The trauma workshop is an annual event that aims to give students an insight into the basic skills required to work in a trauma unit. Forty students rotate through four stations, each taught by an experienced emergency surgeon or physician, as they learn about the management of a simulated polytrauma case, based on cases so often seen in our context, such as high speed motor or pedestrian vehicle accidents, stabbings and gunshot wounds.
The four stations include:
Intercostal Drain (ICD) Insertion
The consultant surgeon will demonstrate the correct procedure to the students, and thereafter the students will each get an opportunity to insert a “chest drain” into a rack of pork ribs. This provides an accurate simulation of a real patient, and an opportunity to learn how to effectively complete this important procedure.
Vascular Access and CVP Insertion
Vascular access is a central requirement in managing a trauma case effectively. Demonstration of correct technique will be followed by a in depth analysis of the risks of the procedure, important anatomy and a discussion surrounding other options for obtaining vascular access in adult and paediatric patients.
Rapid Sequence Intubation in the resuscitation setting can be a stressful part of managing a patient, and the tense environment makes it difficult to learn on real patients. This is why we provide an opportunity for students to learn correct technique and practice the procedure on models in a far more forgiving environment, under the supervision of qualified doctors.
This investigation has become quite well used in the emergency setting because of its utility in detecting fluid within body cavities. It is quick, cheap, repeatable and has no contraindications, and is thus preferable to a more formal ultrasound in the initial phase of resuscitation. This station will give students a very brief overview of the procedure, and some basic pathological signs they might encounter.