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Canada Vancouver hospital has key role in training Canadian military trauma surgeons

10:35  12 november  2019
10:35  12 november  2019 Source:   vancouversun.com

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“The Canadian Forces Trauma Training Centre was very timely to start bringing people through at a rapid rate. “The military could stand up and say, ‘We are offering equivalent care to what our soldiers would get if they were in Canada .’ “I think everybody feels good we’re contributing way back here in

Vancouver hospital has key role in training Canadian military trauma surgeons . Due to the current virus situation and Canadian Forces travel restrictions, it has been decided to postpone the BC Military Gala until Fall.

a man standing in front of a shop: Dr. Philip Dawe is a trauma and general surgeon at VGH and serves as the medical director for the Canadian Forces Trauma Training Centre (West). He is shown at VGH in Vancouver. © Arlen Redekop Dr. Philip Dawe is a trauma and general surgeon at VGH and serves as the medical director for the Canadian Forces Trauma Training Centre (West). He is shown at VGH in Vancouver.

Perhaps you’re aware Canadian journalists are sometimes embedded with the armed forces in war zones; you’re probably less aware that military doctors are embedded at Vancouver General Hospital.

It’s a program begun about 20 years ago to keep Canada’s military medical people primed in trauma care and ready to deploy at almost a moment’s notice.

Dr. Philip Dawe, trauma and acute care surgeon at VGH and a Canadian Forces major, is the third military doctor to head the Canadian Forces Trauma Training Centre West (another, CFTTC East, has opened in Montreal).

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Vancouver , Canada . Join institution. Overview. Pain management plays a fundamental role in enhanced recovery after surgery pathways. Previous work using CT angiography has demonstrated that collateral blood supply is a key determinant of infarct volume and functional outcomes in LVO AIS.

Trauma and orthopaedic surgery is often abbreviated to T&O surgery . The role of an SAS surgeon can vary greatly. Depending on your experience, you might work on complex If you have trained on an academic T&O pathway or are interested in research there are opportunities in academic medicine.

“Because we don’t have a main military hospital anymore … now the model, which I think is a great model, is that we’re embedded in civilian centres,” he said.

Saving military lives hits a little closer to home for Dawe than for many, and not just because his father and three brothers all also served.

Matt, the youngest of the four Dawe brothers, was 27 when, along with B.C. soldier Colin Bason, four other Canadian soldiers and their interpreter, they died in a roadside bombing in Kandahar, Afghanistan.

His mother Reine was this year’s Silver Cross Mother and on Nov. 11 placed a wreath at the National War Memorial in Ottawa on behalf of all Canadian mothers who have lost a child in the military service of Canada.

To this day, Dawe needs a moment to collect himself when asked about his little brother.

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Trauma surgeons specialize in it. Trauma surgeons evaluate, diagnose and operate on severely injured patients. That can include survivors of falls Both ER doctors and trauma surgeons will have the same education in medical school. After they graduate and begin working as hospital residents

Medical Officers serve an important role in the Canadian Armed Forces, providing direct care to Once they complete their entry-level occupational training , most Medical Officers begin their military career with a three- to four-year posting at a Canadian Forces Base as a General Duty Medical Officer.

He was already studying medicine, so his brother’s death was not an epiphany moment, he said, but it did galvanize him, cemented his desire to be more than a general practitioner.

“If I could save one military person’s life overseas, then my career will be worthwhile,” he said.

There are 50 to 60 specialists among the doctors in Canada’s forces — surgeons, anesthesiologists, orthopedic surgeons, a few other specialties.

In a high-level hospital such as VGH, they are able to stay up to speed on their skills while getting a solid volume of work. (Military nurses, doctor’s assistants, paramedics and GPs are also trained in trauma.)

“Then when we do deploy we’re ready to deal with those patients we’ll see.”

If a soldier in a war theatre can make it to a medical trauma centre, there is about a 97 per cent chance they will live, said Dr. Ross Brown, today working at Lions Gate Hospital in North Vancouver and the first embedded military trauma physician when the program began at VGH.

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Core surgical training Core surgical training lasts two years or more and provides training in a hospital in a range of surgical specialties. During the first two years of your training you must take the examination to achieve membership of a Royal College of Surgeons (MRCS) or equivalent.

Vancouver General Hospital . Vanderhoof. St. John Hospital . Main article: List of hospitals in New Brunswick. Military . Local government. Foreign relations.

The program has its roots in the late 1990s following an auditor general’s report questioning the way the Canadian military’s ran its medical world, said Dr. Ross Brown.

“That caused the military to look at itself and do some redesign on health care,” he said.

The military looked abroad — Britain, in particular, had a strong reserve force working within its National Health system, but who were “extractable” and could be deployed, and who had experience working on blast injuries and penetrating wounds.

When Brown finished his residency in general surgery at UBC, it was time for him to rejoin the military and he was assigned to Halifax, one of three general surgeons assigned to a 24-bed hospital.

“I was seeing what the Brits and the Americans were doing, and said ‘Why don’t you leave me in Vancouver … learn more and more about trauma, consolidate my own skills, do more training and I’m still deployable.'”

There were lots of questions: How would he be paid? Would he take someone else’s job? What would public opinion be?

It took awhile, including showing up at Halifax and then being deployed to Bosnia, but when he got back the wheels were rolling for the Canadian Forces Trauma Training Centre, West.

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@article{Tien2006PreparingCM, title={Preparing Canadian military surgeons for Afghanistan.}, author={Homer Chin-Nan Tien and Robert M. Farrell and John Macdonald}, journal={CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne}, year={2006}, volume

After being trained in the overall study of orthopedic surgery , many surgeons in this field eventually develop a specialty in a more specific area. Waiting in an emergency room of a hospital near you, trauma surgeons are the ones ready to step into action when severely injured patients are rushed in.

“I would not have been able to do that had it not been for the willingness of Vancouver General and Vancouver Coastal Health to say, ‘Alright, we’ll take a chance here,'” Brown said. “And the military, of course.

“It was a time you could lever an idea and show everyone it was a win-win-win.”

It was early 2001. Within months the 9/11 attacks were carried out and Canada was about to deploy forces to Afghanistan.

“Yep, of course we’re ready to go,” Brown said. “The Canadian Forces Trauma Training Centre was very timely to start bringing people through at a rapid rate.

“The military could stand up and say, ‘We are offering equivalent care to what our soldiers would get if they were in Canada.’

“I think everybody feels good we’re contributing way back here in little Vancouver with a trauma training centre.”

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