Peritonsillar abscess drainage: using oropharyngeal endoscopy as a therapeutic adjunct and training tool

2021 ◽  
Vol 135 (2) ◽  
pp. 176-178 ◽  
Author(s):  
A Sawhney ◽  
R Bidaye ◽  
A Khanna

AbstractBackgroundPeritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.IssueInexperienced practitioners can stumble at several obstacles: poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment.SolutionTo counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.


2019 ◽  
Vol 93 (3) ◽  
pp. 167-182
Author(s):  
Dylan Aplin ◽  
Marian Brooke Rogers

This study evaluates the contribution of a UK counter-terrorism training tool, the Project ARGUS simulation exercise format, designed to increase preparedness by ‘alerting not alarming’ the populace to the prevailing ‘severe’ international terrorist threat. The paper draws upon the theoretical basis for preparedness in order to contend that, despite exceeding expectations in terms of quantity of events delivered and evidence of immediate post-event learning, Project ARGUS does not wholly live up to its promise to change the behaviour of individuals and organisations by embedding long-term learning. The researchers designed and analysed pre- and post-event questionnaires (N = 120) in order to explore the impact of attendance at an ARGUS Retail event within a shopping centre. This information was then augmented with a follow-up survey (N = 44) and semi-structured interviews (N = 9) of key facilitators and participants. The authors recommend the immediate adoption of an appropriate evaluation and certification scheme to mandate participation and embed organisational learning. They argue that adoption of these approaches would better enable ARGUS to fulfil its potential and make a significant contribution to improving the resilience of busy crowded places to terrorism in the UK.



2019 ◽  
Author(s):  
Sneha Barai

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.



2021 ◽  
pp. bmjmilitary-2020-001690
Author(s):  
Giles Nordmann ◽  
J Ralph ◽  
J E Smith

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.



2006 ◽  
Vol 61 (1) ◽  
pp. 55-64 ◽  
Author(s):  
B.T. Buckley ◽  
M. Goodwin ◽  
P. Boardman ◽  
R. Uberoi


2004 ◽  
Vol 131 (2) ◽  
pp. P306-P306
Author(s):  
Tatsutoshi Suzuki ◽  
Daisuke Usui ◽  
Mitsuknui Nitta ◽  
Satoru Yokobori ◽  
Katsuhide Inagi ◽  
...  




JRSM Open ◽  
2015 ◽  
Vol 6 (12) ◽  
pp. 205427041561630 ◽  
Author(s):  
Trevor Lambert ◽  
Fay Smith ◽  
Michael J Goldacre


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