• Dr Tim Harris,
  Consultant in Emergency Medicine, Royal London Hospital
   

• Dr Patrick McGowan,
  Consultant in Anaesthesia and Pain Management, Barnet & Chase Farm Hospitals NHS Trust

About this Course

• Aimed at Consultants and Middle Grades working in the Emergency Department.

• A revised course with Lectures delivered by leading Consultants in Anaesthesia, Emergency and Intensive Care Medicine who are experienced in the effective use of sedation and regional blocks.

• Practical focus on monitoring, standards, medico-legal aspects, procedures, pharmacology, when and why, rescue techniques, plus video demos and stations.

Course Programme:

Sedation Management in the ED

Dr Angela Oglesby, Consultant in Emergency Medicine,
Royal Infirmary of Edinburgh

• Where to deliver sedation and what staff and
  monitoring should be present

• Monitoring, including ET C02

• Standards (e.g. international) including evidence base

• Are RCoA standards for ED’s?

• Minimum observation

• College requirements

• Medico-legal aspects (inc. consent)

Procedural Sedation

PDF copy of the
Course programme ▼

Dr Gregor Campbell-Hewson, Consultant in Emergency Medicine,
Royal Hospital for Sick Children, Edinburgh

• Pharmacological agents; etomodate, propofol, midaz, diaz, ketamine, remi, fenat; adjuvent analgesia

• The more modern drugs, e.g. propofol, remi and etomidate – review evidence for propofol

• Practical use – pros/cons, dosage, unpredictable effects, methods of delivery

Implementing a Sedation Service

Dr Tim Harris, Consultant in Emergency Medicine, Royal London Hospital

• What do you do to change your sedation policy?

• Reaching an understanding with other specialties

• Summary of evidence base

Rescue Techniques: How to Get Out of Trouble

Dr Dan Ellis, Consultant in Emergency and Intensive Care Medicine,
University College Hospital, London

• Case selection

• Critical aspect of monitoring and safety

• Minimum equipment levels

• Reversal agents

• Sux

• Laryngospasm

Regional Blocks in the ED: When and Why

Dr Christian Egeler, Consultant Anaesthetist, Morriston Hospital, Swansea

• Haematoma Blocks

• Bier’s Blocks

• Supraclavicular and axillary blocks

• Fascia lata block

• Lower Limb Blocks (femoral, popiteal, ankle)

• Dangers/hazards of nerve blocks

A Review of Local Anaesthetics and Perioperative Analgesia

Dr Patrick R. McGowan, Consultant in Anaesthesia and Pain Management,
Barnet and Chase Farm Hospitals NHS Trust, London

• Dosage and safety

• Levobupivicaine vis-a-vis bupivicane

• Intraarticular LA - feasible and safe?

• Adrenalin is safe – the evidence

• Analgesia: relative potency and safety of NSAIDs

• Tramodol– the evidence

• Codeine– the evidence

• Evidence for pre-emptive analgesia

• The place of accessory pain management in the ED - epidurals, intercostal infusions, triple block infusions, etc.

Video Demos of Blocks
USS and its use in spuraclavicular, axillery and popliteal blocks

How to do the Blocks – step by step guide with video clips of each technique

Demos are presented by:

Dr Christian Egeler, Consultant Anaesthetist, Morriston Hospital, Swansea, and
Dr Fred Sage, Consultant Anaesthetist, East Surrey Hospital

We are grateful for the support received from the following:

If you require further information please call us: +44 (0)20 8228 1295 or email us