NOVEMBER DECEMBER TEACHING BLOG FOR SLIGO ED

Posted on November 7, 2014 by Mick Killeen

WELCOME TO SLIGO ED TEACHING BLOG (EMSLIGO.BLOGSPOT.IE) NOV / DEC 2014
The purpose of this blog is to store teaching talks and other information
The idea is that each talk has a 1 page  summary. posted here and links to references/websites used
The links on this page are a great start to finding information for your talks
There will be a (very flexible ) five week cycle

Week1  : NCHD / medical student talks – 4 10 minute talks ( strickly 10 mintues as we have short attention span ) .summary posted here(email me your summary with links mickilleen@gmail.com)
Week 2 : NCHD / medical studtent talks
Week 3 : simulaiton training
Week 4: NCHD / medstudent talks
Week 5: M/M ( review of interesting patients in Resus – keep a patient sticker so you can look up what happened to your patient and present it ) A middlegrade doc or consultant will oversee this .
There will be an OSCE type quiz on topics from these talks ( we will ask each presenter to create an OSCE type question ) this will happen once a term ( so pay attention to the blogsite !)
TOPICS WILL INCLUDE : (red denotes what we have partially covered so far )

1) Management of Acute cardiac emergencies including ACLS review
2) Management of acute respiratory emergencies including Airway management and  RSI )
3) Management of acute Neurological Emergencies including CVA (SAH/thrombolysis debate / stroke and TIA guidelines / syncope ) 
4) Vascular Catastrophes . AAA/ dissection  / cardiac Tamponade
5) Trauma management – Recent updates eg ICEM , Damage control resuscitation / crash 2 trial / TTM trial
6) Orthopaedic injuries ( pelvis / longbone / hand and foot / soft tissue injuries to shoulder , knee , wrist and ankle
7) The focussed clinical exam in 2014 – Different Joints / formal Cardiac exam / neurological examination .
8) ULTRASOUND TRAINING – (THREE LECTURES , LOGGING SCANS , SUPERVISION AND TESTING  )
9) Paediatric Emergencies ( Assessment of the unwell child / PALS / APLS / APLS review / NAI
10)Interpretation and management of Acute Electrolyte disturbances (hyperkaleamia / acid base / hyponatremia / Hypernatremia / DKA / Honk / Acute renal failure )
11) The critically ill patient – Sepsis bundles / BOIC / Post cardiac arrest management / post intubation check list / inotropes / antibiotics in serious sepsis 
12) Toxicology – general approach / Specific and common life-threatening overdoses. Seratonin and anticoholinergic syndrome 

THIS MONTHS TOPICS
WEEK ONE ( 13th Nov) – SUMMARY OF ESSENTIALS OF  EM CONFERANCE (no NCHD TALKS)
WEEK TWO ( 20 November ) 4 talks in total :

evidence based management  of heart failure acutely and as an outpatient 
use up to date recognised guidelines ( ie 2012+ ) – UK / canadian / ESC / AHA and FOAM 
for talks 1 and 2 suggest you base it around 3 cases 
talk 1 )  – emergency dept ASSESSMENT of flash pulmonary Oedema / cardiogenic shock / undifferentiated decompensated heart failure 
talk 2 ) – emergency department MANAGEMENT of flash pulmonary Oedema / cardiogenic shock / undifferentiated decompensated heart failure ( including heroic things like REBOA or  IABC )
talk 3) – outpatient MANAGEMENT and  investigations of heart failure – drugs / lifestyle modification/ supportive care / prognosis 
talk 4 ) lung ultrasound in an emergency medicine setting focus on A and B lines etc – Registrar
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Week THREE

1)  DDimer in pregnancy and the over 50s – new guidelines -http://rebelem.com/age-adjusted-d-dimer-testing/     and http://www.perinatology.com/Reference/Reference%20Ranges/D-Dimer.htm
2+3)2 talks aortic dissection – assessment and management in the emergency department ( two talks )  assessment = hx/exam/INVx  mangement= resus/defintive tx/ consultation / disposition and other issues (controversies and pit falls , prognosis ) 
4+5) 2 people : treatment of DVTs of the lower limb , below and above knee – the options and controversies for a start check : http://stemlynsblog.org/new-nice-guidance-on-investigation-of-dvt-in-the-ed/
debate for and against below knee dvt anticoagulation 
week 4
Simulation training
week 5
M/and M 
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