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AMA MEMBERS ONLY PEUGEOT OFFER PURCHASE AND TAKE DELIVERY OF A 308 OR 508 BY JUNE 30 AND SAVE $$$ ELIGIBLE AMA MEMBERS RECEIVE NATIONAL FLEET PRICING 308 ACCESS 1.6 AUTO HATCH ALL ELIGIBLE AMA MEMBERS WILL RECEIVE AN ADDITIONAL REBATE • $2,500 ON 308 • $3,000 ON 508 SERVICE COSTS SHOWN FOR 308 & 508 MODELS UNDER THE PEUGEOT ASSURED SERVICE PLAN SERVICING EVERY 10,000KMS OR 6 MONTHS UP TO 60,000KM OR 3 YEARS (WHICHEVER OCC UR FIRST) SERVICE INTERVAL COST 10,000KM OR 6 MONTHS $0 20,000KM OR 12 MONTHS $330 30,000KM OR 18 MONTHS $0 40,000KM OR 24 MONTHS $330 50,000KM OR 30 MONTHS $0 508 ACTIVE 1.6 TURBO AUTO 60,000KM OR 36 MONTHS $330 TOTAL SERVICE COST $990 OFFER AVAILABLE ON ALL 308, 308 TOURING WAGON AND 308 CC PLUS 508 AND 508 TOURING WAGON WANT TO KNOW MORE? CALL DVG PRESTIGE PEUGEOT Automotive Group Prestige Peugeot 170 Leach Highway, Melville. DL14687 Phone: 9330 0777 Web: www.dvg.com.au 38 MEDICUS May
A NEW Burns Telehealth service will be coming online on 1 July 2012 by Winthrop Professor Fiona Wood Although the incidence is falling, in the last 25 years over 25,000 patients have required admission to the Burns Service of Western Australia. Despite our efforts in the area of prevention, burn injury is all too frequent. In 2011 Western Australia had 291 children and 336 adults who required inpatient hospital care in the burns units. In Royal Perth Hospital (RPH) burns clinics there were 4,858 visits, 1,875 nursing-in-the-home visits, 244 video conference reviews and 341 photo reviews, whilst in Princess Margaret Hospital (PMH) burn clinic there were 2,822 clinic visits, 164 video conference reviews and 606 photograph reviews. Every intervention from the time of injury will influence the scar worn for life. With this in mind, over the last decades the Burns Service of WA has been involved in burn care education across the board. We have seen survival rates improve and the extent of injury reduce. The goal of all those working within the burns service is to ensure that the quality of the scar is worth the pain of survival. The aim of all burn care is rapid healing to minimise the risk of long-term scarring. In all but trivial injuries the capacity for regeneration is swamped, triggering cellular mechanisms which result in scar formation. Burn injuries are notorious for aggressive scars, which compromise the individual functionally, cosmetically and psychologically. The key to rapid healing is accurate assessment. However, we know that a burn injury will evolve and can extend, with associated swelling, stiffness and infection, and of course pain management can be a challenge. With the development of the burn education and telehealth program we have seen how we can support clinicians with their assessment of the burn wound – striving to answer the question, “Will this wound heal without surgery?” – such that if surgery is required, it can be undertaken in less than a week post-injury, which can dramatically reduce the risk of scarring. What do we know about the early assessment and treatment of burns? We know: • Good first aid will reduce the extension of injury and reduce the need for intervention. • Early topical antimicrobial dressing for the first 48 hours will reduce the infection risk and the associated delay in healing and increased scar risk. • Assessment at 48 hours is more accurate in predicting the likely healing time. • The majority of burns can be treated with good dressing care. • Timely referral to the Burns Unit is essential to improve the outcome for those who need more complex interventions. Since every intervention from the time of injury will influence not only the short-term life disruption, but ultimately the scar worn for life, everyone in attendance is part of the burn team. Due to the importance of comprehensive and informed early intervention we are reaching out to provide a supported assessment service linked to a triage tool. The aim of this service is to streamline and improve all burn injury outcomes. All burn injuries will benefit from clean, cool, running water at 15 to 18 degrees to reduce the surface temperature. Ice is contraindicated as it will superimpose a cold injury on the heat injury. Where water is limited, spray the surface, or cool, wet cloths changed every two minutes can be used. The maximum effect is achieved with 20 minutes of cooling within the first hour, but there is a significant effect from cooling within the first three hours. The cooling assists with cleaning, and any blisters should be deroofed where possible. Pathway One: Patient’s burn meets referral criteria Patients who meet the “Assess: Referral Criteria” (refer Fig. 1 on page 9 ) are not suitable for Telehealth and should be referred immediately: Adult Patient Referral Call RPH switchboard on 9224 2244 and ask for the on-call Plastic Surgical Registrar/Burns Consultant. Alternatively contact Burns Clinical Nurse Consultant on 0424 155613 or the Burns Unit on 9224 2154. Child Patient Referral Call PMH switchboard on 9340 8222 for the on-call Burns Consultant or Registrar, or the PMH Burns Unit on 9340 8257. Continued on page 40 May MEDICUS 39
Page 1 and 2: RALIA WESTERN AUSTRALIA MEDICUS Jou
Page 3 and 4: Dear Colleague Welcome to the AMA (
Page 5 and 6: Council President A/Prof David Moun
Page 7 and 8: they need to have jobs and position
Page 9 and 10: Rights of Private Practice The Asso
Page 11 and 12: More than medical indemnity MDA Nat
Page 13 and 14: Medical workforce Out of the frying
Page 15 and 16: AMA Medical Products: EDAN AMA Medi
Page 17 and 18: extended break from practice may be
Page 19 and 20: Continued from page 15 The Health I
Page 21 and 22: For Sale Plastic Surgeon’s collec
Page 23 and 24: A Huge HBF saving for AMA Members.
Page 25 and 26: Negotiating your contract AMA (WA)
Page 27 and 28: AMA (WA) MEMBER BENEFITS ANNUAL BAL
Page 29 and 30: AMA (WA) Benefits and Services Acce
Page 31 and 32: Industrial: Cost Shifting and/or Pr
Page 33 and 34: DiT Working Party Part Time Employm
Page 35 and 36: • Representations to RPH for the
Page 37 and 38: The age of specialisation As your c
Page 39: MIGA’s indemnity service A DOCTOR
Page 43 and 44: Cool, Assess, Dress Telehealth COOL
Page 45 and 46: Osborne Park Volkswagen AMA Members
Page 47 and 48: OOpinion How are you feeling? Menta
Page 49 and 50: Locum adventure GPs wanted now AMA
Page 51 and 52: Stylish Cockburn Central Apartments
Page 53 and 54: AMA Awarded Distributorship AMA Med
Page 55 and 56: AMA WA FINANCE Medical Practice Ins
Page 57 and 58: AMA in the Media Housing drives nee
Page 59 and 60: PhotographyP How to Photograph Silh
Page 61 and 62: DDrive BMW 335i Sedan by Dr Peter R
Page 63 and 64: TravelT with a beautiful chapel ado
Page 65 and 66: WINE MAKERS WITHOUT BORDERS Wine Ha
Page 67 and 68: F Food The Quince by Sophie Budd Ta
Page 69 and 70: To win a double pass to one of the
Page 71 and 72: HAND & PLASTIC SURGERY Dr Robert Lo
Page 73 and 74: GP required for family practice in
Page 75 and 76: PostgraduateNews Please forward sub
Page 77 and 78: WESTERN AUSTRALIA WESTERN AUSTRALIA
Page 79 and 80: Help your patients keep their New Y

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