Friday, 10 September 2021

77th Saturday Summit: WACEM Weekly Global e-Grand Rounds on Neutrophil Leucocyte Ratios in Traumatic Head Injury

 


4th September 2021


The NLR = Number of neutrophils divided by Number of lymphocytes.  In Inflammation the number of neutrophils increases, while the number of lymphocytes decreases.  

This Ratio was used to analyze large amounts of Data in Traumatic Brain Injury and Outcomes of that Data were discussed in Detail.

The Teams from The All India Institute of Medical Sciences, Bhopal presented their analysis in great detail followed by a very proactive discussion on importance of N/L Ratio in Emergency Medicine and Trauma. 4th September 2021.

The Discussion was led by Prof. Amit Agrawal Chief of Trauma at AIIMS, Bhopal. 

Some of the Latest Articles worth a read:

Djordjevic D, Rondovic G, Surbatovic M, et al. Neutrophil-to-Lymphocyte Ratio, Monocyte-to-Lymphocyte Ratio, Platelet-to-Lymphocyte Ratio, and Mean Platelet Volume-to-Platelet Count Ratio as Biomarkers in Critically Ill and Injured Patients: Which Ratio to Choose to Predict Outcome and Nature of Bacteremia?. Mediators Inflamm. 2018;2018:3758068. Published 2018 Jul 15. doi:10.1155/2018/3758068

Park JM. Neutrophil-to-lymphocyte ratio in trauma patients. J Trauma Acute Care Surg. 2017;82(1):225-226. doi:10.1097/TA.0000000000001266





Sunday, 29 August 2021

76th Saturday Summit: Launch of WACEM Weekly Global e-Grand Rounds

 

28th August 2021

Launch of the WACEM Weekly Global Grand Rounds:

After 75 Weeks of Non-Stop Meetings of COVID 19 - WACEM created history by launching its Open Access Global e-Grand Rounds.

Topic:

Micro-briefing in Simulation Education and Tag Team Simulation in Emergency Medicine Education.

Speakers: 
Professor Fatimah Lateef (Singapore)
Professor Bradley Peckler (New Zealand)

The Well attended virtual grand rounds saw phenomenal presentations from the speakers. Detail discussion were held by faculty leaders across the world on the process of creating scenarios and executing the learning objectives.

WACEM Leadership participated in informing the global academic community that the GloSIM Section at WACEM will actively work on advancing the science of Simulation in Acute Care Sciences.




Friday, 27 August 2021

The 75th Weekly Saturday Summit : The WACEM Big-Data Research Network

21st August 2021

A Open Discussion meeting was held between leaders across the world focusing on setting up a Meta-data Network.

The Following Points were discussed

1. Research Question Development Process

2. Data Acquisition Process

3.Data Analysis Algorithms

4. Analytical Interpretations

6. Production of Graphics

7. Manuscript Preparation

The above points mark the process of Meta-Data Analytics Chain and a pilot was launched to mark the milestones and access the bottlenecks in the process.

The Experts would meet in a few weeks to make progress on the development of this process.

Wednesday, 18 August 2021

The 74th Weekly Saturday Summit : WACEM2021 Strategic Meeting

14th August 2021


A Strategic meeting was held to Discuss the Following points as regards the WACEM2021 Summit.

Current Status of COVID in Various Countries was reviewed.

The Challenge towards holding a in person World Congress were reviewed.

The Current Plan to conduct WACEM2021 in Kuala Lumpur was reviewed.

The Success of the WACEM2020 Virtual Format was discussed.

It was decided to announce the WACEM2021 format soon.




The 73rd Global Weekly Saturday Summit : Discusing Trauma Care in Purview of COVID 19.

7th August 2021


A round table meeting was held to discuss the care to patients with Trauma during the COVID Pandemic.

Following patients were recognized as patients with special circumstances

1. Patients with facial Trauma

2. Patients on Anti-Platelet Therapy and Anticoagulants

3. Patients who are addicted to Drugs and Alcohol

4. Patients with Vascular Trauma

5. Patients with Co-Morbidities

An important aspect which was discussed was about Transfusion protocols for patients with Trauma

These are very important aspects which were brought to light in the midst of the COVID Pandemic.

Sunday, 1 August 2021

The 72nd Global Weekly Saturday Summit : Conversation and Collaboration with Legends - The WACEM Round Table with Prof. Kazzi

 

 



31st July, 2021

    On Saturday, July 31st, leaders representing WACEM, INDUSEM, and EMA India, had the incredible privilege and opportunity of a meeting with Professor Amin Antoine Kazzi. 

    Professor Amin Antoine Kazzi, MD, FAAEM, is the founding emeritus chair of the department of Emergency Medicine, at the American University of Beirut (AUB). He serves as the deputy chief of staff at the AUB Medical center. Dr. Kazzi moved to Beirut in 2006 to establish EM in Lebanon, where he played a leading role in the establishment of an academic department of emergency medicine, the first in the Middle East; and three residency programs across Lebanon. 

    Dr. Kazzi is well known across the world for his leadership role in establishing the exceptional Mediterranean EM Congresses, and for his service in executive and leadership roles in several professional societies, in particular, as President for the American Academy of Emergency Medicine (AAEM). He also played a key role as founding Vice Chair for the Department of Emergency Medicine at the University of California, Irvine; and as managing editor for the California Journal of Emergency Medicine (which then became the Western Journal of Emergency Medicine). Recently he founded the Mediterranean Journal of Emergency Medicine, which is one of the fastest growing journal in the specialty of Emergency Medicine. 

    Dr. Kazzi has earned a number of key national leadership and recognition awards - the most important being designated as The Master of the Academy of Emergency Medicine (MAAEM), the EuSEM-AAEM Founders Award, and the David Wagner Award for special impact in the specialty. 

    The Amin Kazzi International Emergency Medicine Leadership Award - the most prestigious award of the highest excellence in the USA, is awarded annually by the AAEM as a tribute to this great leader. 

    We were honored to be in conversation with Dr. Kazzi, to discuss the distance we have come as a specialty, the strides made by INDUSEM and EMA in India, and wider scope of WACEM. We all agreed upon the importance of the role of legitimate academic emergency medicine in the betterment of the specialty and ultimately the betterment of patient care in emergency departments across the world. We recognized the need to address the burdens faced by emergency departments everywhere, long before the pandemic struck and those that will continue long after it. We recognized the challenges that earnest and enthusiastic emergency physicians face from the moment the start and throughout their journeys. It is a specialty that does not slow down, let alone stop. INDUSEM has been instrumental, over the last few decades, in establishing the foundation on which we all now continue to build. But we still have more to do, and a long way to go.

    We are delighted, therefore, that Dr. Kazzi has committed to collaborating with the WACEM initiative, and no doubt this collaboration will be as legendary as the man himself. 






Saturday, 31 July 2021

71st WACEM-ACAIM Weekly Summit on the Contemporary issues in managing patients with special needs during the COVID Pandemic



24th July 2021

A round table meeting was held to discuss the care to patients with special needs during the COVID Pandemic.

Following patients were recognized as patients with special needs

1. Debilitated Bed Ridden patients

2. Transplant Patients

3. Patients who are addicted to Drugs and Alcohol

4. Indigent Patients

5. Patients with Obesity

6. Stable patients with special medical needs example: Cerebral palsy etc

An important aspect which was discussed was about END OF LIFE CARE for patients with special needs.

These are very important aspects which were brought to light in the midst of the COVID Pandemic.



 

Wednesday, 21 July 2021

70th WACEM-ACAIM Weekly Summit on the Contemporary issues in Academic Medicine during the COVID Pandemic

 17th July 2021


A Global team of Experts met to discuss the progress made by WACEM and ACAIM on the Following issues

1. Telemedicine Sciences

2. Emergency Preparedness Systems 

3. Framework for the WACEM Initiatives Namely :
    
    A. Simulation
     
    B. Point of Care Ultrasound

    C. Data-Analytics 
 
     E. Mass Casualty Preparedness

4. Discussion was also continued on the last week discussion points about creating the Virtual education platform and COMMUNICATION was found to be the dominant aspect of the discussion. The team decided to focus on processes which emphasize communications and knowledge exchange. 

5. Discussion was also done on Remote Medical Systems which encompass an exposure to Remote Medicine. A task team was created which will deliver its First Report in the next few weeks.




69th WACEM-ACAIM Weekly Summit on the The Virtual Training Model for Academic Medicine during the COVID Pandemic

 10th July 2021




An Expert Team meeting to discuss the development of a Virtual Training Platform for Academic Medicine.

The Core Concepts of the Model revolved around creating a platform which satisfies:

1. Audio Content

2. Visual Content

3. Reading Assignments

4. Trainee Assignments

5. Recording, Evaluation and Modification Processes 

6. Communication Processes

Each Point was discussed in Detail.

Trainee Perspectives, Trainer Perspectives and Administrative Perspectives along with data Security issues were also discussed.

The Leaders decided to come up with a comprehensive time line to integrate the above systems into its development platforms.


Tuesday, 6 July 2021

68th WACEM-ACAIM Weekly Summit on the The Telemedicine & Pediatric Preparedness Framework for the COVID19 Pandemic

 3rd July 2021


The Telemedicine Framework Team & The Pediatric Preparedness Team met to lay out the strategy towards finalizing key distinct and key integrating features between these two diverse topics.

Pediatric Preparedness Framework focused on  Resources and its Utilization at the correct time, correct place in purview of a correct process.

Checklists were considered key be it roles, responsibilities, accountability metrics or even after review reporting. Stock-Pile maintenance was considered key.

The Telemedicine Framework focused on developing the science around Telecommunications Technology and its application in a highly complex and accountable branch of medical care. 

The complexity of this framework revolved around various aspects from culture, to competencies to clear less criteria for using, recording, analyzing and improving the process for this extensive and random sudden surge in its usage for patient care.  

Detailed discussion were held on the above two topics.



67th WACEM-ACAIM Weekly Summit on the Pediatric Preparedness Framework for the COVID19 Pandemic in India

 26th June 2021


The 67th Weekly Summit Focused on giving the final touches to the Pediatric Preparedness Framework for COVID19 pandemic impacts in India 

Clinical Management was delineated to be specifically managed by Clinical Pediatricians. The same had to be done as per the national as well as professional society guidelines in India. 

Resources Preparedness and Process Preparedness was the key. 

The Following were finalized:

Process for triage, transfer and treatment at primary care and secondary care level.

Weight based algorithms for treatment were recommended.

Resource checklists were finalized as well as supply chain logistics. 

Stock-Pile management was an important part of supply and demand during a surge in the pandemic. 

Friday, 25 June 2021

66th WACEM-ACAIM Weekly Summit on Telemedicine Framework based on Lessons from the COVID19 Pandemic

 19th June 2021

As per the past presentations of Prof. Salvatore "Italy was one of the pioneers for pushing the concept and demonstrating the execution of telemedicine in COVID-19. Circumstances necessitated innovation, quick-thinking, and optimal utilization of resources to allow reductions in avoidable admissions to hospitals while balancing the practice of safe medicine in recognizing the dynamical decision making in a rapidly evolving disease. Several papers came from Italy, and Dr. Salvatore presented the protocols suggested and used by his hospital which proved successful in sifting out the low severity COVID patients who benefited from avoidance of institutionalization while still receiving adequate, and frankly impressive medical tele-follow up. "

A detailed Discussion was held to provide finishing touches to the TELEMEDICINE framework for Academic Health Systems.

A New Outline and Restructuring of Safe Data was looked at. 


65th WACEM-ACAIM Weekly Summit on Next Wave of COVID19

 12th June 2021

The 65th Weekly Summit Focused on giving final touches to the detailing of organizational logistics of the provision of Pediatric COVID Care to sick children.

A systems approach was being developed to organize the Protocols for triage, transfer and treatment at primary care and secondary care level.

A process for Critical recognition of sick children and appropriate emergency transfer protocol was being developed.

As vaccination was now available to Children above 12 will need special recognition was to be made and process developed to everyone who is not being  vaccinated.

Monday, 7 June 2021

64th WACEM-ACAIM Weekly Summit on Next Wave of COVID19

5th June 2021

The 64th Weekly Summit Focused on bringing together experts on addressing the following issues

Protocols for triage, transfer and treatment at primary care and secondary care level.

Further discussion was done on the weight based algorithms for care. 

Critical recognition of sick children and appropriate transfer protocol was referred to .

Children below 12 will need special recognition as they are not being  vaccinated.


63rd WACEM-ACAIM Weekly Summit on Next Wave of COVID19

29th May 2021


The 63rd  Weekly Summit Focused on bringing together experts on addressing the following issues

Preparedness for COVID19 for 3rd Wave

It was emphasized that weight based algorithms should become the standard of care in Emergency Pediatrics.

Critical recognition of sick children and appropriate transfer protocol is needed.

Children below 12 will need special recognition as they are not being vaccinated.

Proctocols were being written as we move ahead.

Saturday, 22 May 2021

62nd Weekly Summit : The 6th Annual Academic International Medicine Congress 2021 (Virtual Edition) by ACAIM

 

www.ACAIM.org
AIM2021
Academic International Medicine Annual Congress
Best Practices in Shifting Landscapes

The Weekly Summit was held in partnership with the AIM2021 Congress. Members attended various sessions of the Congress.

Highlight Session:
Best Practices in International Research 
Research Education—Dr. Arun Kumar 
COVID Vaccine Research—Dr. Paul Kilgore 
Research Networks—Dr. Prashant Mahajan 
Strategic Analysis- Dr Joseph Hanna 
Research Capacity and Implementation- Dr Bhakti Hansoti

Key Note Address was delivered by NIH Fogarty International Center Chief Dr. Roger Glass. 

https://www.acaim.org/resources/Documents/AIM%202021%20Agenda%204.27.2021.pdf



61st WACEM-ACAIM Weekly Summit on Next Wave of COVID19

 15th May 2021

The 61st Weekly Summit Focused on bringing together experts on addressing the following issues

Preparedness for COVID19 for 3rd Wave

Mucormycotic Medication Formulary has to be specified and standardized for care.

Critical recognition of sick children is key for proper resource utilization.

Approval of Vaccine for 12 years and older lays additional burden on speeding the vaccine program.

Need for Planning is key

ACAIM2021 will held on 21-22-23 May 2021 and everyone for appraised and invited to attend.

www.ACAIM.org


Saturday, 15 May 2021

60th WACEM-ACAIM Weekly Summit on Pediatric COVID19

8th May 2021

The 60th Weekly Summit Focused on bringing together experts on addressing the following issues

1.  Pediatric Immunization for COVID19

2. Pediatric Clinical Algorithms for COVID care

Inflammation is the major manifestation in Pediatric COVID patients.

Medication Formulary has to be specified and standardized for care.

Critical recognition of sick children is key for proper resource utilization.

Approval of Vaccine for 12 years and older lays additional burden on speeding the vaccine program.

Need for Planning is key

Following paper was Discussed:

2019 WACEM - Academic College of Emergency Experts Consensus Recommendations on Admission Criteria to Pediatric Intensive Care Unit from the Emergency Departments in India.

https://pubmed.ncbi.nlm.nih.gov/31198285/



Saturday, 1 May 2021

59th Weekly Summit with ACAIM-WACEM Deciated to COVID19 Resurgence

 


Dr. Galwankar started this week's discussions by revisiting a concept proposed in early 2020 meetings by Dr. Irshad Choudry - that obesity is already a chronic inflammatory state. We visited the question of whether there is scope to control the state of inflammation, however given the prolonged, or rather sustained, state of inflammation, it unlikely for there to be a quick solution. Thiazolidinediones (glitazones) were proposed with a similar hypothesis in parts of the world, but held back because of their adverse effect profile. Lifestyle modifications are important, however, not a quick solution either. COVID-19 infections need us to act swiftly and often aggressively.

With that, we move to the combination of montelukast, colchicine, and aspirin - 'COVI-MAC'. Following from Dr. Sean Downing's theory, initially discussed in early 2020 as well, Dr. Vivek Chauhan shared his brilliant presentation. The pathophysiology of COVID-19 illness centers around hypoxia and multiorgan failure caused due to a cytokine release syndrome (and at its worst, a cytokine storm). It is proposed that montelukast and aspirin both inhibit the eicosanoid storm and NF-kappaB activation. Aspirin, of course, is also an antiplatelet agent. Colchicine is thought to be an inhibitor of inflammasomes. Individually, they have their own benefits, however, it is proposed that used in combination, the COVI-MAC regime would produce results, particularly when used as an early intervention in SARS-COV-2 positive patients. With due permissions and precautions, our teams are embarking on studies to move this beyond the hypothetical, to the practical and applicable. 







Monday, 26 April 2021

58th Weekly Summit with ACAIM-WACEM : Dedicated to War with Variants of COVID in 2021


www.ACAIM.org

24th April 2022

The World Academic Council of Emergency Medicine and The American College of Academic International Medicine had a Special Global Meeting dedicated to the resurgence of COVID Variants in 2021.

As countries such as Indian grapple with the resurgence of COVID infections, it was apt time to address few important aspects of the Pandemic.

1. COVID Pandemic will now be a Cyclical Endemic 
2. COVID Prevention with revolve around Human Behavior and Vaccine Acceptability
3. Physician Competencies and Health Care Processes will need to be restructured around this new norm
4. Vaccine Boosters and Chronic COVID manifestations will happen.
5. The rising reality of Pediatric COVID has to be addressed.

Speakers:

Prof. Venkat (IIM Lucknow) : Spoke on the Restructuring of Oxygen Supply chain across India

Prof. Siddharth Dubhashi (AIIMS Nagpur): Presented update on the Plant Based Study for COVID Care

Dr. Indrani Sardesai (UK): Presented the UK COVID Data 

Dr. Sagar Sinha (India): Discussed the current COVID Situation in Mumbai and the various strategies being adopted to curb the surge.

Dr. Veronica Sikka (USA): Discussed about the update on the TeleHealth Consensus paper which is being worked on. 





 

Saturday, 17 April 2021

57th Weekly Summit with WHO-CCET : Dedicated to Developing Academic Emergency Medicine in India Session -IV

 17th April 2021

70 Colleges participated in The 56th Week weekly Summits Dedicated to implementing the NITIAyog India mandate to developing Academic Emergency Medicine departments across medical colleges in India.

Professor Sanjeev Bhoi

Director of the World Health Organization Center for Emergency and Trauma in SEARO

Professor Siddharth Dubhashi

Head of Surgical Disciplines AIIMS Nagpur

Dr. Sagar Galwankar

CEO, INDUSEM

Dr. Tej Sinha 

Associate Professor of AIIMS, EM New Delhi

Update on the Status of the 0f Compliance with the mandate was given to the new colleges being inducted

Detail discussion was done on

1. Faculty Development Program: With progress made in individual components of curriculum

2. Departmental Guidelines were mentioned in further detail with focus on resuscitation

3. Academic Processes with regards to syllabus

4. Implementation of the Mandate with FDP aimed for June 1st 2021

 

56th Weekly Summit with WHO-CCET : Dedicated to Developing Academic Emergency Medicine in India Session -III

 

10th April 2021

30 Colleges participated in The 56th Week weekly Summits Dedicated to implementing the NITIAyog India mandate to developing Academic Emergency Medicine departments across medical colleges in India.

Faculty: 

Professor Praveen Aggarwal

Head of AIIMS Emergency Medicine

Professor Sanjeev Bhoi

Director of the World Health Organization Center for Emergency and Trauma in SEARO

Professor Siddharth Dubhashi

Head of Surgical Disciplines AIIMS Nagpur

Dr. Sagar Galwankar

CEO, INDUSEM

Dr. Tej Sinha 

Associate Professor of AIIMS, EM New Delhi

Update on the Status of the 161 Colleges in Compliance given to the 30 new  colleges being inducted. 

Detail discussion was done on

1. Faculty Development Program: The fundamentals and core curriculum

2. Departmental Guidelines for providing quality EM Care

3. Academic Processes for teaching and taking exams

4. Implementation of the Mandate in the coming months with FDP planned for June 1st Launch

Saturday, 3 April 2021

55th Weekly Summit with WHO-CCET : Dedicated to Developing Academic Emergency Medicine in India Session -II

3rd April 2021

66 Colleges participated in The 55th Week weekly Summits Dedicated to implementing the NITIAyog India mandate to developing Academic Emergency Medicine departments across medical colleges in India.

Faculty: Professor Praveen Aggarwal

Head of AIIMS Emergency Medicine

Professor Sanjeev Bhoi

Director of the World Health Organization Center for Emergency and Trauma in SEARO

Professor Siddharth Dubhashi

Head of Surgical Disciplines AIIMS Nagpur

Dr. Sagar Galwankar

CEO, INDUSEM

Update on the Status of the 95 Colleges in Compliance with the mandate was given to the new 66 colleges being inducted. 

Detail discussion was done on

1. Faculty Development Program

2. Departmental Guidelines

3. Academic Processes

4. Implementation of the Mandate

54th Weekly Summit with WHO-CCET : Dedicated to Developing Academic Emergency Medicine in India Session -I

27th March 2021

95 Colleges participated in The 54th Week marked the beginning of Weekly Summits Dedicated to implementing the NITIAyog India mandate to developing Academic Emergency Medicine departments across medical colleges in India.

Faculty: 

Professor Praveen Aggarwal

Head of AIIMS Emergency Medicine

Professor Sanjeev Bhoi

Director of the World Health Organization Center for Emergency and Trauma in SEARO

Professor Siddharth Dubhashi

Head of Surgical Disciplines AIIMS Nagpur

Dr. Sagar Galwankar

CEO, INDUSEM

Dr. Tej Sinha 

Associate Professor of AIIMS, EM New Delhi

Detail discussion was done on

1. Faculty Development Program

2. Departmental Guidelines

3. Academic Processes

4. Implementation of the Mandate

Tuesday, 23 March 2021

The 53rd WACEM-ACAIM Special Global Weekly e-Summit on BIG DATA Analytics & the COVID Pandemic

Date: 20th March 2021

The WHO collaborating Centre for Emergency and Trauma (WHO-CCET) for South east Asia (SEA) partnered with WACEM and ACAIM to hold its Preliminary meeting on promoting BIG DATA Analytics in the New Norm of COVID19.

Dr. Vivek Chauhan presented a brief overview of Cloud Computing and its application in BIG DATA Systems.

Mr. Kevin from Phase Zero presented the Platform which is being developed and emphasized that machine learning could be incorporated in the development of multi-centre research ecosystems.

Dr. Ankit Sahoo discussed the process of Meta-Analysis and Systematic Reviews. He also presented the step by step process which culminates in a good assessment of all major data sets.

Dr. Sunil Raina discussed the concept of Electronic Epidemiology using PubMed datasets. He demonstrated the need for Multi-Step analytical process to evaluate differences in data sets.

Dr. Prabath Nanayakkara from Amsterdam discussed about the application of Evidence Based Medicine principles when interpreting data sets.

Wednesday, 17 March 2021

The 52nd WACEM-ACAIM Special Global Weekly e-Summit In Partnership with WHO-CCET (SEA)

Date: 13th March 2021

The Second Closed Session meeting of the WHO collaborating Center for Emergency and Trauma (WHO-CCET) for South east Asia (SEA)was held.

Safe Emergency Care is the cornerstone Quality Health Services delivery.

Leaders from Bangaladesh, Sri Lanka, Nepal, Thailand and India participated in this meeting.

Special invited experts from around the world were also present.

The National Acccreditation Board of Hospital and Healthcare Providers (NABH) was also represented.

Detail discussions were held on developing quality processes and advancing certification across South east Asia.

The session was held to focus on the promulgation of Quality process to encompass emergency and trauma services into the newly developing emergency departments across India.

The discussion highlighted multiple factors around Quality Process Based education, research and patient care in Medical training.

Assessor Training was considered a key part of the process.

Quality control was also discussed in detail.

The agenda also addressed the acceleration of the Quality Education Curricula across academic hospitals in India.

  It was emphasized that there was a need for creating a framework for Quality Patient Care Training in Rural , Urban , Academic and Non Academic Health Care Facilities.

Sunday, 7 March 2021

The 51st WACEM-ACAIM Special Global Weekly e-Summit In Partnership with WHO-CCET (SEA)

Date: 6th March 2021

The First Closed Session meeting of the WHO collaborating Center for Emergency and Trauma (WHO-CCET) for South east Asia (SEA)was held.

In the New Normal of COVID Many new protocols, teaching methodologies and research protocols will be needed to advance Trauma and Emergency Services.

The session was held to focus on the promulgation of trauma services into the newly developing emergency departments across India.

The discussion highlighted multiple factors around education, research and patient care.

Faculty development and treatment protocols were very important when Synergy had to be maintained between emergency medicine and trauma surgery.

  Quality control was also discussed in detail.

The agenda also addressed the acceleration of pediatric emergency and trauma services at academic hospitals in India.

A synergy between pediatric surgery. pediatric neurosurgery, pediatric orthopedic surgery as well as pediatrics was needed to develop the services across academic hospitals in India.

It was emphasized that there was a need for creating a framework for surgical trauma, orthopedic trauma, vascular trauma, neurosurgical trauma, both in adults and pediatrics

Monday, 1 March 2021

The 50th WACEM-ACAIM Special Global Weekly e-Summit on COVISIM2021 (The Finale) - Simulation Education in Medicine during COVID19


www.COVISIM2021.com

 

 

The Grand Finale of the Global e-Congress on Simulation Education in Medicine during the COVID-19 pandemic was a magnanimous event with educators from all around the world convening virtually into the WACEM Virtual Conference hall.

The session was well received by Simulation experts and exemplary educators from the United States, United Kingdom, India, Israel, Qatar, Singapore, Malaysia and other member countries of the World Academic Council of Emergency Medicine.

The finale comprised of the India session following up on sessions by experts from Singapore, US and New Zealand serially over the past 3 weeks.

The Global e-Congress COVISIM2021 was been conceived by WACEM in collaboration with the WHO- CCET, ACAIM, AIIMS, EMA India, ACEE India all affiliated with INDUSEM.

The stellar finale invited the best of speakers from 2 of the premier Simulation Centres with established academic Emergency Medicine Departments in India- Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal and D Y Patil University, Mumbai.

The Simulation Division from KMC Manipal, (SIMians) comprised of Dr. Vimal Krishnan, Dr. Sanjan A, Dr. Freston Sirur and Dr. Jayaraj Balakrishnan.

Dr. Ajit Baviskar was the SIM- Educator expert from D Y Patil Mumbai.

The sessions were unique and ranged from the basic tenet of Simulation designing for SIMeducator, POCUS in Simulation, InSituSim, Biosafety innovations and Simulation.

The sessions invoked cerebral discussions between the experts and plans for international collaboration under the WACEM-GloSIM Network.

“The success of the non-stop 50 weeks of collaborative e-learning sessions by WACEM defines the Bullish position of WACEM as a global leader in the Academic Circuits during the COVID Pandemic” declared Dr. Sagar Galwankar, CEO INDUSEM and Executive Director of WACEM.


 

Thursday, 25 February 2021

The 49th WACEM-ACAIM Special Global Weekly e-Summit on COVISIM2021 (Session III) - Simulation Education in Medicine during COVID19



The 3rd Session (20th Feb 2021) of the COVISIM2021 Saturday Summit was studded with presentations by the esteemed Academic Emergency Medicine Faculty from The University of South Florida Center For Advanced Medical Learning And Simulation (CAMLS). 

Distinguished Speakers

Dr. Haru OKUDA, MD, FACEP, FSSH

Dr. Okuda spoke about the state of simulation and his journey in the academic world of simulation education and medicine.  He discussed the role of simulation to advance educational science in medicine.  He presented various video presentations which demonstrated proficient engagement of stimulation technologies during the COVID pandemic.  He emphasized the role of using Simulation teaching methodologies  which included simulation drills for preparing healthcare workers to deal with COVID patients with various pathologies.  Emphasis was also laid on the fact that a new normal would need stimulation technology to be incorporated.

Dr. Bradley Peckler, MD, FACEP

Dr. Peckler is a leader in Simulation from New Zealand.  We discussed about various initiatives taken by his center during the COVID pandemic.  He was quick to emphasize that has no COVID patients and the preparedness efforts would still be in place in case there was new cases which emerged from international travel.

 

Dr. Prashant Mahajan, MD, MPH, MBA

 

Dr. Mahajan presented is part breaking research in arena of artificial intelligence and ambient reality.  He presented with here is fair artificial intelligent augmented reality and ambient reality are all combined for decision-making in the emergency situations.  A lot of discussion was held on this topic after his lecture.


 The Closing 27th February COVISIM2021 Saturday Session will feature Key Note Presentations from Manipal Academic of Higher Education (MAHE).

 



Wednesday, 17 February 2021

The 48th WACEM-ACAIM Special Global Weekly e-Summit on COVISIM2021 (Session II) - Simulation Education in Medicine during COVID19

 

www.COVISIM2021.com

The 2nd Session (13th Feb 2021) of the COVISIM2021 Saturday Summit began with presentations by the esteemed Academic Emergency Medicine Faculty from The Thomas Jefferson University of Philadelphia which is the Home of The Sidney Kimmel Medical College and Dr. Robert & Dorothy Rector Clinical Skills & Simulation Center. 

Summary of Presentations:

Dr. Shruti Chandra
COVID19 disrupted the educational opportunities the simulation and clinical skills center at Jefferson offers. We described the various modifications we made to our training programs including a grab-and-go model, in-situ simulation to not only teach our regularly scheduled educational programs but also to prepare the emergency department for the pandemic (PPE, intubation etc). We offered solutions to pivot to virtual simulation education and easy to build home models for high fidelity procedural task trainers. We also offered strategies for in-person teaching with focus on distancing, PPE, disinfecting and other adaptations for a successful return to the simulation center.
Lastly, we focused continuing to apply these innovations for simulation education beyond COVID19 pandemic and highlight that elaborate simulation set ups and mannequins are not required for an effective and successful simulation education program. 

Dr. Elizabeth Lee and Dr. Efrat Kean
In-situ simulation allows for deliberate practice of specific roles, identification of latent safety threats, and during the pandemic provided reassurance to practitioners that a clear plan was in place to prevent workplace exposure to Covid-19 virus. We also shared ideas on how to provide task trainers for remote and home learning during the pandemic.

Dr. Ronald Hall
He described the Grab 'n Go model that helps facilitate educational consultation between simulation program coordinator and faculty, where the center has an assembly line of simulation task trainers and itemized checklist and arranges for contents to be returned to drop off site at center and sanitized 

We also described how we reimagined how to perform a physical examination, placed further emphasis on student communication skills and analyzed the effects of alternative learning activities. We tackled the logistics of a Virtual OSCE (Objective Structured Clinical Examination). 

Dr. Jared Kilpatrick and Dr. Kelly Kehm
We used Full Code, a virtual simulation serious game from Minerva Medical for the education of both residents and medical students. Virtual simulation was used across multiple applications for both skill development and assessment. Using virtual simulation afforded faculty new opportunities for improved understanding of learner thought processes.

Dr. Anthony Sielicki
He discussed the use of virtual simulation and telecommunication with a standardized patient to train emergency medicine residents to deliver bad news, as well as best practices to mitigate trainee distress when simulations are planned with poor patient outcomes.


 The 20th February COVISIM2021 Saturday Session will feature Key Note Presentations from Prof. Okuda President Elect of The Society for Simulation in HealthCare, Dr. Brad Peckler from New Zealand and Prof. Mahajan from Michigan University.

 


Saturday, 6 February 2021

The 47th WACEM-ACAIM Special Global Weekly e-Summit on COVISIM2021 (Inaugural Session) - Simulation Education in Medicine during COVID19

 

www.COVISIM2021.com

The Inaugural Session of the COVISIM2021 Saturday Summit began with presentations by the Singapore General Hospital Simulation Institute led by Prof. Fatimah Lateef.

Simulation and Technology-Driven Education: Riding the Wave of Change with COVID 19

Prof. Dr. Fatimah Lateef

Singapore

COVID 19 posed multiple challenges in various domains of medical education. One major drawback was the inability to conduct face to face training and teaching, which had always been the norm and cornerstone of medical education. Utilizing the concepts of simulation-based learning, computer-based learning, remote and virtual learning and simulation, the use of virtual patients with problem-based learning, we embarked on training the  healthcare professions utilizing surrogate learning methodologies. COVID 19 presented a fertile ground which enabled us to look at old and current practices through fresh eyes

This presentation will also share the concept of computer-based simulation to meet the set learning objectives, the administrative support, the roles and responsibilities of faculty and facilitators. The issue of fidelity as well as interfacing is also highlighted in maximizing the experience of the learners, who are part of a virtual team. Computer-based simulation can also be an effective tool to enhance critical thinking and clinical reasoning capabilities. 

With the greater load of training being conducted online, it is also timely to remind everyone of the netiquette of online and virtual teaching and learning. It refers to a set of core rules that outlines what should and should not be done online, in maintaining common courtesy.

 

Simulation-driven Solutions for COVID-19: Through the Human Factors Lenses 

Dr. Yin Shanqing

Singapore

 COVID-19 highlighted challenges in collaborative performances that traditionally plagued teams even before the pandemic. In many care settings since COVID-19, team members have to don full PPE, N95 masks, and even Positive Air Pressure Respirators (PAPR). This exacerbated the accurate identification of team members, muffled speech communication, and possibly even hindered timely care delivery as team members raced to don PPE safely. 

Beyond training and education, simulation can be an effective platform for applying human factors insights and developing interventions driven by human factors science. This presentation shares how a prototype solution, developed from a separate simulation effort, helped to enhance urgent care delivery during COVID-19. Other human factors issues faced by clinicians during time-critical COVID-19 care will also be discussed. 


The SingHealth Duke NUS Institute of Medical Simulation Response to COVID 19

Ms. Madhavi Suppiah

Singapore

The Covid-19 pandemic has caused simulation centres globally, to re-imagine and re-engineer the education and training they provide. This has to continue despite social distancing measures and personal as well as team hygiene management that are essential to patient safety. Infrastructire and environmental management and control also becomes important.

Simulation plays a significant role in the education and training of healthcare professionals and it is vital to continue to operate taking into account the new measures & alternatives. This presentation will share how the Singhealth Duke NUS Institute of Medical Simulation ( SIMS) was affected from the early phases of the COVID 19 pandemic right into the re-opening to function in the new norm

It will also share how SIMS quickly responded to address the multiple elements and to adapt to the new paradigm.  Through collaborations and consultations, SIMS found innovative solutions on the format and delivery to continue to support our faculty and learners and also ensuring the health and safety of each individual is never compromised. Safe distancing and infection control measures will also discussed in the new norm of training, as SIMS aligned with the SingHealth Disaster Outbreak Taskforce (SDOT) and the  national guidelines of the Multi-Ministerial COVID 19 Taskforce in Singapore.

 The 13th February COVISIM2021 Saturday Session will feature Presentations from The Thomas Jefferson University Simulation Center (JeffSIM), Philadelphia, USA.