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Abstracts



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CEM - Birmingham Conference - Call for Abstracts

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Free Paper Session 1: Acute Illness & Injury
13:30-15:00 Monday 13 September, Hall 11A

13:30-13:45
Deriving ER2- The East Riding Elbow Rule
Mr David Arundel

13:45-14:00
Serum Membrane Osmotic Pressure is Lower in Patients with Shock Associated with Systemic Inflammation
Dr Gareth Clegg

14:00-14:15
Development and Validation of Risk-Adjusted Outcomes for Systems of Emergency Care: The DAVROS Study
Professor Steve Goodacre

14:15-14:30
A Non-Inferiority Study of the Clinical Effectiveness of Anaesthesia Obtained via Application of a Novel Topical Anaesthetic Putty Compared to Infiltration of lidocaine for the Treatment of Lacerations in the Emergency Department.
Dr Mark Jenkins

14:30-14:45
The Impact of a Time Target on Older Patients Attending the Emergency Department
Professor Sue Mason

14:45-15:00
Comparing the Prognostic Performance of S100B with Prognostic Models in Traumatic Brain Injury
Dr Mehdi Lesko

 

Free Paper Session 2: General Emergency Medicine
15:30-17:00 Monday 13 September, Hall 11A

15:30-15:45
The Assessment of Non-technical Skills in the Emergency Department
Dr Lynsey Flowerdew

15:45-16:00
CRP in the Diagnosis of Pulmonary Embolism
Dr Kerstin Hogg

16:00-16:15
Intergrated Emergency Care reduces Hospital Admissions and reduces In Hospital Mortality
Dr Adrian Boyle

16:15-16:30
The Introduction and Impact of a "Hot" Aualitative Mortality Reporting System for Patients Dying Within 24hrs of Admission
Dr Chris Turner

16:30-16:45
Nursing Satisfaction with the Introduction of the Liverpool Care Pathway to Emergency Medicine
Mr Stuart Strachan

 

Four Top Scoring RCEM Abstracts
17:00-18:00 Monday 13 September, Hall 10

17:00-17:15
An Investigation into the Cognitive and Neuropsychological Sequelae of Minor Head Injury in Children – A Prospective Pilot Study
Dr Jacques Kerr

17:15-17:30
Economic Analysis of the RATPAC Trial (Randomised Assessment of Treatment Using Panel Assay of Cardiac markers)
Professor Steve Goodacre

17:30-17:45
Systemic Inflammation at 24 Hours Predicts Outcome in Patients after Out-of-Hospital Cardiac Arrest Treated with Therapeutic Hypothermia
Dr Gareth Clegg

17:45-18:00
Temperature post out-of-hospital cardiac arrest: the TOPCAT study
Dr Richard Lyon

CEM: Rod Little Prize Session
13:30-15:00 Tuesday 14 September, Hall 1

13:30-13:45
Detecting Plaque Rupture? Soluble CD40 Ligand for Early Diagnosis of Acute Myocardial Infarction in the Emergency Department
Dr Richard Body

13:45-14:00
Back to Basics - ECG Impedance Analysis for CPR Quality Control and Feedback after Out-of-Hospital Cardiac Arrest: A Pilot Study
Dr Richard Lyon

14:00-14:15
The Role of Biochemical Markers in the Identification of Intracranial Pathology Following Minor Head Injury: A Systematic Review and Meta-Analysis
Dr Alastair Pickering

14:15-14:30
'Whole Body' Computed Tomography Scanning Following Blunt Multitrauma: A Delphi Study
Dr Paul Hunt

14:30-14:45
Developing the Role of Emergency Physicians in Humanitarian Assistance and Disaster Response
Dr Najeeb Rahman

14:45-15:00
Is the Diagnostic Value of Either ESR or CRP Sufficient to Exclude the Need to Measure Both in Paediatric Patients Presenting with Non-Traumatic Limb Pain?
Dr Sara Robinson

 

APEM: Free Paper Session 1
13:30-15:00 Tuesday 14 September, Hall 11B

13:30-13:45
The Management of Children in Unscheduled Care Services by Emergency Care Practitioners (ECPs)
Dr Colin O’Keefe

13:45-14:00
Comparing Paediatric Hospital Admission Rates between Emergency Departments in England - A Descriptive Analysis using Hospital Episode Statistics Data
Dr Mary Thompson

14:00-14:15
Current Practice and Opinion Regarding the use of Therapeutic Hypothermia after Cardiac Arrest Survival in Children: A Survey of UK Paediatric Emergency Medicine Consultants to Inform the Cold-PACK Study
Dr Mark Lyttle

14:15-14:30
Impact of Ambulatory Intravenous Antibiotic Therapy for Children with Preseptal Cellulitis
Dr Rossa Brugha

14:30-14:45
Unscheduled Re-attendances to a Paediatric Emergency Department: An Audit
Dr Lisa Black

14:45-15:00
A Lean, Keen, Kid-Centred Machine: Change in Children's ED
Dr Clare Dieppe

 

APEM: Free Paper Session 2
15:30-16:15 Tuesday 14 September, Hall 11B

15:30-15:45
Creating Safer Decision Support Systems for Paediatric Emergency Care: The Paeds ED Project
Dr Haidar Samie

15:45-16:00
Massive Transfusion in Paediatric Trauma: A Single Centre Experience
Dr Robert Hearn

16:00-16:15
An Evaluation of the UK National Pandemic Flu Algorithm among Paediatric Emergency Admissions, and Comparison with the National Institute of Clinical Excellence Fever Guideline
Dr Chantelle Mann

APEM Day 3: Free Papers
10:00-10:30 Wednesday 15 September, Hall 8A

10:00-10:15
The Q**** Study - Basic Randomised Evaluation of Attendance at a Children's Emergency Department
Dr Graham Thomson

10:15-10:30
Can Introduction of a Compulsory Burns Protocol in Paediatric Emergency Departments Increase Detection of NAI in Preschool Children?
Dr Farooq Pasha


RCEM Free Paper Session
13:15-14:00 Wednesday 15 September, Hall 8B

13:15-13:30
The ABC of Handover: A New Tool for Handover in the Emergency Department and its Impact on Practice
Dr Maisse Farhan

13:30-13:45
The Effectiveness of Patient Self-Assessment Forms at Increasing Emergency Department Efficiency
Dr Scott Middleton

13:45-14:00
The Use of 320 Slice Coronary CT in Low Risk ACS Clinical Decision Pathway in the ED
Dr Aidan McNamara


14:00-15:30 Wednesday 15 September, Hall 8B

14:00-14:05
MP1: Can Side Stream Qualitative Capnography Help to Differentiate the Causes of Acute Wheezy Dyspnoea in the Emergency Department (ED)?
Dr Sarah Krishnanandan

14:05-14:10
MP2: Current Trends for Rate Control in New Onset Atrial Fibrillation in the ED. Are we NICE Complaint?
Dr Farooq Pasha

14:10-14:15
MP3: Current use of Early Warning Scoring Systems in UK Emergency Departments
Dr James Griffiths

14:15-14:20
MP4: Transcutaneous Carbon Dioxide Monitoring - Dynamic Enough to be Useful in Procedural Sedation and Analgesia in the Emergency Department?
Dr Clare O’Leary

14:20-14:25
MP5: Collaboration and Communication Technology at the Heart of Hospital Transformation
Dr Navin Bedi

14:25-14:30
MP6: Review of Consecutive CT Chest Examinations to Determine a Safe Distance for Dilator Ion During Seldinger Chest Drain Placement
Dr Emma Greenwood

14:30-14:35
MP7: Developing the Role of an Emergency Medicine Physician in Humanitarian Assistance: A Personal Journey
Dr Najeeb Rahman

14:35-14:40
MP8: How can ED Trainees Acquire Level 1 Ultrasound Competencies?
Dr Helen Mansfield

14:40-14:45
MP9: How Accurate are Predicted Waiting Times Determined Upon a Patient’s Arrival in the Emergency Department?
Dr Sherif Hemaya

14:45-14:50
MP10: Does it Really Need a Drain? A Conservative Approach to Traumatic Pneumothorax
Dr Tamsin Ribbons

14:50-14:55
MP11: Reducing CT Scans in Head Injury in a DGH: Feasibility Study of Protein S100B as a Screening Tool
Dr Rajaravi Somasegaram

14:55-15:00
MP12: Prehospital Administration of Ketamine for Orthopaedic Injuries by Paramedics is Safe and Effective
Dr Stephen Rashford

MP13: 15:00-15:05
Inter-Hospital Variation in the RATPAC Trial (Randomised Assessment of Treatment using Panel Assay of Cardiac Markers)
Professor Steve Goodacre

MP14: 15:05-15:10
The RATPAC Trial (Randomised Assessment of Treatment using Panel Assay of Cardiac markers): A Randomised Controlled Trial of Point-of-Care Cardiac Markers in the Emergency Department
Professor Steve Goodacre

MP15: 15:10-15:15
Sedation of Children in the Emergency Department for Short Painful Procedures Compared to Theatre, how much does it Save? An Economic Evaluation
Dr Adrian Boyle

MP16: 15:15-15:20
I Know What I Mean. Emergency Medicine Trainees' Understanding of the Mean Arterial Blood Pressure
Dr Katy Miller

MP17: 15:20-15:25
Effect of Temperature, Hypothermia and Hyperthermia, on the Gel Point, Fractal Dimension and Structure and Strength of a Blood Clot
Dr Rangaswamy Mothukuri

MP 18: 15:25-15:30
Resuscitation Lateral Cervical Spine X-Ray (LCSX): A Useful Mandatory Screening Tool in Acute Trauma?
Dr Sounder Perumal


PB = Poster Board. The number indicates which poster board you have been assigned.

 

PB 1: Cost-Effectiveness of Diagnostic Strategies for Minor Head Injury
Professor Steve Goodacre

PB 2: Ultrasound in the Assessment of Ocular Blast Injury in the Military ED
Dr Simon Horne

PB 3: Prognostic Value of Various Computed Tomography (CT) Findings in Traumatic Brain Injury
Dr Mehdi Lesko

PB 4: TAP-Block as a Part of the Postoperative Pain Management after Abdominal Surgery? Experiences from a Combat Support Hospital, Role 3, Camp Bastion, Afghanistan
Dr Henrik Torup

PB 5: Health Status Following Emergency Medical Admission: the DAVROS Study
Professor Steve Goodacre

PB 6: Battlefield Analgesia Review: Experiences from Pre-Hospital Trauma Care in OP Herrick 10b, R3 (UK) FD HOSP, Camp Bastion, Afghanistan
Dr Kariatta Koroma

PB 7: Outcome of Wrist Injuries with Clinical Suspicion of Scaphoid Injury Following Normal CT
DR Jason Smith

PB 8: Doctors’ Knowledge of Prescription Charges – A Hidden Cost to the Patient?
Dr Claire Rowberry

PB 9: Cardiac Markers and Chest Pain Protocol in the ED
Dr Adebowale Adesina

PB 10: Prehospital Ultrasound Reduces Time to Definitive Surgery at a Major Trauma Service
Dr Stephen Rashford

PB 11: The Management of Suspected Scaphoid Fracture - Is Follow up Imaging Necessary?
Dr Anthony Moore

PB 12: A Survey of Injuries Sustained by Professional Rugby League Players
Mr Patrick Dissman

PB 13: Impact of Operational Conditions on Medication Concentration
Dr Cynthia McPherson

PB 14: Audit of the Management of Atrial Fibrillation in an Emergency Department of a University Hospital
Mr Abdul Jabbar

PB 15: Service Evaluation of Suspected Scaphoid Injury Management Pathway
Mr Patrick Dissman

PB 16: Current use of Whole-Body Computed Tomography for Trauma patients in UK Emergency Departments
Dr Christopher Smith

PB 17: Reducing the Time to Critical Interventions for Major Trauma Patients at a Regional Neurosurgical Centre
Dr Derek Hicks

PB 18: Clinical Applications of Handheld Ultrasonography at Helicopter Emergency Medical Service (H.E.M.S) Sydney
Dr Tom Lupton

PB 19: Prehospital Emergency Anaesthesia: Current Practice in UK Prehospital Services
Dr Alastair Newton

PB 20: Digital Nerve Blocks with Epinephrine – Is there a Role in the Emergency Department?
Miss Rhian Farquharson

PB 21: Falls and Fragility Fractures in the Emergency Department. A UK Postal Survey of Current Practice and Compliance with National Guidelines
Dr Martin Kelsey

PB 22: ED Evaluation and Treatment of Acute Low Back Pain
Mr Abdul Jabbar

PB 23: Observing and Reacting - A comparison of MEWS and Traffic Light Track and Trigger Systems within the Emergency Department
Dr Susan Dorrian

PB 24: Do Gun-Shot Wounds to the Chest and/or Abdomen Always Require Surgical Intervention?
Dr Jonathan Behar

PB 25: Electrical Cardioversion in the Emergency Department (ED)
Dr Vazeer Ahmed
PB 26: Both Ends Against the Middle: Equestrian Injuries in a Rural DGH
Dr Rob Perry

PB 27: An NHS Critical Care nurses’ Experience of Working at Camp Bastion, Afghanistan – It’s Nothing Like M.A.S.H”
Mr Chris Ellis

PB 28: Statistical Process Control to Assess the Impact of Process Change within the Emergency Medical Retrieval Service: Guidelines for the Transport of the Critically Ill Adult
Ms Jennifer Adams

PB 29: Blowin’ in the Wind: Injuries Caused by Strong wind in the Mountains of Snowdonia
Dr Linda Dykes

PB 30: Can Paramedics Apply ive Immobilisation of the Cervical Spine in Blunt Trauma? A Systematic Review of the Literature
Dr Christopher Smith

PB 31: Sticks and Stones May Break your Bones but Knobkerries May Kill You! A Discussion on Assault in South Africa
Dr Tamsin Ribbons

PB 32: Audit of a New Emergency Department CT Head Request Proforma
Dr Edward Pink

PB 33: Use of Ultrasound to Confirm Posterior Sternoclavicular Joint Dislocation
Dr Hooi-Ling Harrison

PB 34: Bilateral Spontaneous AchillesTendinitis and Rupture: A Case Report and Review of Literature
Dr Balakrishna Valluru

PB 35: Symptomatology and Outcomes in Patients with Mephedrone Toxicity in a City Centre Emergency Department: A Case Series Report
Dr Janos Peter Baombe

PB 36: Emergency Department Crowding: Developing an Operational Definition Using a Delphi Study
Ms Kathleen Beniuk

PB 37: Evaluating Patients for Pulmonary Embolism. How should we Assess Clinical Probability?
Dr Kerstin Hogg

PB 38: Physician Assistants and Emergency Medicine
Dr David Kuhns
PB 39: Ice Ice Baby – The Impact of the Coldest UK Winter for 30 Years on Nottingham University Hospital
Dr Jaimie Coleman

PB 40: The Impact of Foundation Training on Staff and Services: The Views and Experiences of Postgraduate Education Stakeholders and Staff in the Emergency Department
Mr Colin O’Keefe

PB 41: The Predictive Value of the GRACE and TIMI Scores in Patients with Suspected Acute Coronary Syndrome but a Normal or Non-Diagnostic ECG
Professor Steve Goodacre

PB 42: Rushing, Cheating or Better Flow: Is The Ability to Meet the Four-Hour Target Associated With Increased Disposal Activity Just Before the Deadline?
Professor Sue Mason

PB 43: Developing an Objective Structured Clinical Examination (OSCE) for Assessing the Practical Skills Competence of Undergraduate Medical Students in Emergency Medicine
Dr Jonathan Acheson

PB 44: Intraosseous Access – Which Lasts Best?
Miss Nicola McCullough

PB 45: A Model of a United States Military and Civilian Trauma Partnership: Synergy and Bidirectional Learning United States Air Force Medical Service and the R Adams Cowley Shock Trauma Center
Dr Sidney Brevard

PB 46: Patient Attendances at UK Field Hospital, Afghanistan, During Peak Activity 2009
Ms Ida Helsoe

PB 47: A Good Target? Clinically Driven Targets at a Local Levels-CQUINS to Improve Patient Care and Finesse Flow
Dr Chris Turner

PB 48: Should we Test for Tetanus Immunity in the Emergency Department?
Dr Jane McVicar

PB 49: Digit Preference Bias in Emergency Department Departure Times is Alive and Well
Professor Sue Mason

PB 50: Communication and Knowledge Transfer in Emergency Care Teams: Can we Improve the Quality of Pre-Hospital Handovers?
Dr Stephen Murray
PB 51: Radiologist Delivered FAST in Military Trauma
Miss Nicola McCullough

PB 52: The Epidemiology of Blast Lung Injury During Recent Military Conflicts: A Retrospective Database Review of Cases Presenting to Deployed Military Hospitals, 2003-2009.
Dr Jason Smith

PB 53: Unscheduled Return Visits within One Week to Huddersfield Royal Infirmary's Emergency Department
Miss Sally-Anne Wilson

PB 54: Teams Under Pressure - An Interview Study with Staff in the Emergency Department
Dr Lynsey Flowerdew

PB 55: Multi-Detector CT (MDCT) in Nontraumatic Acute Abdominal Pain
Dr Arif Parambath

PB 56: Assessment of CT Reporting Times for Emergency Department Requests
Mr Abdul Jabbar

PB 57: Prevalence of Snoring in Patients Presenting Acutely to Hospital and Relation to Health Status on Admission
Dr Alexandra Hogan

PB 58: Those in Peril on the Sea: The Maritime Work of UK Military Search & Rescue (SAR) Helicopters
Dr Linda Dykes

PB 59: Understanding Patient Satisfaction and What Experiences of Receiving Care Patients Value in their Health Care Providers: Results from the NEECAP Trial of Emergency Care Practitioners (ECPs)
Ms Patricia Coleman

PB 60: The SAR Side: UK Military Search & Rescue (SAR) Medical Activity
Dr Linda Dykes

PB 61: Implementing Evidence Based Management of Acute Coronary Syndrome in the Emergency Department
Dr David Robinson

PB 62: IT and Medical Errors: Improving the Accuracy of X-ray Interpretation in the Emergency Department
Dr David Robinson

PB 63: Therapy Provision in Accident and Emergency and the Medical Assessment Unit at Calderdale and Huddersfield NHS Foundation Trust
Mrs Nicky Hill

PB 64: 999 Where the Road Don’t Go: Streamlining the Emergency Services Response to Inaccessible Incidents
Dr Linda Dykes

PB 65: Training for Acute Primary Health Care in a Hostile Environment
Sqn Ldr Kristian Mears

PB 66: Effectiveness of the Introduction of a Pain Stamp on Pain Score Recording and Analgesia Administration
Dr Geraldine Leonard

PB 67: Staff Perceptions of a 'Lean' Change Project in an Emergency Department
Mr Frank Coffey

PB 68: How has the Licensing Act (2003) Effected the Presentation of Violent Assaults to a Cambridgeshire Emergency Department? An Observational Study
Dr Adrian Boyle

PB 69: The use of Bedside Transthoracic Echocardiography in the Diagnosis of Pulmonary Embolism in the Emergency Department: A Review of the Literature
Dr Janos Peter Baombe

PB 70: The Bradford Syncope Service A Dedicated Service for the Assessment and Management of Patients Presenting with Syncope to Emergency Department and Primary Care. A Review of the Process
Dr Arshid Khan

PB 71: Homeless Patients and the Emergency Department - A Canadian Perspective
Mr Joe Tyler

PB 72: Would Major Trauma Casualties from Snowdonia Benefit from Access to a Regional Trauma Centre?
Dr Linda Dykes

PB 73: Donor Transplant Co-Ordinator: Part of the ED Team
Dr Richard Hall

PB 74: Physician Assistants and Military Medical Service
Dr David Kuhns

PB 75: Mandatory Triage does not Prevent Delays in Recognition of Acutely Ill Patients
Professor Ellen Weber
PB 76: The Influence of Temperature and Humidity on Emergency Department Syncope Attendances
Miss Claire Anderson

PB 77: A University Hospital Experience in Reducing Unnecessary Discharge Analgesia Prescribing
Dr Melissa Livingston

PB 78: Clinical Value of Blood Cultures in the ED: Does this Expensive Routine Investigation Change Patient’s Management?
Mr Nigel D’Souza

PB 79: “Did not Wait” Emergency Department Attendances: Who are they, and do they Return?
Dr Adelle Fishlock

PB 80: Emergency Room Architecture of the Military Hospital: Corridor Versus Arena Style
Navy Lieutenant Ibrahim Arziman

PB 81: A Prospective Study on Complaints against Pre-Hospital Emergency Care Providers
Ms Ann De Cleene

PB 82: An Effective Way of Implementing Safer Sedation in the Emergency Department
Dr Suzy Connor

PB 83: Immediate Percutaneous Coronary Intervention Following Out-of-Hospital Cardiac Arrest
Dr Jennifer Freeston

PB 84: Experiences from the “Emergency Care for Trauma” Course for Support of Health System in Afghanistan as a NATO ISAF Medical Force
Dr Ibrahim Arziman

PB 85: Assessing Tetanus Status in the Emergency Department: A National Postal survey of Current Practice
Dr Martin Kelsey

PB 86: Can CIS Scores be Used Pre-Hospital to Patients for Admission to a Small Country Hospital?
Dr Kashif Samin

PB 87: Emergency Department Attendances- What do GP's Really want to know?
Dr John Gray

PB 88: The Implications of a Central Hypogastric Area Examination for Women with Acute Abdomen
Dr Ming-Cheh Ou

PB 89: Pulmonary Embolism in the Elderly: Clinical Aspects and the Follow-up
Dr Yen-Yi Feng

PB 90: “I’m Going to Learn how to Run Quick.” Exploring Violence Directed Towards Staff in the Emergency Department
Ms Emma Knowles

PB 91: How an Audit of Blood Test Ordering in an Emergency Department Led to Saving the Hospital £55,900 per Year
Dr Kate Goyder

PB 92: The Diagnostic Rate of Trifascicular Block in the Emergency Department
Dr Gurpreet Jutley

PB 93: Does the Presence of a Hospital Ambulance Liaison Officer Improve Ambulance Turnaround Times in the Emergency Department?
Dr James Crampton

PB 94: Too Young to have a Myocardial Infarction?
Dr Gurpreet Jutley

PB 95: Medical Consequences of Patients Taken to the Emergency Department of a Military Hospital from Turkish National Emergency Medicine System (EMS) at a Metropol City
Dr Ibrahim Arziman

PB 96: Can Emergency Physicians Interpret Chest Radiographs Accurately?
Dr Arshid Khan

PB 97: Anaesthetic Nurses Add Quality in Emergency Care
Senior Nursing Officer Claus Bakke

PB 98: Delays in Rapid Sequence Intubation: A Case Series from the Emergency Department at the Royal Infirmary of Edinburgh
Mr Charles Rich

PB 99: How to Measure Triage - Defining a Gold Standard for the T1 Battle Casualty
Dr Ryan Ewbank

PB 100: The Relationship between Alcohol Consumption and Presentation to Accident and Emergency (A&E) with Traumatic Injuries in Dundee over a Three Month Period
Mr Ross Dolan
PB 101: An Evidence Based and Cost Effective Protocol in the Management of Children Presenting with Acute Gastroenteritis to the Emergency Department
Dr Danielle Hall

PB 102: How useful is a Routine Chest X-Ray in the Management of Acute Coronary Syndrome?
Dr Rama Govindan

PB 103: Lower Limb Traumatic Amputation – The Importance of Pelvic Binding for Associated Pelvic Fractures in Blast Injury
Dr Alexandra Cross

PB 104: Contrasting Approaches: The Role of Oral Contrast in Imaging the Abdomen Following Blunt Trauma. A Comparative Study
Dr Morten Draegebo

PB 105: Can Expiratory Chest Radiographs Aid Emergency Department Junior Doctors in the Diagnosis of Suspected Pneumothorax?
Dr Aaron Milligan

PB 106: A Systematic Review of Clinical Decision Rules in the Management of Adult Minor Head Injury
Dr Alastair Pickering

PB 107: Therapeutic Hypothermia in Post Cardiac Arrest Patients: The Welsh Experience
Dr Andrew Lightfoot

PB 108: Chest X-Ray in the Feverish Child, have NICE guidelines Suggested the Best Indication for CXR in the Feverish child?
Dr Jamal Mortazavi

PB 109: What's in your Shock Pack?
Dr Helen Mansfield

PB 110: Validation of the ROSE MI Rule: is Troponin Necessary in Isolated Syncope?
Mr James Varley

PB 111: A One Year Review of Children with Head Injuries Presenting to a Childrens Emergency Department
Dr Damian Roland

PB 112: Ambulance Crews’ Attitudes towards Working with Pre-Hospital Doctors in the Field
Dr Richard Lyon

PB 113: A Retrospective Case Series Analysis in the use of the PESI Score
Dr Alistair McIlwee

PB 114: How well does the Triage Sieve Predict the Need for Life or Limb Saving Intervention in Military Trauma?
Dr Ryan Ewbank

PB 115: Difficulties Identifying Metallic Foreign Bodies on OP HERRICK
Capt Emma Cowley

PB 116: Community Acquired Pneumonia: Remember the Virus
Dr Darragh Shields

PB 117: Haemostatic Agents in Penetrating Trauma: Gimmick or Life Saver? A Systematic Review
Dr Stuart Reid

PB 118: Admission Troponin Expedites Transfer to Cardiology Wards
Dr Colin Kong

PB 119: Can you rely on Physical Examination Findings Following Thoracic Trauma to Identify Serious Pathology, and what does the Routine Chest Radiograph Add?
Dr Tamsin Ribbons

PB 120: Immigration Trends and Translation use in the ED: A Review of the Data at Sheffield Children's Hospital
Dr Roger Dalton

PB 121: ARCTIC: Acuity Scoring Relating to Mortality Outcome in Immediate Care
Miss Rebecca Hyde

PB 122: Paediatric Headaches: A Cause for Concern?
Dr Roger Dalton

PB 123: Concomitant Foot and Ankle Fractures in Minor Trauma – Do they Occur?
Dr Shalini Wijesuriya

PB 124: Under-Recognition of Anaphylaxis in a Paediatric Emergency Department
Dr Nicholas Sargant

PB 125: Bubble Trouble
Dr Stephan Fordham

PB 126: Changing Times Regarding Assault and Knife Crime
Mr Mike Wilson

PB 127: Can we Apply the San Francisco Syncope Rule (SFSR) to Avoid Hospital Admissions?
Mr Wilson Fung

PB 128: Potential of Outpatient Treatment of Pulmonary Embolism
DR Rama Govindan

PB 129: Major Incident Awareness Across Wales NHS Trusts
Dr Joseph Hobson

PB 130: Bone Protection Assessment and Treatment for Fragility Fractures Presenting to Emergency Departments
Dr Sarah Hazleman

PB 131: Whole Body CT Imaging in Polytrauma Patients at James Cook University Hospital
Mr Alister Oliver

PB 132: Collapse? Cause is not Enough
Mr Dave Paradise

PB 133: Post Concussive Syndrome after Mild Traumatic Brain Injury: Is it Predictable?
Dr Farooq Pasha

PB 134: Stroke – A Challenge for the Emergency department
Dr Rama Govindan

PB 135: Use of Chaperones in Intimate Examinations within the Emergency Department
Dr Roshan Vijayan

PB 136: Ottawa Knee Rule: Does it Reduce the Number of X-Rays taken in the Emergency Room in the UK?
Dr Rama Govindan

PB 137: Training of Junior Doctors in Emergency Thoracotomy in the United Kingdom
Dr Mohammad Ansari

PB 138: Clinical Features of Food Induced Anaphylaxis in an Emergency Department of Southeastern Coast Area of Korea
Dr Minhoo Seo

PB 139: Evaluation of Enhanced Simulation in Swedish BATLS Training
Wg Cdr Lars Lundberg

PB 140: BestBet: Scaphoid Versus Colles Cast for the Treatment of a Confirmed Scaphoid Fracture
Dr Katy Guy

PB 141: Evaluating the use of the Emergency Department IT System in Assault Surveillance
Dr Jennifer Cherry

PB 142: Audit of Compliance with National Guidelines for Emergency Management of Open Tibia and Fibula Fractures in a Tertiary Referral Centre
Mr Alexander Goodson

PB 143: The Role of protein S-100 marker testing in the management of minor head injuries in the Emergency Department
Dr Rachael Morris-Smith

PB 144: Recognition and Management of Severe Sepsis in the Emergency Department
Captain Marcela Aguirre

PB 145: Profile of Injuries Arising from the 2005 Kashmir Earthquake: The First 72 h
Dr Anjum Qadri

PB 146: Implementing the Surviving Sepsis Campaign in a District General Hospital
Dr Gareth Hardy

PB 147: Return of Biers Block: A Safe, Effective Way to Manipulate Distal Radius Fractures in the Emergency Department
Dr Kirsty McWhirter

PB 148: Adequacy of Cervical Spine Radiographs in Trauma Patients
Dr Kieran Foley

PB 149: Is the Paediatric Appendicitis Score a Useful Discriminator between Acute Appendicitis and Other Pathologies in the Paediatric emergency department?
Dr Julie-Ann Maney

PB 150: An Audit and Review into Current Scaphoid Practice in the Emergency Department (ED), Cumberland Infirmary, Carlisle. Time to get Rid of follow up Radiography?
Dr Sachin Mandalia

PB 151: 12/12 School Kids Enjoy Emergency Planning Gaming
Dr Jane Mooney

PB 152: Penetrating Trauma in Birmingham, West Midlands
Dr Rama Govindan

PB 153: A Systematic Literature Review into the Treatment of Acute Lateral Ligament Injuries of the Ankle
Dr Alister McIlwee

PB 154: Pre-Hospital Events: Reducing Local Ambulance and Emergency Department Workloads
Dr Colm Watters

PB 155: Impact of Climactic Extremes (ICE) Audit
Dr Scott Beattie

PB 156: Winter Breaks: The Hidden Cost of the Cold Snap
Dr Roger Dalton

PB 157: Prophylactic Antibiotics to Prevent Toxic Shock Syndrome in Paediatric Burns
Mr Mustafa Kendeel

PB 158: Transient Renal Dysfunction Secondary to Oral Creatine Supplemantation in a Non Athlete: A Case Report and Review of Literature
Dr Balakrishna Valluru

PB 159: Cervical Spine Fracture Secondary to Penetrating Injury with a Knife.
Dr Oliver Bannon

PB 160: Earthquake Injuries and the Use of Ketamine for Surgical Procedures: The Kashmir Experience
Dr Anjum Qadri

PB 161: Do you Read me...? The Safety of Emergency Department Discharge Instructions
Dr Anna Buckley

PB 162: Does the LUCAS Device Result in Increased Injury During CPR?
Dr David Menzies

PB 163: Ketamine Procedural Sedation – Patient Satisfaction and Long Term Follow up
Dr John O’Neill

PB 164: Investigation of Pulmonary Embolism - Does use of a Proforma Increase Adherence to BTS Guidance: A Prospective Audit
Dr Nicole McLean

PB 165: Fractal Dimension (df) and Time to the Gel Point (TGP). New Biomarkers for Determining Clot Quality in a Model of Haemodilution
Dr Sendhil Kumar

PB 166: Optimising the Management of Acute Coronary Syndrome
Dr Stephen Fordham

PB 167: "Nil for Lysis” – ECG Documentation and Accuracy in the Emergency Department
Dr Daniel Boden

PB 168: The Search for Reversible Causes in Patients Suffering Fatal Cardiac Arrests: Are we Getting it right?
Dr Neel Bhanderi

PB 169: The use of Clinical Care Guidelines by Doctors in UK Emergency Departments
Miss Nicola Johnson

PB 170: The Role of the Text Factoid in Achieving Foundation Year Two Competencies
Dr Holly Morris

PB 171: Self-Harm Patients: Time to be NICE?
Dr Laura Elder

PB 172: Workforce Planning: Audit of Working Patterns in Senior Emergency Medicine Trainees
Dr Kirsty McWhirter

PB 173: The Manchester Triage System in Head Injury: Beyond NICE?
Dr Saif Al-Nahhas

PB 174: Evaluation of a Global Trigger Tool in Detecting Harm in Emergency Department Patients
Mr David Wotherspoon

PB 175: Role of Bedside ED Ultrasound in the Management of Acute SOB
Dr Muhammad Azam Majeed

PB 176: PEPSE Max – Maximisng PEPSE Availability and Uptake in the Emergency Department
Dr Andrew Smith

PB 177: The Incidence of Heat Illness on Deployed Troops on Operations in Iraq and Afghanistan 2003-2008
Dr Sophia De Maria

PB 178: 6/7 Year Emergency Medicine Human Patient Simulation Delivery Plan
Dr Libby Thomas

PB 179: Triage - Time for a New Perspective?
Dr Mark Harrison

PB 180: The Significance of Marginal D Dimer Elevations in Diagnosing Pulmonary Embolism
Dr Wojciech Sawicki

PB 181: Back Pain – Are we Missing Spinal Tuberculosis?
Dr Rama Govindan

PB 182: Communication at Emergency Department Discharge: A Patient Perspective
Dr Anna Buckley

PB 183: Impact of an Ageing Population on the Emergency Department
Dr Nithin Narayan

PB 184: Have Workforce Changes within Emergency Medicine Affected X-Ray Audit Data
Dr Kirsty McWhirter

PB 185: Nonallergic Angioedema in the Emergency Department
Dr Iram Razzaq

PB 186: The Impact of Frequent Attenders on a UK Emergency Department
Miss Alexandra Dent

PB 187: Unplanned Emergency Department Returns: An Index of Patient Safety and Quality of Care
Dr Reem Daniels

PB 188: Incident Command and Rescue on a Building Collapse
Dr Ibrahim Arziman

PB 189: An Innovative Tool to Help with Human Patient Simulation Debriefing
Dr Libby Thomas

PB 190: Pro-Active Identification of Smokers, and Referral to Stop Smoking Services as Part of an Emergency Department-Based Health Promotion Programme
Dr Najeeb Rahman

PB 191: A Human Patient Simulation Course for ST4’s in Emergency Medicine
Dr Libby Thomas

PB 192: E-Health Initiative – The Development of a ‘Special Patient Registry’ for Nephrology Patients in the Emergency Department
Dr Issaam Oozeerally
PB 193: Why & how to Monitor CO2 during Conscious Sedation
Dr Muhammad Azam Majeed

PB 194: Prospective Observational Pilot Trial for Procedural Sedation and Analgesia using Ketofol (Ketamine/Propofol Combination) vs. Fentanyl and Propofol
Dr Nellis Van Zyl Smit

PB 195: Single Examination Ultrasound Scanning in the Investigation of Suspected Deep Venous Thrombosis. Is it Safe?
Dr Aaron Milligan

PB 196: The Haemolysis of Emergency Department Blood Samples: An Observational Study to Determine Associated Factors
Dr Laura McGregor

PB 197: The Utilisation of a Patient Care Pathway to Optimise the Management of Patients with Low-Risk Gastro-Intestinal Bleed within an Emergency Department Clinical Decision Unit
Dr Cian McDermott

PB 198: Eyes Down for an Empty House: the Perceived Experiences of Anaesthetic Trainees Called to Accident and Emergency Departments
Dr Kate Glennon

PB 199: The Management of the Isolated Sternal Fracture: Finding that Broken Heart
Dr Anahita Dua

PB 200: Trends in Deliberate Self Poisoning and Emergency Room Management in a Zululand Hospital, South Africa
Dr Helen Davies

PB 201: The Relationship between Deprivation and Alcohol Related Presentation to Accident and Emergency (A&E) in Ninewells Hospital Dundee over a Three Month Period
Mr Ross Dolan

PB 202: Mephedrone: A Case Series and Review of Management
Dr Wojciech Sawicki

PB 203: Mapping the Emergency Medicine Curriculum to Human Patient Simulation
Dr Libby Thomas

PB 204: A Retrospective Review of the Epidemiology of Adult Poisonings Admitted to the Short Stay Ward of Aberdeen Royal Infirmary Emergency Department in 2009
Miss Alison Teo

PB 205: H1N1 Immunization amongst Emergency Department Staff
Dr Wojciech Sawicki

PB 206: The Role of Emergency Medicine in Coronary Heart Disease Prevention and Tobacco Control Interventions
Dr Najeeb Rahman

PB 207: Review of Emergency Department Presentations Secondary to Ingestion of Headshop Products
Dr Rachel Conway

PB 208: Improving Compliance with Patient at Risk (PAR) Score to Trigger Escalation of Care in the ED
Dr Lauren Fraser

PB 209: The use of D-Dimer Testing in the Emergency Setting
Mr Chrsitopher Lawrence

PB 210: Legal Highs or Emergency Department Lows?: Could the “Bubble” Burst with Illegalisation?
Dr Emma Greenwood

PB 211: Psychiatric Review of Patients Presenting to the Emergency Department
Dr Rachel Voller

PB 212: Internet Based Teaching as a Learning Tool
Dr Colm Watters

PB 213: ST Elevation MI in the Setting of Radiological Pneumoperitoneum
Dr Adeel Akhtar

PB 214: Foreign Body Removal from the Cornea- A Simple Training Model
Dr Chris McCullough

PB 215: Otago Rescue Helicopter, New Zealand: The Value of Out of Programme Training Opportunities for UK Emergency Medicine Trainees
Dr Laura McGregor

PB 216: Mephedrone Toxicity
Dr Luke Regan

PB 217: Significance of Red Flag Signs in Acute Back Pain Admissions from the Emergency Department
Mr Mohamed Zubair Farook

PB 218: Does Utilization of the “Sepsis Six" Tasks Increase Compliance with the First Surviving Sepsis Bundle? A Completed Audit Loop in an Irish Emergency Department
Dr Aileen McCabe

PB 219: Diltiazem or Digoxin for Rapid Atrial Fibrilation: Fast and Furious?
Dr Farooq Pasha

PB 220: Maintaining Basic Anaesthetic Skill Competence as an Emergency Trainee: A Pilot Study
Dr Carl McQueen

PB 221: Emergency Department Discharge Letter Audit
Dr Anna Buckley

PB 222: Improving Corneal Donation in an Urban Emergency Department
Dr Andrew Paterson

PB 223: The Role of D-Dimer in the Management of DVT
Dr Adeel Akhtar

PB 224: Non-Therapeutic Interventional Research in Paediatric Trauma: What do Parents Think?
Dr Sujatha Rajan

PB 225: The Paediatric Observation Priority Score – Rationalising Illness Identification in a Childrens Emergency Department
Dr Damian Roland

PB 226: Comparision of Two Ion Techniques of ProSealTM Laryngeal Mask Airway by Unskilled Personnel in Children
Dr Jin Young Hwang

PB 227: Influence of Light Level on the Road Casualty Incidence of Schoolchildren in Great Britain
Dr Adam Yates

PB 228: A Top to Bottom Review of Gastroenteritis in Children in the Emergency Department and Implementation of NICE Guidelines
Dr Helen Mollard

PB 229: Are we Giving Parents Enough Information when Discharging Children from the Emergency Department? Results from a District General Hospital
Dr James Griffiths
PB 230: The use of Coagulation Screening in the Paediatric Emergency Department
Dr Fleur Cantle

PB 231: Adherence to National Burn Care Review Referral Criteria in a Paediatric Emergency Department
Mr Aidan Rose

PB 232: Assessment of Potential Benefits of Commercially Available Testing for Pandemic H1N1 Influenza in a Paediatric Population
Dr Mark Lyttle

PB 233: Social Deprivation and its Association with Penetrating Trauma in Children
Dr Sujatha Rajan

PB 234: Is the Initial Respiratory Rate of a Child Presenting to A&E a Predictor of Disease Severity?
Ms Ysabelle Del Monte

PB 235: Parent Satisfaction and the Influence of Waiting Times in the Paediatric Emergency Department
Dr Fleur Cantle

PB 236: Paediatric Poisoning in the ED: Reflections on Practice to Streamline Service
Dr Carl McQueen

PB 237: The Importance of an Appropriate Clerking Proforma when Assessing Young Children with Fever in the ED in Line with the NICE Guideline
Dr Amutha Anpananthar

PB 238:
UK Foundation Doctors' Awareness of Paediatric Non-Accidental Injuries: A Sudy of Two Trusts' Cohorts
Mr Tarek Boutefnouchet

PB 239: Resource Implications in the Management of Penetrating Trauma in Children
Dr Sujatha Rajan

PB 240: Introduction of Intranasal Diamorphine for Treatment of Severe Pain in Children – Are we using it Appropriately?
Dr Katy Guy

PB 241: Audit of the Bristol Paediatric Early Warning Tool Observation Charts
Dr Kiera Meade

PB 242: Case Report of SCIWORA
Dr Sujatha Rajan