Tag Archives: emergency department

Consultants in Emergency Medicine (7 posts)

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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.

Tranexamic Acid Implementation Guide

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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?