00:00The mayor, he's everywhere.
00:04Alright, who's in charge of me?
00:06You can just unleash me, Madame la Ministre.
00:11So, here, you see...
00:13Hello.
00:15Hello.
00:16Excuse me, there's everyone here.
00:18No, no, no.
00:19They're the people who are the beneficiaries for the chenilles of the church.
00:22Okay.
00:23So, they are just doing the work.
00:26I'm Emily.
00:27Not this course.
00:28Not this course.
00:29I'm taking this course.
00:30I'm from BC.
00:32This is our instructor.
00:34Pleasure.
00:35Nice to meet you.
00:36Nice to meet you.
00:37How long have you been doing the instruction?
00:38Hi.
00:39You've got that special ultrasound goo?
00:42That's alright.
00:43It's not going to hurt you.
00:44Alright, pleasure.
00:45Thanks for doing this.
00:47I'm on military.
00:48I'm in military.
00:49I'm in military.
00:50I'm in military.
00:51Fantastic.
00:52So, it's a big news.
00:55Happy Armoury.
00:56Nice to meet you.
00:57Nice to meet you.
00:58Yeah, yeah.
00:59It was big news.
01:00We're finally catching up.
01:02Starting with the salaries and the benefits, which is long overdue.
01:07So, thank you for your patience on that.
01:08No, no.
01:09But then, scaling up the actual material more broadly.
01:14It's more than $80 billion over the next five years.
01:19But, as important as that is the predictability and the commitment.
01:24So, it's just going to keep going.
01:26Same thing on the health side and health infrastructure.
01:29Nice message.
01:30Yeah.
01:31Good morning.
01:32How are you?
01:33This is what we can control.
01:34That's kind of the core message is, you know, yes, we've got to negotiate with the Americans
01:40and all that stuff.
01:41And, you can influence that.
01:42You can't control that.
01:43We can control it.
01:44Absolutely.
01:45And, let's spend more time on that and build strong at home.
01:48Wonderful.
01:49Yeah.
01:50So, okay.
01:51So, you are doing your training?
01:52Just doing some course.
01:53Some training.
01:54Some professional development.
01:55That's good.
01:56Yeah.
01:57And, you said you're from, oh, you're from USA.
01:59Yeah.
02:00Okay.
02:01I'm taking this course because I work for Wilkom's, really.
02:04Yeah.
02:05So, I need to be a little bit more prepared for low resources essentially.
02:10Yeah.
02:11Yeah.
02:12It's an extension of physical exams essentially.
02:15Absolutely.
02:16In fact, everything that we do with these courses is all physician driven.
02:19So, we train physicians to go back into their environment to be comfortable reviewing the
02:24procedures.
02:25So, anything from acute care to trans-self-heal to full A-roll courses, which are high acuity,
02:30low opportunity.
02:31All that's great because that's what we do.
02:34So, we train physicians all across the country.
02:37Okay then?
02:38Okay.
02:39Yeah.
02:40So, if you're still here, if you're still here on Monday, we're running the A-roll course
02:43this Monday.
02:44Oh.
02:45If you'd like to see that.
02:46Yeah.
02:47Excellent.
02:48Yeah.
02:49Good.
02:50Great.
02:51Thank you for coming.
02:52Nice to meet you.
02:53Nice to meet you.
02:57Thank you for being here.
03:00Thank you for volunteering.
03:01Okay.
03:02So, okay.
03:03So, okay.
03:04Give us the assessment here.
03:05The shpeel.
03:06You've got two experts and an amateur.
03:07Yeah, that's right.
03:08You've got three experts and an amateur.
03:09I'm just relaxing.
03:10Okay.
03:11So, the biggest value here is no ionizing radiation.
03:12So, it's not like CT or nuclear studies.
03:13There's no damage to tissue.
03:14Yeah.
03:15So, we're able to see directly into the human body.
03:17It works as a good thing.
03:18Yeah.
03:19Great.
03:20You're going to see what you're doing here.
03:21Thank you for having me.
03:23Thank you for volunteering.
03:24Okay.
03:25So, okay.
03:26Give us the assessment here.
03:27The shpeel.
03:28You've got two experts and an amateur.
03:29Yeah, that's right.
03:30You've got three experts and an amateur, so.
03:31I'm just relaxing.
03:33Okay.
03:34So, the biggest value here is no ionizing radiation.
03:36So, it's not like CT or nuclear studies.
03:39There's no damage to tissue.
03:40Yeah.
03:41So, we're able to see directly into the human body.
03:43It works as an excellent supplement to physical exam.
03:46So in the old days, doctors would touch or feel or percuss,
03:50whereas now we can, in real time, look inside the human body.
03:53So ultrasound used to be the province of specialized physicians.
03:56More and more, it slowly moved into being something that doctors use daily at the bedside.
04:03Your family doctor will now start using a new clinic.
04:05As an eMERGE doc, by trade, I'm an eMERGE doc.
04:09I graduated 2013, so I'm not that old, I guess.
04:13This was not a thing.
04:14Not that old.
04:14Yeah, I'd like to think so.
04:16It's very old from your perspective.
04:19This was not a thing when I finished med school as a class of 2013,
04:23but is now standard of care for the physicians I now teach,
04:26and that's a short, what are we looking at, in a 12-year interval.
04:29No emergency physician in Canada who graduates today would graduate without bedside.
04:35I would not try to take care of a critically ill patient without bedside.
04:39Really fascinating, yeah, because it really was,
04:42you go back 20 years and the province basically is, you know,
04:46like pregnancy and a bit of, like, liver, you know,
04:49like if you had a cute sense of something, right?
04:51Yeah.
04:51Right, yeah.
04:52Stethoscopes, we refer to stethoscopes as neck jewelry.
04:55They look good, but they're not actually that useful,
04:58whereas this allows me to see your heart and measure it in real time.
05:03So we wear it around the office or we wear it around the hospital.
05:06Halloween.
05:07But, yeah, but, yeah, stethoscopes, I believe,
05:11were designed 180 years ago, and that technology has not changed.
05:15So it's time for a bit of a revolution.
05:17Super neat.
05:18Yeah, so that's what we do.
05:19And how much time do you spend teaching?
05:23I spend approximately 50% of my clinical time teaching,
05:26and then I work as a nurse doctor in Saskatoon.
05:28Just to introduce myself again, I'm Dr. Jason Frank.
05:39I'm a THGP, but I'm also a PR doc.
05:41Ah, okay.
05:42You're going to have so much fun in this room.
05:43Great.
05:44So we're going to do blood pressure,
05:45but first we're going to teach you lapis-cappos surgery.
05:47Okay.
05:47All right, so I invite each of you.
05:49No pressure.
05:51No pressure at all.
05:52So why do we do this in the SimCenter?
05:54So I'm going to hold this camera here on these little posts.
05:56It's because we want our trainees,
05:59because OR time is so precious,
06:01and patients, patient safety is priority.
06:03They come here and they learn repeatedly
06:05to get all the skills down with the equipment
06:07so they can focus on the actual procedures
06:08when they're training on this.
06:10So if you're game, you can grab one of these,
06:14just like playing hockey.
06:14One of these things or the big one?
06:16Just this one?
06:17Yep.
06:17And then your job is to lift up
06:18one of these little plastic things.
06:20Oh my God.
06:21And put it on a different post.
06:22It's like a...
06:23First of all, you've got to find the field.
06:25Where's my head?
06:26Move around so you can see it.
06:27There you are.
06:27There you are.
06:27It doesn't seem long enough.
06:32And how does it open up?
06:33There you go.
06:34You squeeze it.
06:34Squeeze the trigger and it opens and closes.
06:36Yeah.
06:36So it's hard.
06:37Squeeze for close.
06:38Here, I'm going to give you a bit of a view.
06:40You're out of the field.
06:41I'm out of the field.
06:43Oh God.
06:43It's tough right now.
06:46So I think this is why...
06:48Oh, you're getting there.
06:49You're getting there.
06:50Yes!
06:50That's weird.
06:52Now, static.
06:53Okay, I got it.
06:54Yeah, we need to.
06:55Take any post.
06:57Oh, I got it.
06:58You didn't tell me about that.
07:00After this, we're going to do a cardiac bypass.
07:02Okay, this is nice.
07:05Fantastic.
07:06Oh, so close.
07:07Oh, it's so close.
07:08Oh!
07:10Sorry.
07:11All good.
07:11All good.
07:12Patient.
07:12Close enough, right?
07:14This is why they do it here.
07:15This is like an artery.
07:15Oh, I got to get that vital organ back.
07:21How much...
07:23Oh, but I'm a many...
07:27It's difficult, right?
07:29It's easy.
07:29It's easy.
07:31Okay, so how much time does the normal...
07:35The learning curve is variable.
07:38That's why we do it...
07:39How am I doing?
07:39How am I doing?
07:40You're doing fantastic.
07:42Okay, that's...
07:42You're a bit at the medical student level, but that's okay.
07:45We're going to get you there.
07:47So this is why we're in the Sim Center, because we wouldn't want to be doing this in the OR.
07:51The OR times too precious.
07:52That's tough.
07:53And patients, we want to keep sitting for it, so...
07:55There we go.
07:55Oh, yay!
07:57Fantastic.
07:59Health Minister, would you like to try it?
08:01Oh, my goodness.
08:03Oh, why not?
08:05Why not?
08:05Are you left or right-handed?
08:06No, right.
08:08There you go.
08:09You pick anyone.
08:11I'm not sure.
08:12I don't think any people surgery is going to be...
08:14Oh, she's moving pretty fast here, as I wanted to say.
08:19I'm ready for you, sir.
08:20Oh, am I taking your blood pressure?
08:22I think so.
08:23Okay.
08:25Okay, so let's start with this.
08:27Wrap it around your neck.
08:28Oh, I mean, you know, that's one way to take it.
08:32This one, she did.
08:34A little bit over there.
08:35Oh, look at this.
08:36Look at this.
08:36She's already...
08:36How many patients tell you how to do it when they're...
08:39It depends on their background.
08:41There you go.
08:42Perfect.
08:43Okay.
08:43Don't I need to be able to get...
08:44No, no, it's okay.
08:45That's okay?
08:46And then we're also going to pop this on.
08:48All these fabulous nails here.
08:49Yeah.
08:51Which finger do you want?
08:52Do you want that one?
08:52I think that one's right.
08:54Okay.
08:55Okay, so we'll just make sure we're finger leading here.
08:58Well, I don't have to pump it up anymore.
09:00No, that's old school.
09:02Here at the Sim Center, we have...
09:03This is the one we have at home.
09:05This is the one you have at home?
09:07Well, the poor one.
09:10What do you think?
09:10What do you think your blood pressure is?
09:12I think it's a little tight qualification.
09:15What do you think?
09:16But like it's like 110 over 80?
09:18Well, no, I think I mean...
09:20130 over 90.
09:2030 over...
09:2285, I hope.
09:25You've been eating a lot of fish.
09:28What are you supposed to do with these blood pressure?
09:30You're not smoking, are you?
09:31Not, not, not...
09:32Ideally, you know, low sodium.
09:34Low sodium, yeah, low sodium.
09:35Low sodium.
09:35Yeah.
09:37Perfect.
09:37We're going to pretend this is going.
09:39Your pulse...
09:39There we go.
09:40Your pulse rate's good, 74.
09:42Yeah, that's good.
09:43Could be lower.
09:44Could be lower, yeah.
09:45Yeah, your stuff's perfect.
09:47So I might get a little tighter in the arm.
09:48Oh!
09:49Oh!
09:49The doctor was a perfect.
09:51I didn't want to hurt you with the blood pressure.
09:53I had to be a little bit more aggressive putting it on.
09:57We just did it.
10:00I'm going to do it.
10:02I'm going to do it because I'm supposed to learn.
10:04You're going to grind it up, yeah.
10:05Yeah, you're going to learn.
10:07Okay.
10:09You are very young because you don't take your blood pressure.
10:12What's that?
10:13You are very young.
10:14You're not taking your blood pressure.
10:15I've taken my blood pressure.
10:16No, no, it's too...
10:17It's too loose.
10:19And, and, and, and...
10:21You have to put this here, where you have to put this.
10:31And this is why we practice at the SimCenter.
10:33Just like this in Kevin.
10:35Perfect.
10:35Does it feel nice and secure?
10:36Okay, does that feel good?
10:38Don't flex this time.
10:40That's what happened.
10:41You flexed.
10:42Okay.
10:43It's starting a game.
10:44Let's try again.
10:45Now you, see your pulse rate's up.
10:47Your pulse rate's up.
10:47See?
10:49You got a little stressed.
10:51You got a nice big deep breath in.
11:04Oh, it's still there.
11:05I need to finish it off.
11:08It sounds...
11:09So this is the standard?
11:11Okay.
11:12Yep.
11:12This is what we have available in our patient care areas, as well as here at the SimCenter.
11:15And when we're training our new nurses and our new PSWs in our pants, we want to make sure
11:23that we're using the most up-to-date technology at the SimCenter.
11:27Yeah.
11:27Oh, well.
11:29Oh, well.
11:29One-three.
11:29One-three.
11:29One-three.
11:29One-three.
11:30One-three.
11:30Very good.
11:33Let me take that off.
11:34Yes, Warren.
11:34Sit down.
11:35Don't, uh, no sudden room.
11:36He can get off.
11:37Daddy-
Comments