Surgical Training for Austere
Environments
Provisional Programme
Course Director:
Mr David Nott
Vascular and Trauma Surgeon,
St Marys Hospital, London
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Day 1: Airway, Breathing and Circulation
Time Content
0745-0800 Registration and Refreshments
0800-0810 Introduction and Course Themes
0810-0850 The Austere Environment/Damage Control
0850-0920 Resuscitation and Anaesthesia
0920-0930 Changing and moving to lab
0930-1000 The Primary and Secondary Survey
Management of the Airway
Cricothyroidotomy
1000-1030
Tracheostomy
Chest Drain
THORACOTOMY FOR CHEST INJURIES
Lecture
Left Anterolateral Thoracotomy
Clamshell Thoracotomy
1030 -1200
Repair of Atrial and Ventricular Injuries
The Hilum
Pulmonary Injuries
Closure and Drains
1200-1230 Lunch
1230 -1240 Vascular Didactic
Neck Injuries
1240 -1310 Carotid
Patching Techniques
1310 -1330 Zone 1 Neck (Subclavian)
1330 -1400 Nerve Blocks
Exposure of Axillary
Brachial Vessels
1400-1445
Patch Repair Brachial Artery
Arm Fasciotomy
Exposure of Groin Vessels
1445-1530
Shunting of Groin Vessels
Thigh and Leg Fasciotomy
End to End Anastomosis
1530-1700 Vein Patch
Reversed Vein Bypass
Vascular Shunts
1700-1715 Refreshments
1715 -1900 Paediatric Surgery and anaesthesia
1900 Finish
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Day 2: General Surgical, Neurosurgical and Facial Trauma
Time Content
0745-0800 Refreshments
0800-0830 Ballistics
Appendicectomy
Trauma Laparotomy
Supracoeliac Aortic Control
Stomach Injuries, Splenectomy
Management of Liver Injuries
0830-1100 R to L Visceral Medial Rotation/IVC Repair
Duodenal Injury Pancreatic Injury
Renal Repair and Nephrectomy
Right Visceral Medial Rotation for Inferior vena Cava and
Aortic Injury
Small Bowel Resection and Anastomosis
1100-1115 Refreshments
Stomas, Ileostomy and Colostomy
1115-1230 Right Hemicolectomy
Hartmanns Operation
1000-1230
(rotations FAST scanning and general ultrasound
during the
lab work)
1230-1300 Lunch
1300 -1500 Neurosurgery
1500-1530 Refreshments
1530-1800 Maxillo –facial Injuries
1800 Finish
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Day Three: Obstetrics and Gynaecology (held at the RCOG)
Time Content
0900-0920 Registration and refreshments
0920-0930 Welcome and introduction
0930-1000 Managing the difficult Caesarean Section
1000-1020 Ruptured Uterus
1020-1040 Caesarean Hysterectomy
1040-1100 Break
Order of training rotations
You will be split into 3 groups (A, B and C). Your group will be identified by the colour of your badge.
The station names will be up on the wall outside each room.
Group A – Red Group B – Green Group C – Blue
Stations
Normal Delivery Fully dilated Section Destructive Craniotomy
1100-1135 A B C
1135- 1210 C A B
1210-1245 B C A
1245 – 1330 Lunch
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Stations
Difficult Delivery Perineal Trauma Compression and
C-section floating head Tamponade
and Breech
1330-1400 A B C
1400-1430 C A B
1430-1500 B C A
15.00 – 15.20 Break
Stations
Gynaecology Neonatal Lived Experience
Resuscitation
1520-1550 A B C
1550-1620 C A B
1620-1650 B C A
1650-1700 Feedback and Close
1710-1730 Faculty Meeting
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Day Four: Plastic Surgery
Time Content
0745-0800 Refreshments
0800-0805 Programme overview
0800-0930 Burns
Flaps lecture - key points
0930-1000
Defects you need to be able to fill
Skin graft demo and practical
Lower limb 1: Defect middle third leg fasciocutaneous
perforator flap
1000-1100
Lower limb 2: Defect upper third leg
gastroc flap
1100-1115 Refreshments
Lower limb 3: Defect lower third/foot
1115-1145 adipofascial perforator flap
Hand: Defect hand
1145-1215 groin flap
Upper limb: Defect arm/forearm adhoc perforator flap
1215-1245
Upper limb/shoulder/chest defect
1245-1330 lat dorsi flap
1330-1400 Lunch
1400-1420 Random pattern flaps for face / small defects
1420-1440 Basic tendon repair
Abdominal wall defect
1440-1525 component separation
Face / small defects
1525-1600 random pattern flaps
1600-1615 Refreshments
Flexor tendon repair
1615 -1800 Extensor tendon repair
Nerve tagging / large nerve repair
1800 Finish
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved
Day 5: Orthopaedic Trauma
Time Content
0745-0800 Refreshments
0800-1000 Plastering and Skin traction
1000-1015 Refreshments
1015-1230 Fracture management
1230 – 1300 Lunch
1300–1400 Pelvic Trauma
1400-1515 Management of Osteomyelitis and Chronic Wounds
Advanced Wound Debridement
1515-1530 Refreshments
1530-1700 Amputations
1700-1730 Course conclusion
1730 Finish
Programme timings are for illustration purposes only and are subject to change. Full terms and
conditions: [Link]/courses/course-faqs
© Royal College of Surgeons of England 2015. All rights reserved