CEM CPD Event 2012 at British Museum

Delegates at CEM CPD Event 2012 at British Museum

The College of Emergency Medicine (CEM) holds an annual Continuing Professional Development (CPD) event. The venue for this year’s event on 13-15 March 2012 was the BP Lecture Theatre at the British Museum in London.

Over the 3 days, a wide range of topics was covered by Emergency Physicians who are leaders in their respective fields. It was a chance to learn about the latest developments in Emergency Medicine, as practised across the country. I personally found the event stimulating and inspiring, and would highly recommend it.

Over 200 delegates came to the event, and it was a great opportunity to catch up with old friends, and network with new ones. The next one is in Glasgow, on 19-21 March 2013 & I will be going…!

* See the Event programme.

Emergency Medicine Operational Handbook

Emergency Medicine Operational Handbook (The Way Ahead)

The College of Emergency Medicine (CEM) has published an updated version of the “The Way Ahead” policy document, dated 2 December 2011. It has been renamed the “Emergency Medicine Operational Handbook” and replaces the old “The Way Ahead 2008-2012”.

The full document is 83 pages long and gives a comprehensive analysis of the state of play in Emergency Medicine in the UK – current practices, service configurations, workforce considerations and key challenges.

It lays down the blueprint of what Emergency Medicine in the UK is, and the direction of travel over the foreseeable future. It is an impressive policy document which is essential reading for anyone with an interest in UK Emergency Medicine.

"This guidance is for clinicians, managers and commissioners involved in the delivery of Emergency Medicine in the UK and the Republic of Ireland. The public may also find the document of interest. It replaces the previous guidance we issued known as ‘The Way Ahead’ in December 2008."

* A useful 4-page executive summary, called the “Operational Handbook Highlights” is also available from the CEM website.

For a historical perspective, “Way Ahead 2005” (written jointly by the British Association for Emergency Medicine and The Faculty of Accident and Emergency Medicine) and “The Way Ahead 2008-12” (written by the then newly formed College of Emergency Medicine) are also available.

Consultants in Emergency Medicine (7 posts)

We are currently advertising for 7 Consultants in Emergency Medicine to work at Leicester Royal Infirmary. These are a mix of new and replacement posts. One of the posts has a protected research component.

This is an exciting time to join the consultant team in Leicester. There is an increasing emphasis on consultant-led clinical care – there is already consultant shop-floor cover from 08.00am to 01.00am, 7 days a week. With a projected 19.8 WTE consultants, there is ample scope to develop sub-speciality interests such as Critical Care, Paediatrics, Pre-hospital Care, Acute Medicine & Geriatrics, and in Emergency Medicine research.

“The funded establishment is for 19.8 WTE NHS and academic consultant staff, which allows for flexibility of the rota and roles, including special interest areas. We have national level experts in the fields of acute geriatrics, paediatrics and emergency medicine research. At the current time we are seeking those with added experience in pre-hospital care, acute geriatrics, research and critical care, but our team is big enough to accommodate diversity.”

The advert can be viewed at the PDF link above, on the BMJ website or on NHS Jobs:

The closing date is 3 March 2012. Please get in touch with me if you would like any further information about these posts, or about working in Leicester.

Sheffield MCEM Course – Spring 2012

Sheffield MCEM Course - 9 February 2012Roger Dalton, Consultant in Emergency Medicine, led another successful Sheffield MCEM Course today.

Candidates from across the UK and from abroad descended upon the Clinical Skills Centre at Sheffield’s Northern General Hospital to be taught essential elements of OSCE examination technique required for success at the MCEM Part C exam.

Over the course of the day, candidates practised 24 OSCE stations in 4 circuits. They were given detailed critique on their performance by a faculty of 8 experienced registrars and consultants in Emergency Medicine. All the faculty members have passed the MCEM, FCEM or both, and have extensive experience in teaching on such courses.

Feedback from the candidates has been excellent, and we wish them the best of luck in the next MCEM exam in March 2012!

Tranexamic Acid Implementation Guide

Professor Tim Coats has written an excellent site outlining how to implemement the use of tranexamic acid in emergency trauma care.

The CRASH2 trial studied the use of tranexamic acid in the management of injured patients. The results of the trial were published in the Lancet in 2010, with a follow up paper in the Lancet in May 2011. The trial showed that treatment with tranexamic acid reduced patient mortality from 16% to 14.5%, thus preventing 9% of all trauma deaths. The number needed to treat was 67 – in other words one life was saved for every 67 patients treated. This means that the treatment cost of saving a life is about £200. The potential number of lives that we could save in the UK is about 500 per year.

Some Emergency Departments use tranexamic acid only as part of their Massive Transfusion Protocol – I was interested to learn that this restriction is invalid.

The Tranexamic Acid Implementation Guide covers the following areas:

  • What is the evidence for the use of TXA?
  • What is the indication for TXA use?
  • How is tranexamic acid given?
  • How soon should it be given?
  • How is the implementation of the CRASH2 results going?
  • Are there any mistakes being made in implementation?
  • How can I implement Tranexamic Acid in my Emergency Department?
  • How do I ensure that Tranexamic Acid is available?
  • How do I train my staff?
  • How do I audit tranexamic acid usage?
  • How important is the implementation of CRASH2?
  • What are people saying about Tranexamic Acid use in trauma patients?

“Research Registrar in Emergency Medicine” post

We are currently advertising for a "Research Registrar in Emergency Medicine" vacancy.

This is a great opportunity for an Emergency Medicine trainee to gain experience at one of the UK’s busiest Emergency Departments, while working towards an MD degree, supervised by a Professor of Emergency Medicine. It would be a great opportunity for a trainee wishing to develop an academic interest.

The closing date for applications is 1st January 2012.

Further information from http://bit.ly/research-registrar