New SJRHEM Dalhousie Course – Debriefing Skills for Simulation – The Basics

New SJRHEM Dalhousie Course – Debriefing Skills for Simulation – The Basics

When Is It?

8th-9th February 2018

Who is this for?

If you are interested in using simulation for education in healthcare, then this is for you! We aim to give you the basic skills needed to start debriefing in your own institution. This is a practical course with lots of opportunities to debrief.



Download (PDF, 260KB)



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New SJRHEM Course – Debriefing Skills for Simulation – The Basics

New SJRHEM Course – Debriefing Skills for Simulation – The Basics

Who is this for?

If you are interested in using simulation for education in healthcare, then this is for you! We aim to give you the basic skills needed to start debriefing in your own institution. This is a practical course with lots of opportunities to debrief.


Download (PDF, 254KB)


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SJRHEM Photo Contest 2016

We are very excited to announce the 2016 SJRHEM Photo Contest. This photography competition is open to all personel who work in the Saint John Regional Emergency Department in any role including clinical, admin, support, volunteers etc.

The themes of this competition mirror our mission statement and now include a new ‘open’ category:



Our aim is to improve the look and feel of our facility, for both staff and patients, by decorating the walls and corridors with high quality, thought inspiring photographic artwork that reflect the themes above.


Genuine concern for the well-being of others



The dignity of all people



Honest with strong moral principles



Making judgments that are free from discrimination



Landscapes, Architecture, People, Animals etc

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There will be a winner for each category and an overall winner. All will receive a framed print of their winning photo. The overall winner will be awarded the “Winner of the SJRHEM Photo Contest 2016” award.

The closing date for applications is October 10th 2016.

Click Here for More Information (Rules, Entry Forms etc)

Each entry must be accompanied by a separate application form and necessary consent forms.

Each entry must be emailed to  (subject: photo contest) or via online entry below

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New Brunswick Emergency Medicine – Regional Simulation – Season 3

For those of you who missed season 1 and 2, I’m sorry to say they are not on Netflix! However its not to late to get involved in this most awesome of programs….. (and all relevant material will be available for download on the simulation program page)

Total respect for Dr James French who has developed this program from the start. With the support of  Nurse Educators – Kim David and Debra Pitts, Dr French has delivered a program that has really made a difference to the quality of Emergency Care provided in our region.

The level of local engagement is amazing, including all levels of nursing, paramedics, respiratory therapists and physicians. This is clearly a result of the detailed preparation and enthusiastic delivery by Dr French and his team, but also reflects the commitment to improving emergency care by the participating clinicians.




This week the program visited the Sussex Health Centre, on a day when a winter storm had closed all the schools, but despite this, we had a full multidisciplinary attendance. A number of simulations were run over the course of the day, addressing certain aspects of the program’s Needs Analysis and also the relevant regional policy/protocol updates.

This method of practising for high acuity low occurrence events has wide support in the medical literature and has been adopted in all modern EMS systems. In a confidential, supportive environment, the process issues are explored, modified and perfected. Some of these issues ( Regional transfer, EMS ventilatory support, post-cardiac arrest  thrombolysis) will form the basis of future posts on this site.

Attached are a couple of the many resources being developed by this program:

Introductory Lecture

Download (PDF, 5.59MB)

Awesome Checklists

Pre anesthetic checklist 2013

Download (PDF, 1.96MB)



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Academic Emergency Physician – Knowledge Translation, Dalhousie University, Saint John, NB

Join the team in the Department of Emergency Medicine, Dalhousie University, Saint John Regional Hospital, Saint John, New Brunswick, Canada. An exciting opportunity to combine a 0.25 FTE role as lead for Knowledge Translation, with 0.75 FTE clinical time, at this teaching hospital and Level 1 trauma centre. See below for job details and explore for program details.


Download (PDF, 376KB)

Download (PDF, 388KB)


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Dr James French Presents – Elephant Trauma Rounds

An excellent presentation from Dr James French at Trauma Rounds this morning.

Take home messages:

  • New Brunswick needs a ‘Multiagency Trauma Research Registry’ in order to understand the problems and develop systems to address those problems
  • All doctors that work in Emergency Departments in all hospitals need to have ATLS certification at a minimum
  • Major Trauma is a relatively rare event. Training for major trauma must involve simulation. Simulation helps clinicians to become experts at managing rare events.
  • Most trauma deaths in New Brunswick occur in the 1st hour. The average transfer time to a Level 1 Trauma Centre is >1hr. Dr French welcomes the introduction of Advanced Care Paramedics in New Brunswick, but suggest that further Critical Care Paramedics skills are needed to perform the the emergency interventions required to reduce this early mortality.

Multiagency Trauma Research Registry

We already have some NB data on trauma cause and location. Download Dr Benoit Phelan’s  research poster here.


But we could do better. See this online visual database as an example of how it could be done.




Preparing for rare events (dealing major trauma is a relatively rare event for individual physicians and paramedics) requires ‘deliberate practice and mastery training’. Doing it again and again, practicing pitfalls, analysing mistakes, learning how to do it perfectly. The only way to do this is with simulation. Simulation needs to look and feel as close to reality as possible. Dress up – Cosplay!


Check Lists

How often have you struggled to quickly get your hands on the right equipment for a emergency procedure? Process mapping and planning assist in the development and maintenance of a system. Checklists augment clinical knowledge and training but do not replace it.

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Post RSI hemodynamic instability is common. Following a checklist can help to reduce complications of infrequently performed procedures.

Cisco_WebEx_Meeting_Center 3

Cisco_WebEx_Meeting_Center 2


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SJRHEM Simulation Program Innovation Recognised

Dr Jo-Ann Talbot recently participated in a Q&A session with freelance journalist Jericho Knopp on the subject of our incredibly successful simulation program. Dr Talbot gave an interesting insight into the history of our simulation program and its innovative developments. This Q&A was part of a 10 part series published by Jericho Knopp, including other interesting  stories for example: developing a risk assessment tool to prevent domestic violence.

A Q&A with Dr. Jo-Ann Talbot, helping implement SIM technology in emergency medicine

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Happy Birthday

Our website is celebrating it’s first anniversary today!

Despite this being essentially an SJRH EM website for our own consumption we have seen steady growth in our audience over the last 12 months. When we first went live we received an average of 15 sessions (website visits by different users) per day and are now receiving an average of 30 sessions per day. Over the year these users have viewed 26,318 pages.

Our website now has over 200 pages and posts including all our guidelines, reports from M&Ms, Rounds and Journal Club. There are also numerous useful documents within the Program filestores. It continues to grow every week. So please visit often to see the new content.

The Calendar and Schedule pages are very popular amongst the website visitors. Have you added these shortcuts to your mobile device yet?

As ever I’m always looking for any suggestions for improvement and also any ideas for content.

I’ve attached a google analytics report summary of the year below.

This website is a reflection of the hard work and productivity of all members of the SJRHEM Team, including those who worked tirelessly in the development of our clinical and academic programs, those who provide excellence in patient care, those who have championed our profile in medical education and research and all other members of the multidisciplinary team who support us on a daily basis in the work that we do.

Many thanks for your support.


SJRHEM Website Editor

Analytics All Web Site Data Audience Overview 20140412-20150414


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The four agreements – Don Riguel Ruiz

Agreement 1

Be impeccable with your word – Speak with integrity. Say only what you mean. Avoid using the word to speak against yourself or to gossip about others. Use the power of your word in the direction of truth and love.


Agreement 2

Don’t take anything personally – Nothing others do is because of you. What others say and do is a projection of their own reality, their own dream. When you are immune to the opinions and actions of others, you won’t be the victim of needless suffering.


Agreement 3

Don’t make assumptions – Find the courage to ask questions and to express what you really want. Communicate with others as clearly as you can to avoid misunderstandings, sadness and drama. With just this one agreement, you can completely transform your life.


Agreement 4

Always do your best – Your best is going to change from moment to moment; it will be different when you are healthy as opposed to sick. Under any circumstance, simply do your best, and you will avoid self-judgment, self-abuse and regret.

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The Halo Effect

Conflict with colleagues, consultants, other staff? Tried to adopt the Halo effect?

Priming and modelling might improve your difficult interactions…

In his book, “The Halo Effect,” Phil Rosenzweig described the Staw study like this, “…it’s hard to know in objective terms exactly what constitutes good communication or optimal cohesion…so people tend to make attributions based on other data that they believe are reliable.” That’s how the halo effect works – things like communication skills are weird, nebulous, abstract, and nuanced concepts that don’t translate well into quantifiable, concrete, and measurable aspects of reality. When you make a judgment under uncertainty your brain uses a heuristic and then covers up the evidence so that you never notice that you had no idea what you were doing.

Research into the halo effect suggests this sort of thing happens all the time. In one study a professor had a thick, Belgian accent. If that professor pretended to be mean and strict, American students said his accent was grating and horrendous. If he pretended to be nice and laid-back, similar students said his accent was beautiful and pleasant. In another study scientists wrote an essay and attached one of two photos to it, pretending that the photos were of the person who wrote the work. If the photo was of an attractive woman, people tended to rate the essay as being well-written and deep. If the photo was that of (according to the scientists) an unattractive woman, the essay received poorer scores and people tended to rate as being less insightful. In studies where teachers were told that a student had a learning disability they rated that student’s performance as weaker than did other teachers who were told nothing at all about the student before the assessment began. In each example, people didn’t realize they were using a small, chewable bite of reality to make assumptions about a smorgasbord they couldn’t fully digest.


So maybe modelling a positive outlook will lead to others responding in kind…???

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