Content

Routine post-operative care of the thoracic surgical patient

Chest drains and their management in the post-operative period

Airway

Management of stridor in the thoracic surgical patient

Post-operative care of patients who undergo airway procedures

Lung and pleura

Types of operations

Anatomical lung resections

Surgery for pleural disease (effusion, pneumothorax)

Lung volume reduction procedures (surgery for emphysema)

Surgery of the mediastinum

Surgery of the diaphragm

Surgical correction of pectus deformity

Management of post-operative complications

Pneumonia

Atelectasis

Respiratory failure

Acute lung injury/ARDS

Prolonged air leak

Surgical emphysema

Arrhythmias

Diaphragm paralysis

Vocal cord palsy

Early bronchopleural fistula

Thoracic trauma

Blunt thoracic trauma

Pulmonary contusions

Tracheobronchial injury

Rib fractures

Sternal fractures

Skills

Intercostal block

Serratus catheter

Chest drain insertion

Arterial line insertion

Central line insertion

Vascular

Acute Limb Ischemia

Critical Limb Ischemia

Abdominal Aortic aneurysm

Diabetic foot infection

Dialysis access complications

Basic assessment of an Arterio- Venous Fistula

AV Fistula thrombosis

Access steal syndrome

Common Vascular Procedures & Complications

Angioplasty

Amputation

Bypass Grafts

Aortic Surgery

Carotid Surgery

Peri-operative anticoagulation

Patients on warfarin[16]

Patients on DOACS

Patients on antiplatelets

VTE prophylaxis

Statins

Peri-operative care

Pre-operative planning

Post-Op Wound Care

Post-op hypotension

IV Heparin

Indication:

Loading dose:

Infusion:

Monitoring:

Heparin Induced Thrombocytopenia (HIT)

ABPI - Ankle-Brachial Pressure Index

Doppler Scans

Duplex colour ultrasonography

Arterial duplex scan

Venous duplex scan

Carotid duplex

Urology

Assessment of the Emergency Urology Patient

Renal Colic

Urinary Retention

Haematuria

Testicular Torsion

Epididymo-orchitis

Penile Fracture

Paraphimosis

Priapism

Upper Urinary Tract Trauma

Lower Urinary Tract Trauma

Genito scrotal Trauma

Pyelonephritis

Cystitis

Prostatitis

Urethritis

Fournier’s Gangrene

Scrotal Abscess

Blocked Nephrostomy

Blocked Catheter

Dislodged Nephrostomy

TUR Syndrome

Post TUR Bleed

Procedures

Upper GI

Biliary pathology

Pancreatitis

Ingested foreign body

Oesophageal perforation

Perforated peptic ulcer

Post-oesophagectomy anastomotic leak

Post-ERCP complications

Bariatric surgery

Slipped gastric band

Band erosion

Stenosis

Internal hernia

Skills/procedures

Nasogastric tube (NGT)

Lower GI

Acute appendicitis

Bowel obstruction

Pseudo-obstruction

Bowel perforation

Acute mesenteric ischaemia

Diverticulitis

Rectal bleeding

Inflammatory bowel disease

Groin hernias

Anorectal abscess

Ward issues/post-op complications

Anastomotic leak

Post-operative ileus

Stoma complications

Stoma examination guide

High output

Parastomal hernia

Retraction

Prolapse

Necrosis

Gastrografin x-ray for small bowel obstruction

Skills/procedures

Sigmoidoscopy/flatus tube

Incision and Drainage of abscess under local anaesthesia

Plastics

BURNS

EXTRAVASATION INJURIES

NECROTISING FASCIITIS

MONITORING OF FLAPS

DRESSINGS

PRE-TIBIAL INJURIES

BITE INJURIES

FLEXOR TENDON SHEATH INFECTIONS

TENDON, DIGITAL NERVE AND DIGITAL ARTERY INJURIES

NAILBED INJURIES

TRAUMATIC DIGITAL AMPUTATION

METACARPAL AND PHALANX FRACTURES/DISLOCATIONS

MINOR PROCEDURE: DIGITAL NERVE BLOCKS

Orthopaedics

Basic Orthopaedic Principles

Fractures

Displacements

Secondary Neurovascular Injuries

A&E & Common Presentations

Shoulder & Upper Arm

Proximal humerus fracture

Humerus fractures (shaft/distal)

Clavicle fracture

Glenohumeral dislocation

Elbow & Forearm

Elbow fracture & dislocation

Distal biceps tendon rupture

Radial/ulnar shaft fractures

Wrist & Hand

Distal radius fractures

Scaphoid fracture

Hip & Pelvis

Neck of femur fracture

Femoral fracture (shaft/distal)

Hip dislocation

Pelvic fractures

Knee & Lower Leg

Tibial plateau fracture

Tibial shaft fracture

Patella fracture

Patella dislocation

Knee extensor mechanism injury

Knee ligamentous injuries

Meniscal knee injuries

Foot & Ankle

Ankle fractures

Forefoot & midfoot fractures

Calcaneal fracture

Achilles tendon rupture

Bone & Joint Infections

Septic arthritis

Osteomyelitis

Compartment Syndrome

Cauda Equina Syndrome

Orthopaedic Procedural Skills

Knee Joint Aspiration

Application of Back-Slab POP Cast in A&E

Ear Nose and Throat

Otology

Acute Otitis Externa (AOE)

Necrotising Otitis Externa/Skull Base Osteomyelitis

Pinna Cellulitis (inc. perichondritis)

Acute Otitis Media (AOM)

Mastoiditis

Trauma: Lacerations, Haematomas and Perforations

Temporal Bone Fractures

Facial Nerve Palsy

Sudden Sensorineural Hearing Loss (SSNHL)

Vertigo

Rhinology

Epistaxis

Fractured Nose and Septal Haematoma

Nasal Laceration

Periorbital Cellulitis

Acute Rhinosinusitis

Laryngology, Head and Neck

Tonsillitis

Quinsy

Supraglottitis

Stridor in Adults

Submandibular Swelling

Post Tonsillectomy Bleed

Facial Cellulitis/Erysipelas

Parotitis

Acute Neck Lumps

Miscellaneous

Foreign Bodies

Post ops and ward tricks

Tracheostomy Basics

Post op Otology issues

Post thyroidectomy

Appendix Procedures

Cardiac

Assessment of Elective Pre-operative Patient:

Checklist:

History:

Focused Physical Examination:

Investigation:

Medications & Allergies:

Assessment of In-House-Urgent Patients:

Assessment of Post-operative Stable Patients – The Ward Round

Drains:

Pacemaker:

Weight:

Wounds Investigations Medications

Assessment of Post-operative Unwell Patients in the Ward

Hypotension:

Poor Urine Output:

Amiodarone loading regime

Breathlessness:

Chest Pain:

Cardiac Arrest in Post Cardiac Surgery Patient: