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Managing acute limb ischaemia

21st April 2020


Not all limb ischaemia is created equal! Sometimes your consultant says ‘IV heparin overnight’, and sometimes you get a dressing down the next day for not having called the consultant in for emergency limb saving surgery.

So how do you spot ‘it’, how do you decide on the best management plan, and how do you make a decision in a patient’s best interests?


Mr Barnabas Green

Barnabas ‘Barney’ Green works as a consultant vascular surgeon at South Tees Hospitals NHS Foundation Trust. His clinical duties cover the full gamut of vascular conditions in addition to contributing to surgical support for major trauma. He served as Regional Surgical Advisor for the RCSEd in the Northeast of England and is now Deputy Director of the Network. Of note, he has convened two hugely successful trauma skills days on the Domestic Terror Attack, and more recently, Violent Crime and Surgery.

Barney is the Clinical Lead for Safer Surgery at South Tees Hospitals NHS Foundation Trust and, having recently stood down as the Quality Lead for Postgraduate Medical Education in his Trust, he continues his commitment to teaching and training to both undergraduates and postgraduates. As part of this role he convenes the Newcastle Surgical Training Centre’s Advanced Cadaveric Vascular Skills course. Barney is involved in research, including a multinational, multimillion Euro research project into revolutionising amputees prostheses, but when it’s all said and done he would much rather spend time with his family, eating good food, climbing mountains and riding bikes with them!


Mr Peng Wong

Peng Wong is a Consultant Vascular Surgeon at South Tees Hospitals Foundation NHS Trust, Middlesbrough. He qualified from Bristol University and completed his Higher Surgical Training in Northeast England. He is currently an examiner for the FRCS (Vascular Surgery) and Fellowship of European Board of Vascular Surgery examinations.

Mr Wong is a Regional Surgical Advisor for the Royal College of Surgeons of Edinburgh for Northeast England. He is also an Associate Clinical Lecturer at Newcastle University and Specialist Advisor to the Care Quality Commission.



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