Emergency Medicine Fundamentals for the F2 Doctor (318YDH)

Programme

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Due to the changing guidance on COVID, there is a possibility that the course can be cancelled at short notice. We hope for this to not happen but would like to caution all candidates of this in advance. If you have developed a new cough, fever or symptoms consistent with coronavirus you must not attend the course. Please inform the course organizers and they will ensure that you will be given first refusal for the next course.

Food will be provided for lunch, please email sam.thomas@ydh.nhs.uk if you have any specific dietary requirements.

Recommended to all

Candidates will be divided into 3 groups, with a good ratio of faculty to delegates in all stations. Groups will rotate through three stations:

• Medical Emergency medicine scenarios
• Paediatric Emergency department scenarios
• Practical station:

1. US Guided IV Access
2. Challenging Radiographs
3. Wrist Fracture Manipulation

Simulated activities will include direct feedback to the group in the debrief after each scenario. Small group teaching will have numbers of 4-5 to allow direct feedback and teaching regarding USS / Radiographs.

1. Develop an understanding of entry requirements and person specification for EM training (via ACCS or other routes)
2. Revise / Construct further understanding and practice in managing the acutely unwell medical adult patient who presents to the emergency department (scenarios include adrenal crisis, arrythmias)
3. Induce the process of systemic A-E approach to the acute unwell child, using EPALS algothrims as necessary (scenarios include unwell neonate, bronchiolitis in 2 year old)
4. Evaluate plain film radiographs of frequently missed / challenging injuries (carpal bone fractures, mid foot fractures)
5. Attempt wrist fracture manipulation on bespoke model and develop knowledge of principles of management of wrist fracture 6) Introduce bedside USS scan as method of gaining vascular access.

1. Demonstrates extended leadership role within the team by making decisions and taking responsibility for managing increasingly complex situations across a greater range of clinical and non-clinical situations
2. Performs rapid, focused assessment of illness severity including physiological monitoring and also considering mental health aspects. Performs prompt, rapid, focused assessment of the patient who presents an acute risk to themselves or to others in the context of mental disorder, incapacity or incompetence
3. Recognises acute manifestations/exacerbations/ progression and new complications of long-term conditions and their causes. Recognises how acute illness or injury will interact with pre-existing chronic illness/disability
4. Increases the range and complexity of investigations which they can interpret and helps colleagues to interpret appropriate tests and investigations