Accident & Emergency

Department: Emergency Department

Clinical Supervisors:

Bill Bailey

Katherine Lendrum

Lucy Jones

David Prosser

Tom Burton

What the attachment offers trainees:

• Clinical skills on how to resuscitate the critically ill and the severely injured patient as per advanced life support protocols.
  
  
• The assessment and initial management of acute medical emergencies e.g. acute asthma, chest pain, CVA... etc.
  
  
• The assessment and initial management of surgical emergencies e.g. acute abdomen, renal colic, ischaemic limb…etc.
  
  
• Assessment and initial management of trauma patients e.g. facial, head, neck, chest and abdominal injuries.
  
  
• Assessment and initial management of paediatric emergencies.
  
  
• Assessment and initial management of musculoskeletal and limb injuries e.g. ligament and joint sprains, dislocations and bony fractures.
  
  
• Assessment and initial management of psychiatric emergencies e.g. self harmers …etc.

Acquiring skills in:

• ECG interpretation and dysrhythmia recognition.
  
  
• Radiographs interpretation.
  
  
• Data interpretation of blood gases.

Acquire surgical skills:

• Trainees have the opportunity to assess and explore wounds and lacerations and practise wound closure by suturing, application of steristrips or surgical glue.
  
  
• Incision and drainage of abscesses and nail fold infections.
  
  
• Manipulate simple closed fractures and dislocated joints.
  
  
• Administering local anaesthesia and digital nerve blocks.

Assessment and initial management of ophthalmic, ENT and Maxillofacial emergencies e.g. removal of FB from the eye, nasal packing and reducing a dislocated mandible…etc.

How to manage special situations of bereavement, breaking bad news, non accidental injuries and child protection issues.

How to effectively manage and prioritise the high workload of the ED and to improve their time management and decision making skills.

How to manage the relationships in a multi-disciplinary team and learn how to communicate effectively with those groups of staff.

To develop skills in the wider aspects of EM work such as the pre-hospital services, relations with the police, major incident planning and clinical audit.

What teaching is offered?

• Clinical induction course held on the first Thursday and the afternoon of the second Tuesday from the start of the post. The timetable is available on request from Jill Spafford (medical workforce officer) on extension 3145.
  
  
• Weekly teaching programme, 2 hours session every Wednesday 1-3 pm.
  
  
• Shop floor teaching by working closely with consultants and other senior staff.
  
  
• Work place based assessments by senior clinicians.
  
  
• Trainees are encouraged to attend relevant courses e.g. life support courses (ALS, ATLS, APLS).

Look at the GP Curriculum to identify what you need to learn for GP.

Look at the trainee handover document to see what other trainees thought.