Student-ER.net
Accident and Emergency Medicine
Tayside University Hospitals Trust.
Student-ER.netAccident and Emergency MedicineTayside University Hospitals Trust.
|
         
|
INTRODUCTION. This guide contains the aims and objectives of your
attachment to the Accident & Emergency Department. It also gives details of
your timetable along with a short suggested reading list and, lastly by way of
assessment, a short list of M.C.Q’s. is given and these should be completed by
the end of your week in the A & E Dept. ACCIDENT AND EMERGENCY
DEPARTMENT STAFF Consultants Dr Bill Morrison Mr Mike Johnston Mr Barry Klaassen Mr Neil Nichol Mr Shobhan Thakore Mr Brodie Paterson
Associate
Specialist
Dr Sue Steele DEPARTMENTAL ACTIVITIES The A&E Department at Ninewells Hospital treats ~60,000 new patients per year. Most of these patients are self-referred with a broad range of medical, surgical and trauma conditions. In addition, all patients being brought to hospital by emergency ambulance will come to the Accident and Emergency Department and these patients will cover the whole range of emergency conditions. Patients who have already been seen by their own doctor, can be admitted directly to the specialities without passing through the A & E Department. Any patients who have life threatening conditions will be treated primarily in the Resuscitation Room, no matter how they get to hospital.
As discussed below the main aim of your time with
us is to gain an overall idea as to what is involved in day - to - day Accident
& Emergency work. However, it will be readily apparent that we cannot
'arrange' for the clinical material to be available while you are in the
Department during the morning. As such, you are welcome to return in the
evenings in the hope that there will be more material around. If you do attend
in the evening you must introduce yourself to the senior members of medical and
nursing staff and inform them that you are currently attached to the
Department. Please be sure to wear a white coat and your name badge. You will
not be allowed into the Department without these. With regard to attending the
Department 'out - of - hours' please note that only medical students currently
attached to A & E will be allowed access. The Department can become very busy and when this
happens you may get the impression that people are ignoring you or that you are
‘in the way’. This will of course not be the case unless you are in the
way of a fast moving trolley! This leads us to the issue of safety. Accident
& Emergency Departments are, by their very nature, unpredictable working
environments. Be sure to wear rubber gloves if you are involved with practical
procedures such as suturing or the insertion of intra-venous cannulae. Please
ensure that you handle 'sharps' carefully and dispose of them in a sharps
container. This is your responsibility.
Remember to wash your hands before and after examining patients. Some members of the public can also become very aggressive and violent. This may or may not be as a result of illness or injury. If such occasions arise and you find yourself involved, you should simply say nothing and leave the area. You are not permitted to see patients on your own,
'first off'. You will be encouraged to accompany the medical staff when they are
seeing a patient and to go and re-examine patients who have already been
assessed. You must not undertake any practical procedure without the presence of
a member of medical staff. TEACHING TIMETABLE Students attend the A & E Department as part of
the 2 week ‘Acute Care’ attachment. On the first Monday of this block,
students should report to the Seminar Room of the NHS
Department of Anaesthetics (Level 6, by Main Theatre Suite) at 9 am for
the introductory tutorial, and to receive a full programme for the 2 weeks. On
days of clinical attachments to A & E, students should attend at 08:45
hours. The usual programme is:
09.00 – 09.30
Ward round: short stay ward
09.30 – 10.30
A & E review clinic
10.30 – 10.45
Coffee 10.45 – 12.30 Small group teaching OBJECTIVES AND AIMS
The week in A&E allows students unrivalled exposure to acute illness.
We will concentrate on the recognition
of serious illness with specific regard to Airway, Breathing and Circulatory
upset. You will also see a range of less serious illness and injury and have a
chance to improve your communication skills. Formal teaching is based around several tutorials (available on-line shortly). These are given in the mornings unless the condition has been seen in the resuscitation room and has been taught as a real scenario. Please use the undergraduate website, www.student-er.net, for a full list of teaching resources. SUGGESTED READING
(all
available in the library) ABC
of Major Trauma - BMJ publications ABC
of Resuscitation - BMJ publications The
ECG made Easy - J.R. Hampton - Churchill Livingstone Oxford
Handbooks in Emergency Medicine series - Oxford Univ. Press incl.-
Accidents and Emergencies in Children - R.J. Morton, B.M. Phillips
|
|
The contents of this website are copyright.
|