Research and international em (ghd lowres)
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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
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
• 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
AChE Research 2006 2008 2010
Resuscitation Study
Dr Bishan Rajapakse - Research and International Emergency Medicine
• file://localhost/Users/bishan/Movies/Beyond the Endpoints (hi res).dv
7
Dr Bishan Rajapakse - Research and International Emergency Medicine
“Imagination is more important than knowledge”
“Anyone who has never made a mistake has never done anything new” Albert Einstein
Dr Bishan Rajapakse - Research and International Emergency Medicine
Bishan Rajapakse, Andrew Dawson
Dr Bishan Rajapakse - Research and International Emergency Medicine
• Difficult to access education – Can’t come to
central locations
• Consultant educators are limited
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
• 25 Question MCQ (45mins) • Scenarios Assessments (10mins)
• Personal feedback given at follow up sessions
Dr Bishan Rajapakse - Research and International Emergency Medicine
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%
Dr Bishan Rajapakse - Research and International Emergency Medicine
• Greater chance of policy change
• Integration of networks – Sustainability – Builds capacity for local action!
• Career development
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine 18
Dr Bishan Rajapakse - Research and International Emergency Medicine 19
• Emergency medicine a developing specialty
• Ambulance and Paramedic training
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine 21
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine 23
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
• Dangers – Roads – Animals – Civil instability
• Isolation, alienation and depression
• loss of clinical skills
Dr Bishan Rajapakse - Research and International Emergency Medicine 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
Dr Bishan Rajapakse - Research and International Emergency Medicine
The journey of a thousand miles begins with one step. Lao Tzu
Dr Bishan Rajapakse - Research and International Emergency Medicine
Back to 2005…..
Dr Bishan Rajapakse - Research and International Emergency Medicine 30
• Social Work/ Community service
• Fun, Travel, Adventure
• Finding “roots”
Dr Bishan Rajapakse - Research and International Emergency Medicine
“Always follow your ‘heart’ and your own dreams as life is too short to follow someone else’s dreams”
Dr Bishan Rajapakse - Research and International Emergency Medicine
• 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
• Don’t compare yourself with others!
• BE inspired • Inspire others
Dr Bishan Rajapakse - Research and International Emergency Medicine 34
• Amazing Experience
• Eye opening • Pro's and Con's • Similar
Opportunities exist!
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
Dr Bishan Rajapakse - Research and International Emergency Medicine
Discussion: …..Time for your thoughts!
Dr Bishan Rajapakse - Research and International Emergency Medicine
• 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]
Dr Bishan Rajapakse - Research and International Emergency Medicine
• 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