Australia has the highest incidence of food allergy and hospital anaphylaxis admissions in the developed world.

Even experienced clinicians find managing severe anaphylaxis challenging. The majority of deaths from anaphylaxis in young people are due to bronchospasm.

AMAX4 is an algorithm for critical care clinicians to apply in anaphylaxis and asthma resuscitations. AMAX4 is the work of Dr Ben Mackenzie, a Melbourne based Emergency Physician.

The aim of this presentation is to use several cases and discuss AMAX4 as a method to reduce deaths from anaphylaxis and asthma by advancing standards in emergency medicine and prehospital care.

ACRRM Tele-Derm, established over two decades ago and pivotal in providing dermatology education and support for rural and remote doctors since 2004, extends its services to diverse populations, including First Nations people of Australia. This study analyzes cases submitted for advice from July 2023 to June 2024, focusing on those concerning First Nations individuals. Methodologically, we review all cases submitted within the timeframe, with emphasis on those involving First Nations patients (constituting 10-15% of all cases). We track specialist-doctor dialogues to identify cases of significant interest to rural doctors, which undergo evaluation by a panel for inclusion. The selected cases encompass various dermatological dilemmas encountered in rural and remote communities, reflecting the diversity of skin conditions and healthcare challenges faced by patients and their doctors. By showcasing these cases, we emphasize Tele-Derm's crucial role in providing accessible and timely dermatological care for First Nations people in rural areas. Each case, presented in a question-and-answer format on conference posters, encourages active engagement, fostering a deeper understanding of diagnosis and management. This approach promotes Tele-Derm participation among rural doctors, demonstrating the complexities of dermatological care and the service's commitment to inclusivity and equity in healthcare delivery.

Tackling physician well-being within the medical profession resembles grappling with a "wicked problem," which describes complex issues devoid of clear-cut solutions. This issue transcends regions, impacting not only rural doctors, but also their counterparts worldwide. Despite extensive efforts, this challenge persists, prompting advocacy for initiatives supporting healthcare professionals. This study aimed to investigate doctors' perceptions of organisational support and its influence on their well-being, pinpoint barriers that hinder doctors from seeking support, and propose strategies for enhancing organisational support while mitigating barriers to seeking assistance. Drawing on the insights of 10 doctors, confidential surveys and interviews were conducted to shed light on the topic. The results revealed a growing recognition within organisations regarding the crucial need to prioritise support for the well-being of rural doctors. Despite existing organisational aid, it remains overshadowed by the enduring stigma surrounding well-being assistance. Barriers included limited resource accessibility, entrenched cultural norms, and confidentiality concerns. With that, the study emphasises the significance of organisational support for doctors' well-being while pinpointing areas for improvement, notably destigmatising help-seeking behaviours and enhancing resource accessibility. By addressing these challenges, healthcare organisations can foster resilience and cultivate environments conducive to the holistic well-being of medical professionals.

Background: The RANZCP received funding through the Department of Health and Aged Care (DoHAC) Psychiatry Workforce Program (PWP) to develop the Certificate of Postgraduate Training in Clinical Psychiatry (the Certificate). The funding proposal outlined the current workforce pressures on medical practitioners to provide mental health care, and the opportunity for the RANZCP to embark upon a new educational initiative.
Objectives: The presentation will provide attendees with an overview of the Certificate, and how participants can develop practical clinical skills to assess and support patients presenting with new or existing mental health conditions. The Certificate aims to:

• upskill medical practitioners in psychiatry principles and skills to assist patients with mental health conditions, in the context of their everyday practice;
• expand depth of learning in an elective special area of interest, applicable to the patients they consult with;
• create pathways to access advice from specialist psychiatrists;
• develop a community of medical practitioners who value continuing professional development in mental health and ongoing learning together.

As demand increases for rural generalists to address the healthcare needs of rural, regional, and remote communities, understanding the barriers and enablers for training practices to host medical students, junior doctors, and registrars on clinical GP placements is essential. While learners are more likely to remain in general practice if they have positive placement experiences, less is known about how placement experiences influence the initial and sustained involvement of supervisors and practice teams in GP training. This paper explores the perspectives of supervisors and practice teams towards supervising/hosting medical students, junior doctors, and registrars on clinical GP placements in rural, regional, and remote training practices and explores factors linked to intentions to continue in the future.

As a profession, we do badly in caring for our most vulnerable patients. ACEM’s report Traumatology Talks: Black Wounds, White Stitches highlighted not only the intergenerational trauma affecting emergency department attendances, but also the care provided within the ED. One of the seven recommendations of the report is to introduce a discipline of Social Emergency Care. In Alice Springs ED, a service was established from 2023 consisting of a registrar and an Aboriginal Care Coordinator to provide for our most frequent attenders. The aim of this programme is to provide medical care, case coordinate, explore the wider social and cultural factors leading to the presentations in order to improve the service delivered to the patients and their health outcomes. We look at the health journey and aim to provide culturally safe care, and work with internal and external stakeholders to ensure patients’ needs are being met. We believe that this is a model for the future and are eager to share our experience and reflections on Social Emergency Care and how it could be integrated into your hospitals.

Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common liver condition in Australia and worldwide and is often encountered in general practice. The incidence of cirrhosis and hepatocellular carcinoma (HCC) related to MAFLD is increasing, and a standardised evidence-based approach is required for the identification and assessment of these patients. This consensus statement details 21 evidence-based recommendations to aid primary care health professionals in the diagnosis and assessment of liver disease and comorbid conditions in patients with MAFLD. The development of this document was led by experts in hepatology, general practice, endocrinology, cardiometabolic disease, clinical biochemistry, nursing, implementation science and public health, with review by consumer representatives. The document was supported by a systematic literature search and appraisal, and a modified Delphi approach was used to reach consensus. The application of these recommendations will aid in the determination of liver disease severity and assessment of underlying comorbid conditions in patients with MAFLD, thereby guiding appropriate referral pathways for specialist care and monitoring strategies.