What trainees have been waiting forโฆ.the first time ever, all 4 major General Surgery societies coming together to provide a 2-day syllabus specific revision session relevant for all stages of training with particular focus on FRCS & MRCS exams: 7-8th December 2021!
You perform a clamshell thoracotomy, identity a laceration in the left ventricle and repair it before transferring the patient to the nearest cardiothoracics centre. Learning and discussion points on thoracic trauma and resuscitative thoracotomy coming this afternoon
#FRCSFriday
Wkend Quiz.
You are an ST4 on call for Gen Surg & are in A&E. The patient below arrives. Itโs 2am, the most senior A&E doc is an ST2. The patient suddenly goes floppy. There is no pulse. ST2 starts CPR. A&E consultant & obs are 20mins away. ST2 asks you for help. What do you do?
It is our pleasure to announce the launching of the Moynihan Academy, a trainee group part of the
@asgbi
. We aim to further education, training, collaboration with a spirit of inclusivity to improve Emergency General Surgery
@ASiTofficial
@Dukes_Club
@roux_group
@RCSnews
- saw through sternum
- rib spreaders to spread ribs and access pleural cavity
This gives you the access to: control thoracic haemorrhage, relieve cardiac tamponade, repair cardiac injuries, control vascular injuries or perform open cardiac massage
5/5
To kick us off we have
@AmtulNasira
(
@LeedsEGS
) on why you should choose EGS!
"EGS is a great career choiceโฆevolving and expandingโฆ with significant variability. It allows flexibility in job planning and provides much needed work life balance"
Very excited to bring you our confirmed programme for the joint EGS & Trauma revision symposium. ๐
This is a syllabus specific programme, particularly focused on FRCS and MRCS exams. For just ยฃ50, get access to all recorded content for 6 months.
Just when you thought it couldnโt get any better we proudly bring you the list of speakers for the EGS & Trauma symposium! 6 Profs, a Surgeon Commander with an OBE, a bunch of FRCS gold medal winners & a full compliment of experts.
Register here โฆ
Are you interested in Trauma Surgery or Emergency General Surgery? Want a say in your training? Ever thought about networking with like-minded folk? Is your CV missing something a little bit special? ๐ค
If the answer to any of these Qs is yes then this is for you!
This article in
@BJSurgery
gives a good overview of "when" and "how" to leave the abdomen open; "when" and "how" to close and what if abdomen cannot be closed.
Welcome to the 1st of our Trauma Fridays!
ATMIST
Age: 25
Time: 60 mins prior to arrival
Mechanism: Stabbing LUQ
Injury: 1 wound in LUQ
Signs: HR 100 BP 100
Treatment: x2 large bore cannulae and a pressure dressing.
What would you do next?
What are you concerned about?
When he arrives, his obs are: HR 138, BP 78/40, RR 34, SpO2 88% on 15L on O2. The trauma team is assembled and the patient is assessed as per ATLS protocol. Which of these injuries can be ruled out at primary survey?
The patient is intubated and ventilated. There is access to a "Thoracotomy Kit" in ED as below, and you are able to prepare for a resuscitative thoracotomy within 10 minutes of losing output. What would you do? Comment below with the steps you would take
To our dearest friends & colleagues, a sincere
#Eid
Mubarak to you all!
Thank you for all the sacrifices you make for the NHS & especially by working whilst fasting for
#Ramadan
ย May you be blessed with kindness, patience, happiness, and love.
It's
#WellbeingWednesday
and we're live at
#ASGBI2023
Today make sure you visit us at the MA stand and after being inspired by the
@asgbi
EDI meeting we encourage you to say Hi to someone new and make everyone feel they belong!
#inclusivity
#edi
A fantastic appointment & a true role model for general surgeons wishing to pursue a career in trauma. Miss Hancorn trained as a colorectal surgeon and is now working as a trauma surgeon at the Royal London Hospital. We very much look forward to working with her. ๐
Are you interested in Emergency General Surgery or Trauma Surgery? If so then come speak to any of us from the
@ASGBI_MA
currently doing the rounds at the
@ASiTofficial
conference. You might even get one of these stunning lanyards!
We've been delighted to have
@georgoff
@BehindTheKnife
present with us at Congress this week. His training, resources and insights have been invaluable for trainees and we hope this is the start of a long and fruitful partnership
#asgbi2024
#traumasurg
@asgbi
President
@alan_askari
has an impressive education portfolio โOur vision is one in which trainees & SAS surgeons are empowered through education & training to deal with any EGS/Trauma scenarioโ. Join us, we have something for everyone- not just those pursuing an EGS/Trauma career
Major haemorrhage protocol is put out and resuscitation is commenced. You have a high degree of suspicion of injury to organs in the thoracic cavity and decide to place a chest drain bilaterally as part of your primary survey. Where do you place a chest drain?
#surgicalupdatemonday
Professor Mansfield, the first female professor of surgery in the UK has been made a Dame Commander of the Order of the British Empire! She has inspired many generations of doctors through her work in the vascular surgery field and for equality in medicine.
A resuscitative thoracotomy (clamshell thoracotomy) is a damage control procedure for patients in extremis following thoracic trauma. The outcome for patients who lose cardiac output following penetrating chest injury is poor, with the survival rates quoted as 3-13% 3/5
Last chance to apply for following positions on the Moynihan Academy Council:
- MA representative to ASiT
- Surgical Foundation Rep
- Social Media & Webmaster Lead
Deadline midnight Sunday 22nd August 2021. Apply by sending 150 word application to ma
@asgbi
.org.uk
4 colleges and 10 Surgical Specialty Associations including
@asgbi
@ASGBI_MA
have formed an education committee to look after the development of SAS surgeons and locally employed doctors (including Non-Hospital Doctors in Ireland)
A new website launched:
In the run up to this EGS/Trauma event we would like to introduce you to some of our guest speakers.
1st up
@karimbrohi
. Prof Brohi is director of the London major trauma network & will be speaking about โResponse to mass casualties & major incidents.๏ฟฝ๏ฟฝ
Please use this link to register for the upcoming EGS & Trauma bonanza ๐๐ผ.
Just ยฃ50 for all you can eat FRCS/MRCS EGS and Trauma revision, access of all recordings for 6 months! ๐
What is direct peritoneal resuscitation?
How could it help your EGS & Trauma Patients?
Should you be using it in your unit?
Keen to find out - then read on๐งต
Most traumatic injuries in the UK are due to blunt force trauma, however penetrating injuries continues to contribute to significant mortality and morbidity, with variations across the country 1/5
What a day it was in the beautiful city of Glasgow to discuss all the latest updates on EGS from a variety of speakers. Incredibly educational day for all the delegates and especially for trainees from this symposium and we look forward to the next one in Manchester!
@asgbi
Join us for our first in a series of trauma discussions this 18th March. We begin with an interactive poll on a trauma case and discussion regarding management options
#FridayEGSTraumaMeeting
@ASGBI_MA
@asgbi
Nearly a year in the making, join the Moynihan Academy and follow us on social media to get regular updates on EGS & Trauma. Click the link below to register for our first EGS & Trauma Symposium
@asgbi
@ASGBI_MA
@ASiTofficial
@Dukes_Club
@roux_group
Very proud that
#GillTierney
, President Elect of
@asgbi
and Consultant Colorectal Surgeon
@UHDBTrust
will be Professor
#GillTierney
after award of richly deserved Hon Chair from UoN. Send congrats in person or to the # as sheโs not on Twitter!
#ASGBI2023
was a fantastic opportunity to connect with fellow surgeons, learn, and celebrate achievements. Huge thanks to
@asgbi
Exec for prioritizing trainee well-being. On this
#WellbeingWednesday
, letโs discuss how conferences contribute to our overall wellbeing!
Ta da! ๐ฅณ We bring you ! This website has been built by a small group of trainees & an SAS doctor. It is a work in progress but our hope is that with the right framework& input it will develop into a resource to aid trainees seeking a career in EGS & trauma
Next up on our list of guest speakers for the EGS/Trauma symposium is the one & only Prof Gill Tierney. FRCS gold medal winner, VP of the
@asgbi
, FRCS examiner & no.1 mentor for Gen Surg trainees. Prof Tierney is current TPD & head of School of Surgery for East Midlands ๐
We welcomed Patrick George from
@BehindTheKnife
today to announce our partnership with them and the release of the new app and access to the incredible Trauma Surgical Atlas!
@asgbi
Indications for RT:
- <10-15 mins of cardiac arrest due to penetrating chest injury
- witnessed sign of life at scene/in ED
Clamshell thoracotomy:
- bilat incision in 5th ICS from midaxillary line to midline, just below nipple
- heavy scissors through internalcostal muscles 4/5
There are still tickets left for the Emergency General Surgery and Trauma FRCS and MRCS sessions on the 1st and 2nd December.
First up is the Moynihan Academyโs trauma session with an Internationally renowned set of speakers. Also featuring a special guest โฆ
Civility, integrity, kindness & don't alienate anybody.
Do you practise this?
This is how we achieve equity, diversity and inclusivity.
Nobody is perfect but you can continue to strive to be the best you can be.
The standard you walk past is the standard you accept.
@ASGBI
Day 5 of the
#ASGBI2021
. Could it be they have saved the best for last?!You donโt want to miss this trainee focussed Super Saturday compiled and led by our super
#mentor
&
@asgbi
VP Miss Gill Tierney. Because every trainee deserves to have some GT in their life!
#mentor
#educator
Kicking off with our first FREE
@ASGBI_MA
@Ethicon
#MABowelWorkshop
for med students (6) and trainees CT1-ST4 (12) hands on, lots time to perfect techniques. Need more training opportunities in your region? Contact us and we can help set up locally.
@asgbi
Thank you all for engaging with the Moynihan Academy during
@ASiTofficial
conference this year. We are excited to deliver a range of educational material this year aimed at Emergency and Trauma Surgery. For more information visit
It is with great pleasure that we announce the successful applicants into the Moynihan Academy Council. Congratulations all and welcome! Thank you all those who applied, the competition was fierce and it was a very close race.
@ASiTofficial
@asgbi
For all General Surgical trainees with a sub-specialty interest in
#EGS
, perfect opportunity to develop skills beyond your CCT with the the TIG- Advanced Training in Major Trauma fellowship ๐๐ผ โฆ
@ASiTofficial
โฉ โฆโฆ
Happy
#InternationalWomensDay2023
#wellbeingwednesday
We know a career in surgery can be tough, so representation is key! It's so inspiring to see surgeons from a wide range of backgrounds joining us + breaking down barriers + leading the way
(Photo from our
#ASiT2023
Course)
The ASGBI Moynihan Academy are the UK partners of
@BehindTheKnife
Read all about it โคต๏ธ and check out their new exciting surgical tutorials!
#MondayUpdate
@asgbi
So EGScited!
Zooming towards the next 100yrs
Join
@ASGBI
and you can join us define the future of
#EGS
#trauma
@ASGBI_MA
will offer something for all EGS/trauma involved trainees and SAS. It will be different!
Collaboration/Teaching/Training/Research/I+D
#ILookLikeASurgeon
The Wkend Quiz!
With the JCIE confirming the possibility of declaring Major Trauma as a sub speciality from 2022, big decisions for trainees lie ahead.
Q. If you could say something to your medical student self what would it be?
MA members from the archives for inspiration.
Whilst waiting for portable CXR, his blood pressure becomes unrecordable and you can no longer feel a pulse. You commence CPR. Which of these is NOT an indication for a resuscitative thoracotomy in patients with penetrating chest trauma?
@KateHancorn
on EGS + trauma Sub-specialisation. Fascinating to see a trauma consultantโs job plan and skill set: major trauma procedures, access, thoracotomies, amputations and laparotomies ๐คฏ excited to continue to learn from our
@asgbi
Trauma lead!
@LeedsEGS
@NIHRresearch
We are ready to go!! ๐ป
#Trauma4Seasons
The first session of today's online event is Technical Tips -
Duodenal Injuries - Professor Mansoor Khan, Brighton
Penetrating neck injuries - Mr Chris Aylwin, London
When to Damage Control? - Professor Karim Brohi, London
The Wkend Quiz -
Dates for your Diary.
With an abundance of virtual meetings lately it is almost impossible to keep track of dates. Let us try organise your educational diary for you.
This weekโs Q: if you know of any pertinent dates for surgical events please post below.
Patients with penetrating chest trauma are at risk of not only lung or cardiac injury e.g. massive haemothorax, pericardial tamponade, cardiac laceration, but at also at risk of aortic, oesophageal and upper abdo organ injuries depending on the trajectory of the blade 2/5
#MondayUpdate
The GOAL-Trauma (Global Outcomes After Laparotomy for Trauma) study has launched!
Aim: global snapshot of:
mortality rates after trauma laparotomy
variation in delays in receiving care, disease and patient factors
overall patient outcomes
Itโs that time of the week again
#EGS_Friday
Case: 72 M who had Abdominoperineal resection (APR) and liver metastectomy 11 months ago for metastatic rectal ca.
PC: 24 hrs of abdo pain, vomiting, reduced stoma output and pain in their โbottomโ.
HR 110bpm, T37.
Itโs
#EGS_Friday
time again!
You are the Reg on call in a tertiary unit. You have been referred a
29 yo female from Maternity unit with retrosternal pain + surgical emphysema. She has just given birth to a healthy baby following a prolonged labour.
A series of fantastic talks from great speakers. Lots of interesting takes on how to deal with bleeding from Miss Boyle, Mr Simpson, Prof Sagar and Miss Tierney. Useful advice for real life and viva exams!
@ASiTofficial
@Dukes_Club
@roux_group
@T4UGIS
@asgbi
Abdominal Compartment Syndrome:
- Have a plan to close from the outset
- Close the abdomen within 7 days
- Donโt over fluid resuscitate
- Consider a mesh
โฆ..and many more tips from Professor Michael Sugrue. Great talk on a challenging topic @ todays
#egstraumameeting
A silly
#wellbeingwednesday
+
#towelday
Douglas Adams wrote 'A towel, is about the most massively useful thing an interstellar hitchhiker can have'
So we ask:What is the most massively useful thing a surgeon can have?
Clean socks? Lubricating jelly? A knife?
#surgery
#checkin
Itโs the one youโve all be waiting for.... An exciting opportunity to join the
@ASGBI_MA
council!
If you have a flair for IT & would like to reap the benefits of being on the council then check out the job description below & please get in touch. We would love to hear from you.