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Trust Information


Basingstoke

Basingstoke sees 45000 new pts per annum we have no returns clinics although patients are brought back for procedural sedation or delayed closure of wounds where appropriate

GP referrals are seen in the appropriate clinical area of the hospital but are rerouted to the emergency dept if the paramedics feel that they are unstable.

Our E.D. has a philosophy that we are the best area within the trust to see sick  patients and that we should add value to a patients journey and not merely act as a triage area.

We see a full spectrum of trauma, medical and surgical patients and we are a stroke thrombolysis site, a trauma unit and our trust has 24 hrs  p.c.i. capability for all s.t.e.m.i. patients

We have excellent survival figures for trauma and we have a number of members of staff who also work in the pre hospital environment as part of the BASICS network, which is a valuable teaching resource for those with an interest in trauma.

The department itself was recently extensively remodelled and has a state of the art 4 bay resuscitation room, 6 trolleys on our "majors" side and 5 cubicles on our minors side, 2 separate paediatric cubicles and a paediatric sub waiting room as well as a see and treat cubicle in the waiting area.

The department also has a 7 bedded short stay ward which is exclusively for the use of the E.D. and which is well supported by an outreach mental health team who assess all self harms and by an alcohol liaison team.

The department has 24 hours access to 2 c.t. scanners.. we have an excellent blood gas analyser and rapid access to pathology and radiology.

We have a total of 4.5 w.t.e. consultants who provide a shop floor presence 7 days a week from 0800-1800 and then on call. the consultant body encourage our work colleagues to contact us for clinical and managerial problems out of hours and  our standard operational procedures make it mandatory for consultants to be called in for trauma or paediatric arrests

We are staffed with 7 middle grades (3 clinical fellows and 4 specialist trainees), 8 senior house officers/F2's/GPVTS's and an E.N.P. rota which operates 7 days a week from 0800 until 0200.

Our department has a number of strengths which any trainee will enjoy

We have an active in house teaching programme every Thursday p.m. in addition to the ring fenced session for regional teaching

We have an excellent audit department and a very strong track record in research

We have a state of the art ultrasound and several consultants who are accredited level 1 trainers

We have a strong tradition of procedural sedation in both adults and children, using ketamine or propofol.

We have strong links with the pre hospital trauma service (BASICS) and can offer unparalleled access into pre hospital trauma care.

Very good day to day shop floor support from Consultant colleagues and the ability to see patients in real time with a Consultant colleague.

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Poole

StR training in Poole:

  • Head injuries

We offer excellent training in the management of Head injuries as we provide the inpatient care for all head-injured patients who have been admitted ranging from babies to the ventilated adult. An Emergency Medicine Consultant does a daily ward round 7 days a week and SpRs are able to join them. We have a neuro rehabilitation Consultant and team who provide any care required beyond 48 hours.

  • Soft tissue injuries

We are able to provide additional training in soft tissue injuries by teaching done within the ED review clinic where we look after most of the hand fractures and are well supported by 3 Hand Surgeons.  There are consultant review clinics each weekday morning.

  • Ultrasound and echo training

There is a top of the range GE  portable ultrasound machine which is kept in

the ED resus room.

One of the Emergency Consultant  full accreditation in echocardiography and is able to supervise /train trainees in echo.

For abdominal ultrasound we have a dedicated ultrasound list on Friday mornings in Radiology which trainees are expected to attend to gain formal training in FAST and Aorta scanning. In addition trainees will report on their own scans which are stored on the PACS system and attend radiology ultrasound meetings to review their images.

  • Advanced airway experience

We have good links with our ITU Colleagues and encourage our higher trainees who have had formal anaesthetic training to be directly involved in RSIs with involvement of anaesthesia. 2 of the EM Consultants are actively involved in doing RSIs and supervising SpRs in this.

  • FCEM preparation

One of the EM Consultants is a chief examiner for the FCEM and is able to provide great advice on how the exam is run and exam technique which has proven to be of immense value to trainees in Poole.

  • Research

The Poole ED is currently involved in one national and one local research project. The latter a substantial grant from the College. One of the EM Consultants has a strong interest in research and encourages trainees to be involved.  

  • Simulation training  

Poole has its own simulation suite which is used most often by the Emergency . SimMan training occurs 12 times a year for the SHOs and there is great opportunity for the SpRs to be taught in its use as one of the EM Consultants has extensive experience in and had formal College training. is also used to teach SpRs both locally and as part of the regional SpR training programme.

  • Additional activities

one of the EM Consultants is developing a Podcast series on EM topics SpRs are strongly  encouraged to take part in this new and innovative development.

  • Poole Hospital

itself has a reputation for being a very friendly place and has fantastic views of the 2nd largest natural harbour in the world from the Doctor’s Mess.

It is a great attraction to tourists for the gorgeous beaches and watersports.

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Portsmouth

The Emergency Department at Queen Alexandra Hospital is the largest on the south coast, and sees in excess of 100,000 patients per annum. Particular features:

  • The largest MOD hospital unit in the UK and has strong military support and staffing within the ED.
  • Purpose built Paediatric ED, currently undergoing subspecialty training recognition, with dedicated staff.
  • Busy department with excellent clinical exposure and training opportunities, 24/7 middle grade rota supported by enthusiastic and hands on consultant body and experienced nursing staff.
  • Brand new resuscitation room.
  • Close links to ICU and MAU, with 24/7 PCI and stroke thrombolysis.
  • One of two UK sites to offer radiomedical advice to the coastguard.
  • On site helipad.

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Salisbury

Our ED has nine Consultants, six of whom passed FCEM in the last five years

A 100% pass rate for its Registrars at FCEM over the last 10 years

Plastics, Burns, Spinal Injuries regional centre

ED Consultant cover until midnight 7 days a week and was first trust to do so locally

Ultrasound machine (Sonosite turbo) in ED

3 Bedded Resus, 10 bedded majors, 6 bedded minors and 8 bedded Short stay ward

A jolly nice place to work!

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Southampton

Southampton is a busy urban department with a broad and complex clinical workload. There are 13 Consultants and one Associate Specialist leading clinical care. Consultants cover the shop floor from 8am-12midnight 7 days a week. We are committed to high quality Emergency Medicine and training of our staff. We currently have the President of the College of Emergency Medicine (Mike Clancy), Immediate Past President (John Heyworth), Regional Chair and Clinical Lead (Diana Hulbert) and Head of School (Julia Harris) as part of the consultant team.

The regional lead for Ultrasound is Nick Maskery and Simulation is Sanjay Ramamoorthy. The College Tutor is Sarah Robinson.

Southampton is the Major Trauma Centre, with an onsite helicopter pad to facilitate acute clinical management.

We have all clinical specialties on site except Plastic Surgery. We have a close working relationship with critical care, PICU and neuroICU.

New developments include a Resus expansion and Childrens Hospital, providing a dedicated Paediatric Emergency Department.

The Consultants are enthusiastic, supportive and the department provides fantastic learning opportunities together with an innovative, award winning education program.

The department has an active multidisciplinary social life and outside of the hospital, Southampton provides ample opportunities for outdoor activities, entertainment and good shopping.

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