Musculoskeletal and orthopaedic emergencies

Author(s):  
Ashis Banerjee ◽  
Clara Oliver

A knowledge of bone and soft tissue injuries is required for an emergency medicine trainee. This chapter provides information on the classification and management of different types of fractures and dislocation which may commonly appear in the short-answer question (SAQ) paper. It also covers common rheumatological problems such as gout or infective arthritis and their associated diagnosis and management. The Royal College of Emergency Medicine (RCEM) curriculum includes both traumatic and atraumatic limb problems, which this chapter reflects. This chapter also covers the diagnosis and management of specific hand injuries and wound infections, which may appear as any aspect of the Intermediate FRCEM examination.

Author(s):  
Ashis Banerjee ◽  
Clara Oliver

This chapter highlights the recent changes in the Royal College of Emergency Medicine (RCEM) postgraduate examination required for Certificate of Completion of Specialist Training in the United Kingdom and focuses on the key aspects of the new Fellowship of the Royal College of Emergency Medicine (FRCEM) intermediate short-answer question (SAQ) exam, previously the MRCEM B. The chapter provides a description of the exam style and layout, marking system, and curriculum content, as well as exam tips to aid revision. The new FRCEM exam structure is linked to the new 2015 RCEM curriculum and this chapter reflects that. In addition this chapter provides useful information on how to use this book to optimize revision.


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

The surgical sub-specialties can may be an area of concern for emergency medicine trainee due to a lack of previous training and exposure for such problems, however they are commonly assessed in the short-answer question (SAQ) paper. This chapter covers ear, nose, and throat (ENT)-related problems such as epistaxis, throat infections, and ear infections. As well as useful section on vertigo, specifically on differentiating between central and peripheral causes which may appear in the SAQ paper. This chapter also covers common eye emergencies and focuses on the assessment of the red eye, as well as dental emergencies, which can easily be assessed in the SAQ paper.


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

Trauma management is a major presentation in the Royal College of Emergency Medicine (RCEM) curriculum for both adults and children due its associated morbidity and mortality. Trauma management can appear in any aspect of the Fellowship of the Royal College of Emergency Medicine (FRCEM) examination, including the short-answer question (SAQ) paper. This chapter focuses on adult trauma, in accordance with the advanced trauma life support (ATLS) guidelines. It provides information on the different aspects of trauma including that of the chest/abdomen/pelvis, in keeping with ATLS and national guidelines. In addition, this chapter highlights the criteria for imaging and management, which may appear in the SAQ paper. It also has a detailed section on head and spinal injury and is linked to current NICE guidance. Paediatric trauma is not covered in this chapter, however, as it is reviewed in Chapter 19.


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

The Royal College of Emergency Medicine (RCEM) curriculum covers a number of both gynaecological and pregnancy-related problems. This chapter covers the management and differential diagnosis for a female patient presenting with abdominal pain, including gynaecological causes as well as ectopic pregnancy. In addition, this chapter also focuses on the obstetric problems of bleeding in pregnancy, hyperemesis gravidarum, and eclampsia in line with the RCEM curriculum, which may all appear in the short-answer question (SAQ) paper. This chapter also covers the special circumstance of trauma in a pregnancy, which is not covered in Chapter 4 (Major trauma), and highlights the differences in managing a pregnant trauma patient.


2021 ◽  
Vol 12 (1) ◽  
pp. 40-49
Author(s):  
Dipak Kumer Paul Chowdhury ◽  
Debashish Saha ◽  
Md Ahsan Habib

Written examination is an important method for juddering the learning of medical students. Short Answer Questions (SAQ) and multiple choice questions (MCQ) are introduced in MBBS curriculum to assess student cognitive domain. This cross sectional descriptive study was conducted to get the teachers’ opinion about Pharmacology professional written short answer question papers of different Universities of Bangladesh. For this purpose, opinion of total 56 purposively selected teachers of the Department of Pharmacology & Therapeutics of 20 Medical Colleges were collected through self-administered semi-structured questionnaire.  Most of the teachers (66% & 61%) were in favour of existing distribution of different types of question in curriculum (recall-60%, understanding -30% and problem based-10%) for short answer question paper (SAQ). Majority of the teachers (66% & 54%) were satisfied with the present coverage of recall and understanding type questions respectively but only 41% teachers were satisfied with the coverage of problem based type questions. Seventy-seven percent teachers were satisfied with content coverage in SAQ papers. Eighty-seven percent teachers were satisfied with present marking scheme on SAQ paper. Findings of this study may be used to redefine the distribution of different types question in SAQ papers and to improve the quality of question papers by ensuring their coverage. Bangladesh Journal of Medical Education Vol.12(1) 2021: 40-49


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

A basic understanding of the legal aspects of emergency medicine is required for the Intermediate FRCEM examination, which can easily be assessed in the short-answer question (SAQ) paper. This chapter covers consent as well as the mental capacity and Mental Health Act, including how to assess a patient’s capacity. In addition, this chapter also covers safeguarding issues, which is a requirement for all emergency medicine physicians, as well as confidentiality. In addition, included in this chapter is a summary of General Medical Council (GMC) guidance on driving and reporting patients to the Driver and Vehicle Licensing Agency (DVLA), as well as end-of-life care and do not resuscitate orders.


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

Infectious diseases is a large topic; however, the Royal College of Emergency Medicine (RCEM) curriculum focuses on the key areas which this chapter covers. One of the most important areas in emergency medicine is sepsis and its early recognition. The management of sepsis is currently changing in line with current research. This chapter provides an up-to-date overview of the diagnosis and management of sepsis, with particular respect to early goal-directed therapy and the Surviving Sepsis Campaign, knowledge of which is required for the Intermediate Fellowship of the Royal College of Emergency Medicine short-answer question (FRCEM SAQ) paper. In addition, this chapter also covers the pathophysiology and management of fever, as well as neutropenic sepsis and central nervous system infections. This chapter also covers the public health aspect of infections, as well as the management of needlestick injuries.


Author(s):  
Ashis Banerjee ◽  
Clara Oliver

Resuscitation is a key aspect of emergency medicine. This chapter focuses on current resuscitation for adults in line with recent updates from the Resuscitation Council. Completion of an advanced life support (ALS) course is mandatory for emergency medicine trainees. This chapter is not merely an ALS manual, instead focusing on the practical aspects of answering short-answer questions (SAQ). ALS scenarios are commonly examined in the objective structured clinical examination (OSCE) part of the Fellowship of the Royal College of Emergency Medicine (FRCEM) and the SAQ paper focuses on the theory behind resuscitation. In addition, this chapter focuses on the peri-arrest situation and post-resuscitation care. This chapter provides an insight into the pathophysiology of peri-arrest arrhythmias and shock which the SAQ exam may focus on.


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