About the PG Diploma

The Postgraduate Level 7 Diploma In Emergency Medicine is a unique programme designed to improve Emergency Medicine skills in aspiring EM physicians in the shortest possible time. It's the only EM Diploma in the UK offering 50% face-to-face teaching in simulated Emergency Environments. Trainees will be exposed to real-time Emergency situations in a Simulated ER setup under the direct supervision of Senior NHS UK Consultants, who will analyse candidate performance and provide feedback.

This diploma offers 120 hours of real-time EM teaching, with 50% of these hours delivered instructor-led online and 50% face-to-face.

1. Resuscitation & Trauma Module covers:

a) ABC of Resuscitation

b) Stepwise Management of Trauma

c) Trauma Team Leadership

d) How to lead a cardiac arrest

e) Management of acutely unwell patient

f) Paediatric Resuscitation

g) Neonatal Life Support & Resuscitation

h) How to lead Paediatric Cardiac Arrest & PeriArrest

2. Airway, Anaesthetic & Intensive Care Module covers:

a) Basic Airway Management

b) Advanced Airway Management

c) Surgical Airway Procedures

d) Sedation in the ED

e) Setting up a ventilator in the ED

f) Inotropic Support in Acutely Unwell Patients

g) Regional Nerve Blocks:

i) Digital Nerve Blocks

ii) Haematoma Block

iii) Auricular Nerve Block

iv) Fascia Iliaca Block

v) Penile Nerve Block

vi) Ankle Blocks

vii) Big toe Nerve Blocks

viii) Use of local anesthetics in the ED

3. Musculoskeletal Module includes:

a) Examination of Large Joints

b) Examination of Hands

c) Examination of Neck & Cervical Spine

d) Examination of Back & Lumbar Spine

e) Manipulation & Relocation of Dislocated:

- Shoulder Joint

- Elbow Joint

- Wrist Fractures

- Metacarpal and Phalangeal Dislocations

- Hip Joint Relocation

- Patellar Relocation

- Ankle Joint Relocation

f) Stabilization of Pelvic Fractures

g) Applications of Slings, Plasters & Splints

4. Gynaecology & Urogenital Module for EM Physicians includes:

a) Bimanual Per Vaginal Examination

b) Removal of Foreign Body from Vagina

c) Taking High Vaginal Swabs in ED for Suspected STD Patients

d) Antenatal Examination & Identification of Abnormal Foetal Presentation including Breech Deliveries and Transverse Positions

e) Peri Partum Caesarian Section in ED

f) Male Catheterisation

g) Testicular Examination

h) Drainage of Priapism

i) Release of Penile Foreskin Entrapped in Zip.

5. Ear, Nose, Throat & Ophthalmology Module includes:

a) Control of Anterior Epistaxis

b) Nasal Packing for Anterior Epistaxis

c) Use of Rapid Rhino in Anterior Epistaxis

d) Chemical Cauterisation for Anterior Epistaxis

e) Control of Posterior Epistaxis with Rapid Rhino

f) Control of Posterior Epistaxis with Foley's Catheter

g) Removal of Foreign Body from Cornea & Conjunctiva

h) Removal of Foreign Body from Nose

i) Removal of Foreign Body from Ear

j) Eye Irrigation for Treating Chemical Injuries

k) Eye Examination & Use of Ophthalmoscope in ED

l) Ear Examination & Otoscopy in ED.

6. Cardiovascular Module covers:

a) Obtaining difficult Intravenous Access

b) Insertion of Arterial Line

c) Central Venous access in Internal Jugular & Femoral veins

d) Intraosseous Access in Peri-Arrest Situations

e) Cardioversions with Vagal Maneuvers

f) Chemical Cardioversion

g) Electrical Cardioversion

h) Setting up transcutaneous pacing in the ED.

7. Ultrasound Module for ED Physicians covers a range of topics including:

a) Basics of Sonology

b) FAST & eFAST scans in Patients with polytrauma

c) Aorta Scan for diagnosing Abdominal Aortic Aneurysm and Aortic dissection

d) Point Of Care Ultrasound (POCUS) in ED

e) Identification of Inferior Vena cava and its clinical significance in patients with shock

f) Echo in life support

g) Identification of Pericardial Effusion, pericardial Tamponade & Pneumothorax in ED

h) Identification of Massive Pulmonary Embolism & Right ventricular strain

i) Ultrasound guided Intravenous access

j) Use of ultrasound in DVT

k) Use of ultrasound in Retinal Detachment, Intraocular foreign bodies & Subcutaneous Skin infections, cellulitis & Necrotising fasciitis

l) Right & Left Hypochondriac Sono anatomy & identification of Gallstones

m) Renal Track Sono anatomy & Identification of hydronephrosis in ED

8. Minor Surgical Skills in the ED include:

a) Incision & Drainage of abscesses

b) Wound closure using glue & steri-strips

c) Wound closure with sutures

d) Complex wound repair

e) Management of minor burns

f) De-roofing of burn blisters

g) Nail Trephine

h) Nail Bed repair & Nail Re-implantation