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Related Experiment Videos

All basic surgical trainees should rotate through an accident and emergency post.

S Britten1

  • 1Department of Orthopaedics, Frenchay Hospital, Bristol, UK.

Annals of the Royal College of Surgeons of England
|February 24, 2001
PubMed
Summary

A 6-month accident and emergency placement is vital for basic surgical trainees (BSTs) to gain experience in managing seriously injured patients. This experience is crucial for specialist registrars (SpRs) and should be compulsory.

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Area of Science:

  • Emergency Medicine
  • Surgical Training

Background:

  • The compulsory 6-month accident and emergency post for basic surgical training is no longer mandatory.
  • Trauma teams now manage seriously injured patients, often excluding basic surgical trainees (BSTs).
  • This can result in specialist registrars (SpRs) with limited experience in initial trauma management.

Purpose of the Study:

  • To document the experience gained by a senior house officer during a 6-month placement in an accident and emergency department.
  • To evaluate the exposure to seriously injured patients and practical procedures during this placement.

Main Methods:

  • Retrospective data collection from patient record cards signed by the author during the placement.
  • Analysis of cases managed in the resuscitation room, including multiply injured patients and specific injury types.

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Main Results:

  • The author attended 41 resuscitation room episodes, with 10 involving multiply injured patients.
  • A significant number of limb fractures and soft tissue injuries were observed (159 upper limb, 122 lower limb).
  • Exposure to various trauma types including head, spinal, chest, abdominal, and urinary tract injuries, alongside 86 practical procedures.

Conclusions:

  • The 6-month accident and emergency post offers substantial experience in managing seriously injured patients for BSTs.
  • Making this post compulsory is recommended to ensure SpRs have adequate exposure to trauma management.
  • The placement also enhances practical procedural skills and exposure to acute surgical conditions.