<p>ED/UCC Taster session for FY2 Trainees</p><p>Monday 09.00-11.00 11.00-13.00 13.30-17.00 Induction ED Majors ED Resus Tuesday 09.00-13.00 13.30-17.00 RUCC, Physio clinic RUCC Wednesday 09.00-13.00 13.30-17.00 ED Resus ED Majors</p><p>Thursday 09.00-10.00 10.00-13.00 13.30-17.00 Teaching RUCC RUCC</p><p>Friday 09.00-13.00 13.30-17.00 ED Majors ED Resus 13.00-13.30 – Lunch</p><p>Supervisor – Mr S Bhattacharyya, Consultant in Emergency Medicine</p><p>Other ED Consultants - Mr E A Bayton</p><p>Mr M Tan</p><p>Mr K S Haq</p><p>Dr C Thomson</p><p>Mrs G Robertson</p><p>Dr H Turner</p><p>Dr G Adaka</p><p>OBJECTIVES TO ACHIEVE</p><p>1. In ED</p><p>1.1. ED Majors –</p><p>1.1.1 – To gain an understanding of Triage</p><p>1.1.2 - To assess patients presenting acute illness in all systems using - </p><p> The ABCDE approach</p><p> A structured, focussed History</p><p> Systemic (if non trauma)/systematic (if trauma) Examination using the correct methods</p><p> Attempt clinical decision making</p><p> Develop management plan</p><p>1 ED/UCC Taster session for FY2 Trainees</p><p> Administer essential treatment including drugs</p><p>1.2. In the ED Resuscitation –</p><p>1.2.1 – To consolidate ABCDE assessment system</p><p>1.2.2 – To assess and manage under supervision – </p><p> Cardiac arrest in adults and children</p><p> Major trauma</p><p> Severe sepsis</p><p> COPD exacerbation with respiratory failure needing BIPAP</p><p> Shocked patient</p><p> Severe Head Injury</p><p> Peri arrest Arrhythmia</p><p>2. In RBH UCC – </p><p>2.1 – To assess minor injuries and illness using the Look, Feel, Move technique</p><p>2.2 – To decide the need for X-ray request in injury</p><p>2.3 – To interpret X-ray under supervision</p><p>2.4 – To devise a management plan</p><p>2.5 – To see patients with the following emergencies – </p><p> Eye</p><p> ENT</p><p> Maxillo-facial</p><p>3. Generic skills – To consolidate the following - </p><p> Communication</p><p> Consent</p><p> Documentation</p><p> Referral to specialty(orthopaedics, paediatrics) and handover using SBAR</p><p>2 ED/UCC Taster session for FY2 Trainees</p><p> Referral to agencies ie – OT, Physio, Alcohol team, Age UK, RAT, Neurosurgeons at RPH</p><p>4. Procedural skills – To perform under supervision (US) & independently (IP) and to get SLE’s done in – </p><p> IV access - IP</p><p> Venepuncture - IP</p><p> Blood culture - IP</p><p> Blood tests incl. interpretation and action if abnormal - IP</p><p> ABG incl. interpretation and action if abnormal - IP</p><p> ECG interpretation - US</p><p> Fascia Iliac Compartment Block (FICB) for # NOF patient – US</p><p> Femoral nerve block for femoral shaft # patients – US</p><p> Digital nerve block – US</p><p> Chest drain – US</p><p> CPR – IP</p><p> Defibrillation – US</p><p> Wound assessment, management including closure techniques - US</p><p> Log roll a patient with spinal injury - US</p><p> C-spine immobilisation – US</p><p> Airway management using basic manoeuvres & adjuncts</p><p> MUA of simple colles # in the elderly, Dislocation of Shoulder & Elbow, #-dislocation of ankle</p><p>5. To try and obtain exposure to and manage the following – </p><p> Patients with Chest pain with diagnosis of – STEMI, NSTEMI, Unstable angina,</p><p> Patients with Breathlessness with diagnosis of - Acute Asthma, COPD exacerbation, Pneumonia, ?PE </p><p> Patients in Shock with diagnosis of - Haemorrhagic, anaphylactic, Septic, Hypovolemic, Cardiogenic</p><p> Patients with Abdominal pain with diagnosis of – Acute Cholecystitis, Acute pancreatitis, Acute Appendicitis, Acute Intestinal Obstruction,</p><p>3 ED/UCC Taster session for FY2 Trainees</p><p> Patients with Bleeding PV in early pregnancy</p><p> Patients with Upper and Lower GI Haemorrhage</p><p> Patients with Neurological emergencies with diagnosis of – Stroke, TIA, Cauda-Equina syndrome</p><p> Patients with Collapse in the elderly</p><p> Patients with DKA</p><p> Patients with diagnosis of - #NOF</p><p> To use care Bundles like – Sepsis, #NOF, Stroke, pneumonia, COPD, DKA</p><p> To use NICE guidelines (CT scan in head Injury, COPD, GI Haemorrhage, DVT, PE), BTS guidelines(Asthma, Pneumonia)</p><p>4</p>