Category Archives: Regional training

Haematology and Oncology Study Day

Thank you to all the trainees who attended the CGH study day. Here are the SAQ’s I promised for practice. Any errors are probably my own but worth loking at the structure. Often you don’t have to know the answer to the first question to complete the rest and sometimes the answer to the first few questions is given later on so make sure you read it carefully!

SAQ answers

SAQ questions

We had some excellent speakers this morning with Dr Oliver Miles talking about thrombosis and reversal of anticoagulants and Dr Rebecca Frewin talking about Neutropaenic sepsis. Below are some links to their slides so you can refresh your memory.

Dr Oliver Miles – Management of Emergencies in Haemostasis and Thrombosis

Dr Rebecca Frewin – Management of Neutropenic Sepsis

Key points to remember:

  • The Superficial Femoral vein is part of the Deep venous system
  • If you suspect neutropaenia and sepsis – treat early! Don’t wait for the FBC.
  • Younger chemotherapy patient may present late and are more likely to die!
  • Clotting studies might be useful in NOAC overdose but what assay does your lab use?
  • Neutropaenic patient + pleuritic chest pain – think fungus!
  • Neutropaenic patient with nasty sinus pain and a black spot on their nose/hard palatte – think mucor – call for help
  • And many more….

Enjoy

Tom

Be Prepared! Environmental Emergencies

Escanaba-Dorchester rescue from Wikimedia Commons
http://commons.wikimedia.org/wiki/File:Escanaba-Dorchester_rescue.jpg

This month we have some great notes from Tim Slade from the Bristol Royal Infirmary Training day.  Thanks to Becky Maxwell for editing and linking. This had a focus on Environmental Emergencies (HAP 11) with a little Major Incident Planning (HAP 20) thrown in.

Just like a good Scout these are the topics where it pays to ‘Be Prepared’. If you are looking to revise the management of heat related injuries (maybe before a trip to the southern hemisphere…) or just brushing up on your cold and drowning related presentations ahead of the British winter then these pages should be of use. Added to this are some important pearls on diving medicine and altitude medicine with links to further resources.

There are also some great pictures by Helen Laird and top tips from the CBRN training session. Just incase you need to start the decontamination process. I’m still waiting for a suit big enough to fit the vertically challenging amongst us….

As usual these are tied into the CEM HST syllabus

Comments and suggestions welcome.

Tom