Study


•  file://localhost/Users/bishan/Movies/Beyond the Endpoints (hi res).dv

7


“Imagination is more important than knowledge”

“Anyone who has never made a mistake has never done anything new” Albert Einstein


Bishan Rajapakse, Andrew Dawson


•  Difficult to access education – Can’t come to

central locations

•  Consultant educators are limited



•  25 Question MCQ (45mins) •  Scenarios Assessments (10mins)

• Personal feedback given at follow up sessions


Pre Training

Post 6 week post

3 months post

Calls for help 45% 53% 76% 74%

Initial Airway Opening

22% 88% 60% 67%

Initial breathing

Check

40% 83% 68% 81%

Correct compression

ratio

8% 79% 82% 88%


• Greater chance of policy change

•  Integration of networks – Sustainability – Builds capacity for local action!

• Career development






•  Emergency medicine a developing specialty

•  Ambulance and Paramedic training








•  Dangers – Roads – Animals – Civil instability

•  Isolation, alienation and depression

•  loss of clinical skills


•  Academic work is hard, and can be tedious!

•  Financial loss •  Often have to write

a Thesis •  Takes time!

– May lengthen a specialist training considerably


The journey of a thousand miles begins with one step. Lao Tzu


Back to 2005…..


•  Social Work/ Community service

•  Fun, Travel, Adventure

•  Finding “roots”


“Always follow your ‘heart’ and your own dreams as life is too short to follow someone else’s dreams”


•  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


• Don’t compare yourself with others!

• BE inspired •  Inspire others


•  Amazing Experience

•  Eye opening •  Pro's and Con's •  Similar

Opportunities exist!




Discussion: …..Time for your thoughts!


•  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: [email protected]


•  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

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.

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

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.

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

Research and international em (ghd lowres)

Health & Medicine

studied suicidal

beautiful

dr bishan

international

bishan rajapakse

international

training doctors

felt desperate