1. 10th Edition Pilot Faculty perspective
2017 National Update day
Dr Harry Walmsley

2. Introduction Preparation – participants / faculty / course director
Practicalities
Skill station changes
Faculty / student interactions

3. Preparation - Participants
m-learning completed – mostly yes
- correlation with MCQ mark
Cannot attend if not done it – allowed 2 weeks post course
Cost of course – 2 days
- cost of materials

4. Preparation - Faculty Print off chapters & skills – no manual
No lectures to prepare (exc Initial Assessment)
BUT huge amount of work in preparation – faculty notes
Faculty meeting night before course
Skills – big changes – 9th edition stations merged
- very scenario orientated – evolving
- skills - some demo, some 4 stages
- new skill stations – Adjuncts, Trauma team
Moulage – as before
Triage, pre and post course MCQ – as before

5. Practicalities Course director Deputy course director
8 other faculty – minimum
Co-ordinator
16 participants
Day 1 exhausting – BUT doing each station 1 or 2 x and not 4 x better
Day 2 easier

8. Skill Stations – practical issues
Four airway stations – more equipment & space needed
Skills follow each other very closely
Coordinator turnaround swift ? More rooms?
Difficult for faculty to check skill stations
Time management essential – some skills harder than others eg disability
Some stations faculty notes of 30+ pages

9. Skill Station – running them
Faculty notes – some very repetitive
Content introduction
Learning objectives
Relevance
Several different scenarios with case progressions in all
Stimulus questions
Key discussion points – could become a mini lecture
Skills acquisition points – some demo/discussion
- some all students (4 stage)
Lots of opportunities for 4 stage & felt more natural
Summary of each scenario

10. Airway Skill Station Manageable within time
Airway assessment – demo/discuss
Jaw thrust – demo/discuss
Nasal, oral airway, suction – 4 stage
BVM (1 & 2 person) – 4 stage
Discussion of paediatric airway v adult (5-10mins)
LMA insertion – 4 stage
LEMON assessment – demo/discussion
COETT – demo/discuss only
Surgical cricothyrotomy – adult – 4 stage
Needle cricothyrotomy – child – 4 stage

11. Circulation Skill Station
Scenario 1:-
Assessment of shock – discuss
Wound packing – demo & discussion enough
Tourniquet – 4 stage
Scenario 2:-
Pelvic binder – demo but each getting to tighten it
IO – 4 stages
Femoral line – demo. ? Do we need to show it.

12. Disability Skill Station
Very rushed – only first 2 scenarios covered
9th edition head injury & cervical spine skill stations combined
Fewer skills – became discussion
4 scenarios – extradural, neurogenic shock,
subarachnoid haemorrhage,
central cord syndrome
One 4 stage skill – log roll
Primary and secondary survey neuro assessments
New and old GCS
Head and C-spine assessment
Radiological investigations
Referral process – SBAR communication template

13. Other Skill Stations Breathing:- Ran to time. CXR moved to Adjuncts
Assessment of chest injuries
Chest drain insertion – 4 stage
Needle decompression (child) – 4 stage
Elderly chest injury, sucking chest wound, severe chest injury – all demo / discussion
Secondary Survey:-
4 scenarios – can`t cover all. ?Reduce number
Mostly demo / discussion
Application of collar - 4 stage
Need to know what covered in other skills

14. Day 2 Trauma Team video – discussion afterwards in 2 groups
- closed discussion on handover, leadership, good and bad behaviour, feedback.
Adjuncts – CXR, Pelvic Xray, Spinal Xray - ABCDE
- scenario based
- FAST
- very much a discussion station
Moulage demo – better on Day 1
Practice moulage (1 hr) - went down well
Moulage – as previous courses.

15. Faculty / Student Interaction
No course dinner
Don`t meet all the candidates at skills – same group 3 times and one group not at all.
Miss interactions with candidates during lectures
SO – Initial assessment interactive discussion important on Day 1
Used discussion in skills to determine candidates insight, support others, ATLS ethos.
Difficult to pick out IPs
Don`t see or hear other faculty teaching on stations

16. Closure
Two day course
Careful writing of programme for maximum exposure to all candidates
Pre course m-learning – how to make sure it is done
Preparation +++
More rooms / space
Skills – lot of discussion but flowed well
- time pressures
- some skills demo and some 4 stages
- flowed well with 4 stage
SG currently making changes to faculty notes
? Optimum number of faculty / participants
More pilot courses needed