Assisting healthcare professionals to deliver vital care
Emergency medicine is the field of practice where a health care professional is required to have the knowledge and skills to diagnose and manage the full spectrum of undifferentiated presentations of all the specialities of medicine as they present in varying degrees of urgency to the Emergency Centre. It requires the ability to differentiate from a sea of patients the ones that need life-saving immediate care to those requiring advise and reassurance as they are discharged home. It entails being able to manage a critically ill gunshot patient and the patient presenting for the removal of a splinter in the same shift and, from the view of the individual patients, ideally at the same time. This vital discipline needs to be able to manage multiple patients while delivering specialist level care at the time it is most needed.
ECM has developed multiple systems to assist in Emergency Centre doctors to better deliver this vital care.
ECM-Flow is a patient management system developed by an Emergency medicine specialist to improve the functioning of any Emergency Centre. The key focus was to deliver all the vital information with minimal input required by the Emergency Centre team. There are multiple features that are Emergency Centre specific that improve patient flow, emergency care (ie stroke) and improve the functioning of the myriad of different staff that are required to manage an Emergency Centre. The system has now been developed further to manage multiple wards making it capable of tracking patients throughout a hospital. ECM-Flow is currently managing two large emergency centres.
Key features include:
Live patient tracking
COVID labelling with date tracking and stats
Waiting time tracking
Quick load functionality
Rapid load for known patients
Previous visit tracking
Discharge lounge with disposition tracking
Discharge reports for reception staff
Triage tool and tracking
User roles and permissions
EC bed availability tracking
Live statistics and reporting
Central multi-unit statistics and reporting
Specialist SMS and in-hospital bed assignment
GP and employer email capability
Unit manager notifications
Follow up clinic bookings (WCA and private)
Follow up diary/ daily returns screen with quick load
Stroke tracking, notification and reporting
Radiology dashboard with time tracking and notifications
Central patient display dashboard
Waiting time screen with message functionality
User/ role management
Coffee shop/ out of EC patient tracking functionality
Resus alert with sms notification
Multiple ward dashboards
* under development
ECM training consists of multiple online courses designed to educate and train emergency and critical care staff. Currently the requirements for working in an Emergency Centre require the attendance of basic resus courses that cover 1% of what is seen in an Emergency Centre. This results in Emergency Centre’s being staffed by Health care professionals with no further emergency training since the basic training of medical school. ECM training courses have been designed to cover the breadth of all specialities as they pertain to the emergency centre. The training is fully focused on covering the most critical emergencies right through to the more minor and more abundant green presentations. It includes practical information on how to approach and manage not only EC patients but the management of the Emergency Centre itself. The learning curve for working in an Emergency centre is incredibly steep and with the high turnover of EC staff this often results in new staff not copping and never receiving adequate training. With ECM training staff are able to complete the online curriculum prior to starting in the EC resulting and are then immediately able to deliver improved care. Unit mangers are also guaranteed that their staff are informed and have been trained on the critical knowledge and skills required in an EC. The course consists of multiple videos and students are required to complete multiple assessments to confirm their knowledge acquisition before receiving a certificate that they have completed the specialist designed curriculum. The training is targeted to different Emergency Centre personnel.
ECM–NP (Nursing practitioner) which is divided into NP-EC and NP-ICU
ECM – PHP (Prehospital Practitioner) – for Paramedics
INTRO to Emergency medicine
Sedation & analgesia
Ventilation- (incl NIV)
Orthopaedics (incl casting and commonly missed fractures)
Common minor EC presentations
Common major EC presentations
Wound care and Burns
Complaints adverse events
Statistics and Evidence Based Medicine
EC Speciality pearls
* currently being trialed
The medical assessment of patients needs to be done thoroughly but this can be challenging when assessing multiple patients in a day. The risk of COVID has only made this more challenging as time spent taking a history increases the risk of exposure of both patient and medical practitioner. The need for multiple patients to be assessed in a day can results in important information not being gathered. Pre-Consult was developed to make this vital function more efficient and effective. Patients are able to fill in presentation specific information while they wait on their phones or provided tablets before being seen by a medical practitioner. The assessment is interactive with the triggering of specific history pathways according to the patients input. Pre-Consult is then able to immediately deliver the information to the Medical practitioner with clear prompts and advise prior to being seen. The medical practitioner is advised on multiple possible areas to asses that is often not thought of by inexperienced staff. Patients are also able to start receiving focused education on their inputted concerns. Pre-consult has been further developed to now include doctors notes and to assist with billing. This includes assisting in the calculation of trauma cause codes which are completed and available even before a patient has been examined. Pre-consult is a complete and secure medical record that allows notes to be completed on any device and billing codes to be selected during a consultation. The system then generates complete signed notes that are electronically stored. The system is being developed to meet the needs of allied health and prehospital practitioners too.
This includes online support, maintenance, upgrades etc. If hardware is needed, this will be quoted separately.
Negotiable support packages and bespoke development on request if needed
*under going testing
50% off monthly licensing fee for first year if signing up in 2020 for ECM Flow
Monthly licensing fee of R1250.00 per month (Normal licensing fee R2500.00)
+ 30 day free trial. No set up fee (unless hardware needed)
Contact us at email@example.com
About Dr Fiandeiro
Dr Daniel Fiandeiro (MBBCh, FCEM, DA, DipPEC, MMED) is an Emergency Medicine specialist with a passion for developing the speciality of Emergency Medicine and improving the functioning of Emergency Centres.
He has worked in multiple countries (SA, N. Ireland, England, Brazil) and in both private and state settings. He is currently running the Emergency Centre in a private hospital in Pietermaritzburg.
Contact us to find out more or to signup for ECM’s services.
072 152 2907