ISPO Fremantle Solving Clinical Issues in Patient Management

Scientific Program The Therapeutic Goods Act – Symposium Mr Robert Love – multiple limb attachment under the media spotlight Free Papers Clinical Professor Fiona Wood – scar outcomes in major injuries Dr Julie Dockerty – the course & complications of meningococcal disease

The Therapeutic Goods Act 1.5 hour symposium on the changes to the TGA and it’s implications for prosthetists & orthotists Explanation of the essential principles Realities of implementing the changes and effects on clinical practice

Mr Robert Love – a case study of multiple limb reattachment under the media spotlight Mr Love – consultant plastic surgeon from Princess Margaret Hospital, Perth Terry Vo, aged 10, amputated both hands and a foot in a backyard accident at Easter 2005 Mr Love led the 8 surgeon team who reattached all 3 limbs

Terry’s immediate management, progress and the media response to the incident Outcome: fantastic example of co-ordinated team effort and associated costs successful attachment of both hands with some functional activity available loss of reattached foot cynicism for media reporting abilities!

Clinical Professor Fiona Wood – scar outcomes in major injuries Australian of the Year – 2005 Led the team that treated the burns victims of the 2002 Bali bombing Quality of scar outcome can be influenced at every stage of therapy & all interventions affect the resulting scar Discussed ‘spray on skin’ technology Ultimate aim is to ensure the quality of the outcome is worth the pain of survival

Dr Julie Dockerty – the course & complications of meningococcal disease Occurs worldwide as isolated cases, community- based outbreaks & epidemics Leading global cause of rapidly fatal sepsis in previously healthy individuals Transmission is by respiratory droplets and may lead to septicaemia or meningitis Treatment is with appropriate antibiotics and supportive measures such as fluid resuscitation, inotropes and ventilatory support

Complications include mental retardation, deafness, hemiparesis and amputation A combination vaccine is available offering protection against a number of serotypes but not for serotype B which is the commonest form in Australia.

Free Papers Removable rigid dressings: a retrospective case note audit to determine the validity of post amputation application Australian amputees’ expectations of the prosthetists’ behavioural role: preliminary findings Fewer, older, sicker? A retrospective audit of amputation at the Royal Melbourne Hospital Embodied pain: the interaction between prosthesis use and phantom pain