EMS Asia Booklet
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EMS ASIA 2012 CONFERENCE PROGRAMME 1 EMS ASIA 2012 CONTENTS Welcome Adress................................................................................................3 Committee .........................................................................................................4 Faculty ...............................................................................................................5 Programme ........................................................................................................6 Abstracts - Plenaries & Symposia ...................................................................16 Abstracts - Free Paper ...................................................................................39 Acknowledgements.........................................................................................46 2 EMS ASIA 2012 Welcome Address Friends and Colleagues in the EMS Fraternity, and Honored Participants of the EMS Asia 2012 Conference. It is my pleasure, on behalf of the Organizing Committee, to welcome you all to Penang and to this inaugural EMS Asia 2012 Conference. This conference, jointly organized by the Asian EMS Council with St John Ambulance of Malaysia in Penang and the Penang General Hospital brings together EMS leaders and administrators, emergency physicians and emergency healthcare practitioners, paramedics, EMS practitioners and trainers, from within the Asian region and beyond. We are proud to offer a conference faculty of 34 international renowned speakers and 18 Malaysian experts, who will share with us their best practices and experiences. In line with the conference theme of “Safety and Quality in Pre-Hospital Care”, the Asian EMS Council is spearheading a conjoint effort to develop a consensus during this conference to improve ambulance safety standards within the region, and work towards better care in our emergency ambulance services. We certainly hope that you will enjoy the EMS Asia 2012 Conference. Do not forget to enjoy all that the Batu Ferringhi beach can offer; and all the heritage and food that Penang is famous for. It is our pleasure to share this event with all of you and our sincere hope that you will have a fruitful conference, a wonderful holiday and a memorable time. Dr Teo Aik Howe Consultant Emergency Physician Chair, Organising Committee, EMS Asia 2012 Conference Penang 3 EMS ASIA 2012 Organising Committee Advisor / Ex-Officio Dato’ Dr Yee Thiam Sun Asian EMS Council Chairman A/Prof Dr Marcus Ong Eng Hock Organising Chairman Dr Teo Aik Howe Organising Secretary Khoo Teng Giap Organising Treasurer Alan Cheah Teik Cheng Scientific Chairperson Dr Sarah Abdul Karim Committee Dr Tan Kean Chye S. Kumaradevan Dr Lawrence Tan Dr Kwanhathai Darin Wong Dr Lim Chee Kean Mohd Amir Hashim Teh Kwan Liek Koay Seng Kie Tew Choong Wei Gan Hoo Kok Ong Seng Huat Khor Sin Wah Jeff Yeong Tan Teik Kean Junnie Ooi Elsie Ooi Leong Khai Sheong Oi Siou Hean Benjamin Leow 4 EMS ASIA 2012 Faculty Dr Nadine Levick (USA) Matt Perry (Australia) Associate Professor Dr Marcus Ong (Singapore) Mohd Amir Hashim (Malaysia) Dr Tatsuya Nishiuchi (Japan) Rozita Ajis (Malaysia) Dr Ghulan Yasin Naroo (Dubai) Alex Kenny (Australia) Professor Jerry Overton (USA) Tan Teik Kean (Malaysia) Dr Subroto Das (India) Hiroyuki Takahashi (Japan) Dr Chih-Hao Lin (Taiwan) Kok Leon Low (Singapore) Professor Dr Hideharu Tanaka (Japan) Micheal Rushby (Australia) Dr Tareq Al-Hamdan (Saudi Arabia) Dr Jeong-Mi Park (Korea) Dr Junaid Abdul Razzak (Pakistan) Shuk Kwok-leung (Hong Kong) Dr Angel Rajan Singh (India) Dr Sabariah Faizah Jamaluddin (Malaysia) Dr Kyungwon Lee (Korea) Associate Professor Dr Nik Hisamuddin Nik Abd Chris Fitzgerald (Australia) Rahman (Malaysia ) Dr Tham Lai Peng (Singapore) Dr Norlen (Malaysia) Dr Lo Chi Biu (Hong Kong) Dr Hafiz Syarbaini Mansor (Malaysia) Dr Wahyuni Dian Purwati (Indonesia) Prof Dr Ismail Mohd Saiboon (Malaysia) Associate Professor Dr Matthew Strehlow (USA) Dr Darin Wong (Malaysia) Dr Hasan Ali Al-Thani (Qatar) Dr Lim Chee Kean (Malaysia) Dr Nalinas Khunkhlai (Thailand) Dato Sri Dr Abu Hassan Asaari Abdullah Lt Col Lim Han Chee (Singapore) (Malaysia) Dr Bryan McNally (USA) Dr Ahmad Tajuddin Mohamad Nor (Malaysia) Dr Ali Haedar (Indonesia) Dr Adi Osman (Malaysia) Associated Professor Dr S. V. Mahadevan (USA) Dr Sarah Shaikh Abdul Karim (Malaysia) Dr Nausheen Edwin (Singapore) Dr Rosidah Ibrahim (Malaysia) Dr Azhar Aziz (Qatar) Dr Mahathar Abd Wahab (Malaysia) Alberta Spearfico (WINFOCUS Int) Associate Prof Dr Mohd Idzwan Zakaria Prof Dr Luca Neri (WINFOCUS Int) (Malaysia) 5 Programme EMS ASIA2012 DAY/ 10TH SEPTEMBER 2012, CONFERENCE DAY 1 TIME 0730-1700 Registration 0800-0830 KEYNOTE ADDRESS Grand Ballroom Delivering Quality Care - Transformation of PHC in Malaysia - Sabariah Faizah Jamaluddin 0830-0930 OPENING CEREMONY 0930-1000 PLENARY ONE (AMBULANCE SAFETY) Grand Ballroom “Life First, Safety Second? The Neglected Aspect in EMS” - Nadine Levick 1000-1030 Morning Tea Break 1030-1100 Sponsored Plenary by Zoll Grand Ballroom 6 1030-1200 SYMPOSIUM 1A – RESUSCITATION SYMPOSIUM 1B – AMBULANCE SYMPOSIUM 1C – MASS GATHERING TRACK SAFETY AND ERGONOMICS COVERAGE Theme: “All About Oxygenation and Theme: “Policy and Safety” Perfusion” Grand Ballroom Crystal Ballroom Rafflesia Room Systems Approach to Out of Hospital Quality and Safety Initiatives Mass Gathering Coverage – Public Arrest Response – Marcus Ong Programme in EMS - Jerry Overton and Sports Events Coverage – Advanced Airway Protocol in Pre Risk Management in EMS – Subroto Success Stories from Japan – Hospital Resuscitation – Tatsuya Das Hideharu Tanaka Nishiuchi Safety Aspects of Fleet and Vehicle Managing Mass Gathering –Pilgrimage What should I bring in Critical Care Management – Chih-Hao Lin – Tareq Al Hamdan Emergency Response? – Ghulam Technologies in Safety – Norlen ABCs of VIP Medical Standby – Hafiz Yasin Naroo Syarbaini Mansor Mechanical CPR Devices – Nik Hisamuddin Nik Abd Rahman PROGRAMME EMS ASIA2012 DAY/ 10TH SEPTEMBER 2012, CONFERENCE DAY 1 TIME 1200-1300 SYMPOSIUM 2A – MEDICAL TRACK SYMPOSIUM 2B – AMBULANCE SYMPOSIUM 2C – PEDIATRIC Theme: “Common Medical Scenarios” SAFETY AND ERGONOMICS EMERGENCY TRACK Theme: “Designing the Ambulance” Theme: “Transporting Children” Grand Ballroom Crystal Ballroom Rafflesia Room Responding to Breathless Patient - Key Safety Factors in Ground Child, Ambulance and Responder – Non-Invasive Ventilation in Pre Ambulance Design and Specifications preparation for pediatric response – Hospital Care – Ismail Saiboon – Jerry Overton Tham Lai Peng Diabetic Emergencies - Junaid Abdul Crashworthiness Issue in Ambulance Responding an Ill Child – Transport 7 Razzak Design – Nadine Levick First or Resuscitate Fast – Chi-Biu Lo Responding to Poisoning Case – Tips Visibility Factors in Ambulance Design Pitfalls in Monitoring Critically Ill Child for Responders – Angel Rajan Singh – Kyungwon Lee – Wahyuni Dian Purwati Approach to Rashes in the Field – Ergonomics and Safety – Interior The Breathless Child – Lim Chee Kean Darin Wong Design of Ground Ambulance – Chris Fitzgerald 1300-1400 Lunch Break 1400-1430 PLENARY TWO (AMBULANCE SAFETY) Grand Ballroom Lesson Identified Lesson Learned – Ambulance Crashes of 2011 Abu Hassan Asaari Abdullah PROGRAMME EMS ASIA2012 DAY/ 10TH SEPTEMBER 2012, CONFERENCE DAY 1 TIME 1430-1515 SPONSORED PLENARY BY ZOLL Grand Ballroom Achieving High Quality and Safe CPR in EMS Setting; Japanese Experience – Hideharu Tanaka The Impact of Road Safety on Clinical Care – Greg Mears The Eco-Friendly approach to Safety in EMS – Stuart Mallory 1530-1700 SYMPOSIUM 3A – TRAUMA TRACK SYMPOSIUM 3B – AMBULANCE SYMPOSIUM 3C – CAREER SAFETY AND ERGONOMICS ADVANCEMENT IN PARAMEDICS Theme: “ Safety First Culture” “I want to be a paramedic” Grand Ballroom Crystal Ballroom Rafflesia Room Standardization of Basic Trauma Care Promoting Safety First Culture – Angel Evolving Role of Paramedics Around 8 in Pre Hospital – Ahmad Tajuddin Rajan Singh the World – Matt Perry Time is of Essence – Managing ABCs Optimal Shift Hours for Responders – I have a Diploma – How do I Practice – at Scene – Hassan Al Thani Nalinas Khunkhlai Mohd Amir Hashim Methods of Hemorrhage Control – Training, Certification and Monitoring Career as Paramedic in Singapore Civil Tareq Al Hamdan of Drivers – Sarah Abd Karim Defence – Lim Han Chee Monitoring Trauma Patients on the Data Collection and Analysis for Safety From the Field to Dispatch Center – Move- The Senses and Sensors – Adi Monitoring – Nadine Levick Rozita Ajis Osman 1700-1730 Tea Break End of Day One 1730-1830 ASIA EMS Council Meeting Dahlia Room 1730-1830 College of Emergency Physician Malaysia Meeting PROGRAMME EMS ASIA2012 DAY/ 11TH SEPTEMBER 2012, CONFERENCE DAY 2 TIME 0730-1700 REGISTRATION 0830-0830 PLENARY THREE (EMS OPERATIONS) Grand Ballroom Do I really need that, cutting cost to improve pre hospital care? Matthew Strethlow 0830–0900 PLENARY FOUR (RESUSCITATION) Grand Ballroom Cardiopulmonary Resuscitation in the Ambulance – High Quality CPR? Marcus Ong 0900-0930 PLENARY FIVE (MAJOR INCIDENT MANAGEMENT) Grand Ballroom Major Incident Management--Experiences in Taiwan Chih-Hao Lin 0930-1000 Morning Tea Break 1000-1130 SYMPOSIUM 4A – RESUSCITATION SYMPOSIUM 4B – MASS CASUALTY SYMPOSIUM 4C – EMS 9 TRACK INCIDENT DEVELOPMENT AROUND THE Theme: “Resuscitation in Ambulance Theme: “Back to Basics” WORLD – Quality and Safety” Grand Ballroom Crystal Ballroom Rafflesia Room Arrest during Transport, Stop and Being Prepared for Mass Casualty EMS on the Indian Subcontinent