Emergency Medicine Consultant

Basic Function

Emergency Medicine Specialist works as a staff member of the Emergency Medical Services Unit which functions under Johns Hopkins Aramco Healthcare (JHAH).  His/Her responsibility is to perform as an Emergency Consultant to treat emergency medical conditions (adult, pediatric, and obstetric emergencies).  Runs the Emergency Medical Services Unit assigned, in an efficient manner overseeing the care and led the resuscitation to every sick patient to save life and limb, including emergency thoracotomy and trauma peri-mortem caesarian section as per his privileges.  Provides emergency medicine expert opinion to all other JHAH disciplines and remote area clinics in matters related to emergency medicine including toxicology presentation.  Responds to disaster or emergency events as Chief Triage Officer and performs critical care of patients including Medevac.

Scope

1. Emergency Medicine Specialist may be assigned to any JHAH outpatient or inpatient service in any facility or area served by JHAH.  Primary mission is to provide emergency medical care to Saudi Aramco and JHAH employees, as well as their dependents including the transport of critically sick patients by air or by ground.
2. Organization served:  Works as a staff member of Emergency Medical Services Unit which functions under the Emergency Medical Services Division of Johns Hopkins Aramco Healthcare.
3. Financial responsibility indirectly related to EMS specialists is accountability to protect JHAH assets through reporting damaged equipment or potential risk.    Responsible to maintain his/her credential and privileges, continue medical education, meet JHAH EMSD requirements to avoid any legal matters.
4. Authority: EMS Specialist works under the authority of JHAH reporting to assigned Unit Head, oversees the Unit during his/her shift as the most expert person.  Supervises non EMS specialist clinicians in the Emergency Room.  EMS Specialist has teaching responsibilities which may include medical conferences in addition to ACLS, PALS, ATLS, ADLS and NRP as well as other local physician/nurse continuing education programs, participate in the administrative work as approved by the Chief of EMS.
5. Supervision received: EMS Specialist should work independent with no supervision as the primary decision maker in the clinical setting.  Reporting to EMS Unit Head who in turn reports to the Chief of EMSD.  New hire will go through an assessment period for 3 months, reviewed by the Unit Head and the Chief of EMSD to be presented to the Credential and Privileges Committee of JHAH who reports to the CEO of JHAH to be given the privileges to practice in JHAH facilities.

Principal Contacts

• Frequent contact with patients and their families regarding medical findings and treatment. 
• Frequent close contact with nursing, para-professional staff and Consultants. 
• Occasional contact with Physicians and hospitals outside JHAH when patient transfers are being considered. 
• Contact with the EMS staff, students and residents in delivering educational programs and supervision.  EMS Specialists may get called to cover a VIP event or to respond to government need per request from higher management.  This may be featured by high level interaction which should be surrounded with respect and in line with the communication policy and procedure.
• Daily with the Unit Head.
• Ongoing with Chief, EMSD.
• Ongoing with JHAH C-suite managers

Principal Duties

• Plant equipment that EMS Specialist must be competent in the use of the following:

1. Resuscitation equipment
2. Breathing equipment
3. Circulation equipment . 
4. Trauma equipment
5. Emergency orthopedic equipment
6. EYE/ENT equipment
7. Obstetric equipment
8. Urological equipment
9. CNS equipment
10. Emergency ultrasound machine for trauma and obstetric emergencies, and vascular access, resuscitation. 
11. Physical examination equipment i.e. thermometers, pulse oximetry, portable suction regulator, and anoscope radiological monitory, emergency room fluoroscopy machine utilization if needed.
12. Disaster communication equipment such as pager, radio, cell phone, internet, SAP system, SMS, Emergency Message Board.

• Delivers high quality emergency medical care.
• Takes medical history, examines patient, orders appropriate diagnostic studies, initiates treatment.  Interprets obtained data, makes a diagnosis and recommends/orders treatment, medication and follow up care, obtains consultation when necessary, provides complete documentation. 
• Administers life-saving and immediate treatment as dictated by patient diagnosis and condition.
• Performs emergency procedures on inpatients as required such as in response to cardiopulmonary arrest (code blue).
• EMS Procedures: cricothyrotomy, retrograde intubation, foreign body removal, rapid sequences intubation, mechanical ventilation, percutaneous transtracheal ventilation, capnometry, non-invasive ventilator management.  Local anesthesia to include local nerve block, regional nerve block, procedural sedation, moderate sedation – analgesia for procedures, level 1 resuscitation, blood, blood component and fluid resuscitation. performs emergency diagnostic procedures, anoscopy, arthrocentesis, bedside ultrasonography, cystourethrogram, lumbar puncture, nasogastric tube, paracentesis, pericardiocentesis, peritoneal lavage, slit lamp examation, thoracentesis, tonometry, compartment pressure measurement.  Genital/urinary: bladder catheterization including foley catheter and suprapubic catheterization and testicular detorsion.  Head and neck: control of epistaxis, laryngoscopy, drainage of peritonsillar abscess, removal of rust ring, tooth stabilization, lateral canthotomy. Hemodynamic techniques: arterial catheter insertion, central venous access, intraosseous infusion, peripheral venous cut down, umbilical vein catheterization.  Obstetrics: Emergency delivery of newborn, emergency cesarian section in arrest situation, excision of thrombosed haemorrhoids.  Foreign body removal, gastric lavage, gastrostomy tube replacement.  Incision/drainage of abscess.  Violet patient management/restraint.  Sexual assault examination, trephination nails.  Wound closure techniques and wound management.  Escharotomy, thrombolytic therapy, poising antidote administration.  Skeletal procedures: Fracture/dislocation immobilization techniques, close fracture/dislocation reduction techniques, spine immobilization techniques, lifesaving thoracic procedure, cardiac pacing both Percutaneous and Transvenous.  Defibrillation/cardioversion, thoracostomy, chest tube or pig tail catheter.  Emergency thoracotomy, ultrasound screening, triage examination for detecting free fluid in the pelvis, determining fetal viability,  and gallbladder stone diagnosis.
• Advises company of employee capacity to perform work.
• When assigned, acts as Chief EMSD or other roles as required.
• Active in Division QI and disaster preparedness activities.
• Gives advice in matters relating to emergency medicine to JHAH Physicians and other health care professionals who may consult him/her.

Experience

Successful completion of residency training in Emergency Medicine with board eligible status.  Incumbent assigned with board eligible status is required to complete board certification in no more than 3 years.

Certifications/Other requirements as applicable

• Fluency in both Arabic and English is preferred
• Must have a thorough knowledge of medical ethics, with particular reference to the obligation to maintain the confidentiality of professional work; personality which inspires confidence and trust in patients and adhere to By laws, Rules and Regulations of the Medical Organization.

• Respects the confidentiality of all medical information.