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Stethoscope Diaries I believe that the most crucial thing is the proper diagnosis

29/01/2023

As a proud participant of the first batch of the MRCEM program, I highly recommend this opportunity to all non-trainee doctors in Pakistan. The London Global Emergency Medicine (LGEM) has achieved great success, with trainees now present in over 200 hospitals and partnerships with 5 prestigious health institutes. The program has delivered over 140 hours of interactive teaching and held workshops for emergency medicine procedures and Level 1 EM ultrasound skills. The high success rate of 80% in FRCEM Primary exams, with 25 trainees passing the exam, only further showcases the effectiveness of this program. I encourage all those who are committed and passionate about their careers to seize this opportunity and apply for the 2nd batch of the MRCEM program under the guidance of Dr. Ash, the Director of London GEM Programme

"PROUD TO BE LGEMIAN"
12/12/2022

"PROUD TO BE LGEMIAN"

“First Time Ever In Pakistan As Per Royal College Of Emergency Medicine Guidelines “

LGEM is proud to announce first ever Level 1 ultrasound workshop for doctors GEM Trainees of Pakistan.

9th Jan 2023 Karachi : Hi Q Simulation Centre Karachi Karsaaz

11th Jan 2023 : Lahore: Ever Care Hospital Lahore.

Level 1 Emergency Ultrasound Is one of the fundamental competency every Emergency Medicine trainee needs signing off at core trainee level as per Royal College Of EM guidelines.

As a part of London Global Emergency Medicine training programme we are committed to provide our trainees these necessary skills so they can progress smoothly in their EM career.

Note : This workshop is only for London GEM MRCEM Trainees as a part of their RCEM curriculum.

Thank your very much Dr Syed Ali Ahmed& Mukhtiar Pathan for facilitating this workshop .

You are playing key roles in establishing Emergency Medicine In Pakistan.

Dr Ash

Big event to Attend in January 2023
12/12/2022

Big event to Attend in January 2023

LCC & PEMA-UK In Association with London Global Emergency Medicine is proud to announce its Sixth

“ 100 EM Procedure Workshop” which will be conducted in Lahore

Venue : Ever Care Hospital Lahore

Director & Master Trainer:
Dr Ashfaque Sorathia & Dr Syed Ali Ahmed

Facilitators
Dr Mukhtiyar Pathan
Dr Muhammad Azeem Imran
Dr Ubaid Ur Rehman Khizr
Dr Yamin Bocha
Dr Aurangzeb Ahmed
Dates : 12-15th January 2023

Timing 9:00 to 17:00 All 4 Days.

This workshop is a part of London Global Emergency Medicine MRCEM & EM foundation Programme therefore its open only for London GEM registered candidates.

We have conducted 5 successful 100 EM procedure workshops in Pakistan and have trained more than 200 Emergency Physicians.

This is an exceptional event in history of Pakistan Emergency Medicine as this kind of workshop has never happened in any part of the world, PEMA-UK is the only EM organisation conducting this magnificent event.

Our first workshop was conducted in Karachi on 3rd to 6th Dec 2019 which was a huge success.

Our Second workshop was conducted at Swat Medical College 24th-26th June 2019

3rd workshop was conducted at LCMD Karachi 25-28th Sept 2019.

4Th Workshop was conducted at Mayo Hospital Lahore in February 2020

And Fifth one was conducted at Darul Sehat Hospital Karachi in July 2022

This workshop is purely an intellectual asset of Dr Ash ( Ashfaque Sorathia ) who is currently working as ED consultant in Uk , He is the founder of PEMA-Uk, Director of London Clinical Courses and London Global Emergency Medicine programme .

Title and content of this workshop is copy right protected, therefore if any individual or organisation wishes to conduct this workshop must take prior written consent from PEMA-Uk and London GEM

Dr Ash is actively involved in teaching and training International Emergency Medicine physicians in UK , UAE, Middle East and Pakistan , he has trained more than 800 EM physicians who are now working as specialist and consultants all across UK.

To improve EM services in Pakistan he established PEMA-Uk in 2018 which is currently the most vibrant EM community of Pakistan .

In Feb 2022 Dr Ash launched another successful London Global Emergency Medicine programme mainly to own , educate and train Non Trainee doctors all across the globe, he took this initiative from Pakistan and currently he is supervising more than 200 Emergency Physicians of Pakistan for MRCEM training and exam.

This workshop is specifically designed to teach simple emergency procedures which can have a significant impact on patient life, main aim of this workshop is to equipped senior ER physicians , Residents, and Junior doctors with necessary skills so that they can confidently and safely perform life , limb or sight saving procedures without any delay.

How will this workshop be conducted ?

Full 4 days workshop , 25 procedures will be taught per day, During morning session full theoretical knowledge will be provided in a form of lecture and in afternoon opportunity will be given to do full hand on practise and perform procedure on mannequin and live on goat ribs and trachea .

Who will conduct this workshop ?

Whole workshop will be conducted by senior EM clinicians who are Fellows and Members of Royal colleges.

Who is the organiser of this workshop ?

This whole workshop is organised by PEMA UK & London Global Emergency Medicine.

Same workshop will be arranged in Dubai March 2022 and Uk April 2022, ( Price of this workshop in UK and UAE will be £800)

What is total fee ?

Fee in Uk £800 ( April 2023)

Fee in UAE £800 ( March 2023)

Fee for GEM Trainees In Pakistan ( Free)

As per our commitment to London GEM trainees in Pakistan we will be offering this workshop of £800 worth for free .

Will you get certificates ?

Yes , London GEM 24 CPDs Attendance Certificate signed by UK consultants will be issued to those who attend full 4 days.

How useful this certificate will be ?

This certificate will testify that you have attended this unique workshop and have knowledge of 100 EM procedure , you've been taught and had supervised hand on practice by UK trained consultants , this will be like a gem in your cv and portfolio , of course this will give you confidence in job interview any where in the world and doctors with these skills will always be preferred over doctors who don't have these skills .

Are there any other similar workshops ?
From our knowledge , No other institute anywhere in the world has organised such a unique workshop,

We all know about ATLS ALS APLS and other fancy courses but no one has ever conducted a practical workshop on 100 Emergency Medicine procedures.

Note : This workshop is the integral part of London GEM MRCEM & EMFP Programme therefore it’s mandatory for all GEM trainees to attend this workshop or else trainees will not pass out of this programme.

What procedures will be taught ? We will teach 100 EM procedures as per programme outlined below, please note this programme is just a rough guide and we may change topics/days as per instructor choice.

This is our programme :

Day 1

1) Airway Manouvers
2) Use of Basic airway adjuncts ( OPG/NPG)
3) Use of Bag Valve mask and basic ventilation
4) Use of Advance Airways I Gel , LMA
5) Endo Tracheal Intubation
6) Surgical Airway Cricothyroidotomy/ Tracheostomy
7) Removal of foreign body from upper airway
8 ) Abdominal Thrust to remove airway foreign body in Adults
9) Needle Cricothyroidotomy
10) Surgical Cricothyroidotomy
11) Percutaneous Tracheostomy
12) Neck Immobilization and Intubation
13) manual removal of foreign body from airway
14) Helminch Manoeuvre to dislodge foreign body
15) Tension Pneumothorax Needle Decompression
16) Aspiration Pneumothorax
17) Sildenger Chest drain
18) I/V cannulation
19) Venupuncture
20) Arterial Blood Gases
21) Insertion of Arterial Line
22) Obtaining Intraosseus access
23) Valsalva
24) Modified Valsalva Manouvre
25) Chemical Cardio Version

Day 2

26) Cervical spine immobilization and protection
27) Log Roll
28) Shoulder Dislocation and Manipulation Technique ( Done)
29) Elbow Dislocation and Manipulation Technique
30) Reduction and manipulation of Distal Radius Fracture ( Colles Fracture)
31)Reduction and Management Phalangeal Dislocation
32)Application of slings Collar and cuff slings , Broad arm slings
33)Application of below elbow back slab/PoP( Sling POP)
34)Use of various splints in hand/ finger Neighbour strapping
35) Application of Sager/Donnoway/Thomas Splint ( need)
31) Infiltration of local Anaesthetic in Wound.
32) Haematoma Block
33) Fascia iliac Block
34) Femoral Nerve Block
35) Digital Ring block
36) Fundoscopy ( Done)
37) Otoscopy ( Done)
38) How to Check Eye PH ( PH strip)
26-50 Procedures
39) Eye Irrigation in Chemical injuries to eye ( Morgan lense)
40) Removal of Foreign body from eye and application of Eye patch
41) Management of Anterior Epistaxis , Anterior Nasal Packing
42) Use of Rhinopad to control Anterior and post Epistaxis ( Rapid Rhino)
43) Cauterization for Anterior Epistaxis ( Silver Nitrite Sticks)
44) Removal of Foreign body from Ear ( Mosquito Forceps)
45) Removal of Foreign Body from Nose ( Nasal Probe)
46) Technique and Principles of Quinsy Drainage ( Orange/Gray cannula)
47) Incision and Drainage of Abscess ( Scalpal and wound pack)
48) Drainage of Subungal hematoma
49) Nail bed injuries à Repair and Re- Implantation
50) Wound Closure/Suturing


DAY 3 (50-75 Procedures)

51) Urethral Catheterization
52) Bimanual PV Examination
53) Cuscos Spaculum Examination
54) High Va**nal Swab /Cervical Sampling /Pap Smear
55) Removal Of Foreign Body from Va**na ( lost tampon/Condom removal) on mannequin.
56) P/R and Prostate Examination on Manneqquin
57) Breast Examination on Mannequin
58) CVS ( SVT Chemical Cardioversion
59) VT chemical Cardioversion
60) Ankle Relocation
61) wound suture flap
62) ring removal with silk thread and soap
63) BLS Adult
64)BLS Paeds
65)Primary Survey
66) Secondary survey
67) patellar relocation
68) Above knee back slab
69) Ulnar gutter splint
70) Scaphoid cast
71) procedure sedation
72) safe transfer
73) removal of patient from scoop
74) Safe transfer from bed to bed ( Pat slide)
75) Intubation in patient with head and neck trauma

DAY 4. ( 75 to 100)

76) Removal of helmet in Head injured patient
77) femoral stab
78) FAST scan
79) aorta scan
80) echo in life support
81) Dental Block ( Dental Syringe)
82) Volar Slab
83) Transcutaneous pacing
84) Pericardiocentesis
85) Radial Head Sublaxation
86) fish hook removal
87) Lumbar Puncture
88) Suprapubic bladder aspiration
89) Priapism Management
90) Digital globe massage
91) 91) How to apply thumb spica cast
92) Antenatal examination of Full term pregnant lady in ER
93) Laryngoscopy
94) Foreign Body helminch manouver
95) FB back blows
96) FB Abdominal thrust
97) TMJ Dislocation /Relocation
98) Intramuscular Injections
99) deroofing of Burns blisters
100) fasciotomy


How to book this workshop?
All GEM candidates must email us at info@londongem.uk to book their place.

How frequently we will conduct this workshop?

We aim to conduct workshops every 2 workshops per year for London GEM trainees in Pakistan .

We wish you get wonderful experience.

Important: All GEM candidates attending this workshop must complete London GEM DOPS ( Directly Observed Procedure Skills) form , it’s best to bring printout of forms along and fill it at the same time so you don’t have to worry about it later .

Warning :
Please note , this workshop is aim to provide you theoretical knowledge and practical Hand of experience on model/ mannequins under supervision, you must get supervised training in your relevant departments in presence of qualified seniors to be able to perform these procedures on Patients independently .

Thanks .

Dr Ash
Founder of PEMA-Uk
Director London GEM.

Big event to attend in January 2023
09/12/2022

Big event to attend in January 2023

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