On the face of it minor injuries would appear to be an emergency departments bread and butter. Increasingly it is an area of practice that is covered by allied health professionals and the exposure of junior ED doctors can be limited. This module aims to provide the you with tools and information to maximise your time in minors.
It is also worth pointing out that some patients in minors may be labelled as "for doctor to see" or "doctor only" and so there are certain presentations such as back or head injuries that you may need to be especially familiar with.
Postgraduate exams may include the application of POPs, Wound Closure or MSK examinations and minors is the place to develop these skills.
LEARNING OUTCOMES FROM Completing the TASKS
Apply the Ottawa ankle rules to patients with ankle injuries
Consider scaphoid injuries in diagnosing wrist injuries and recall the common mechanisms of injury
Review some soft tissue signs that suggest bony injury on x-ray
Recall the Salter Harris classification of epiphyseal plate injuries
Identify the bones visible on radiographs of the elbow
Consider the nerves at risk from specific fractures and how to test their function
Know how to classify depth of burns
Complete the following before the face-to-face session:
Task 1: Radiology Masterclass
Duration: 45 mins
If you haven't found it already this website is a little gem and a good place to go to learn about X-rays. Before the session please complete the tutorials on:
These will give you the tools to be able to discuss x-rays in the face to face session. If you have time it is also worth completing the three other modules.
Task 2: Scaphoid Injuries
Duration: 30 mins
This is 10 question quiz from doctors.net aims to improve your knowledge of the diagnosis and management of scaphoid fractures. Who will get the high score?
Task 3: Ankle Sprains
Duration: 45 mins
Read this blog entry on ankle injuries and complete the questions as you go along. It covers ankle sprains and assessment, goes into some detail on the ligamentous structures of the ankle and includes a video of an ankle exam. There is also a description of the Ottawa ankle rules.
Task 4: Indentifying Fractures
Duration: 25 mins
Task 5: Practice Cases
Duration: 5 mins
Complete the following short case, which illustrates why nothing in minors is "minor".
We have written a series of interactive cases (wikis) with short answer questions to be answered by trainees prior to the face to face teaching sessions. Currently this is only available to East Midlands Trainees.
Answer one or two questions before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. We will also provide tutor comments. If you find good resources that answer a question why not include links in your comment.
Part of the face-to-face teaching will be spent discussing the case(s) below:
Here are some extra resources to review if you want more information:
Anatomy for Emergency Medicine:
Need a referesher on your anatomy? These videos are aimed at teaching anatomy relevent to emergency medicine and to cover the CEM syllabus. They are well worth a watch if you are a bit rusty and make for good revision for MCEM part A if you are considering emergency medicine. Specific videos include: multiple shoulder videos, scaphoid, scapho-lunate, colles fractures, Lis Franc and ankle injuries. They are also available via iTunes.
Upper Limb – Nerve Injuries:
If you are a visual learner then this website is a must.
BMJ LEARNING (REQUIRES SUBSCRIPTION):
Shoulder Examination (Video)
Hip Examination (Video)
Knee Examination (Video)
Ankle Examination (Video)
Teach Me Anatomy:
Another visual resource for anatomy revision.
Joint Reduction Videos:
These excellent videos by @Lmellick from the US show how to reduce some of the common large joint dislocations that we perform in the ED. If you check out his youtube channel there are many more videos on a range of topics.
Once you have worked through the exercises, discussed the example cases and attended the face-to-face teaching, please complete the following form: