
CPD modules: Scrub
You are free to download, print and study the modules. Once you have completed your reading come back and take the multichoice test. If you obtain a pass mark of over 80% you will have the option of printing out a certificate of completion.
Nerve Impulse Conduction
It is essential that perioperative practitioners have an understanding of nerve conduction, as many drugs used in the operating theatre have an impact on the nervous system and nerve conduction. The most obvious, but not the only one, being local anaesthetics which prevent pain and other nerve signals reaching the brain, by temporarily blocking nerve conduction.
This module examines how nerve cells communicate by sending signals to each other and various other tissues throughout the body. It is a simplified explanation of a complex topic.
Length of Study: 60 min.
Difficulty: Beginner/student
Surgical smoke: is it safe?
Surgical smoke is now recognised as a hazard that is encountered in all operating theatres. Unfortunately, the dangers and health risks associated with it continue to be overlooked by many surgeons, nurses and theatre staff. It is important to be aware of the dangers of surgical smoke and for everyone to help minimise the risks.
Length of study: 60 min
Difficulty: Easy
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Local Anaesthetic Systemic Toxicity
Local anaesthetic systemic toxicity is rare but when it does occur its onset may be sudden and life-threatening so it is prudent to spend time preventing rather than treating it. All theatre staff should be aware of the doses limits of local anaesthetics they use as well as the causes, signs and treatment of LAST.
Necrotising Fasciitis
This module describes the diagnosis and common management of NF. Patients need integrated, interdisciplinary management involving surgeons, intensive care physicians and microbiologists. Close monitoring and physiological support in an intensive care unit is often essential.
Length of Study: 60 min.
Difficulty: Easy
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Diathermy: the basics
Electrosurgery or diathermy has allowed faster operating, reduced blood loss and new surgical techniques. It does have its dangers and its safe use in operating theatres requires a grasp of its mechanisms of action and potential pitfalls.
Length of Study: 60 min
Difficulty: Easy
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Temperature Management in Children
Maintenance of normothermia in children under going surgery is challenging. There is clear evidence in adults that even mild intra-operative hypothermia is associated with adverse outcome. This short article discusses the problems and what we can do about it.
Length of Study: 45 min
Difficulty: Easy
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An introduction to safe patient positioning for surgery
Proper patient positioning is essential for safe and successful surgery. The surgeon must have good access to the surgical site, while ensuring the patient is in a secure but safe position. This module does not cover all the types of positions, tables, mattresses and available positioning aids, but is more on the practical side explaining the risks of patient injury from the most common positions and how to prevent positioning-related injuries.
Surgical tourniquets
Surgical tourniquets are commonly used in the operating theatres, particularly during orthopaedic cases. Although they are very safe when used properly they can have rare but catastrophic consequences. This module covers how, where and when to use them and more importantly when not to.
Length of Study: 60 min
Difficulty: Easy
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