talk one  – the futility of the exercise tolerance test . The goal is to squeeze all this information into two ten minute talks
see the following links for all the information you need (you may want to glance at some of the references )

http://emcrit.org/chestpain/

http://www.smartem.org/podcasts/stress-testing-moment-clarity

talk two – universal definition of MI / ECG criteria for STEMI including scarbossa dewinter posterior and right ventricular infarct and the significance of STE in AVR (ten minutes ).see the following links

talk three – MI Mimics ( on ECG) BER / ANEURISM / SAH / Dissection prox aorta / Pericarditis .

talk 4 – unstable angina – time for a requiem ?

talk 5 – regional wall abnormality on bedside echo -mick – if time

   TEACHING for Second half of the year (2014)
Purpose of teaching
-Cover some of the core medical and surgical and Paediatric topics of Emergency Medicine
-To maintain quality and uniformity or practice for all doctors in ED with a focus on day to day clinical practice as well as more rare but life-threatening emergencies
TOPICS ( not necessarily in this order )
1) Management of Acute cardiac emergencies including ACLS review
2) Management of acute respiratory emergencies including Airway management and  RSI )
3) Management of acute Neurological Emergencies including CVA (SAH/thrombolysis debate / stroke and TIA guidelines / syncope )
4) Vascular Catastrophes . AAA/ dissection  / cardiac Tamponade
5) Trauma management – Recent updates eg ICEM , Damage control resuscitation / crash 2 trial / TTM trial
6) Orthopaedic injuries ( pelvis / longbone / hand and foot / soft tissue injuries to shoulder , knee , wrist and ankle
7) The focussed clinical exam in 2014 – Different Joints / formal Cardiac exam / neurological examination .
8) ULTRASOUND TRAINING – (THREE LECTURES , LOGGING SCANS , SUPERVISION AND TESTING  )
9) Paediatric Emergencies ( Assessment of the unwell child / PALS / APLS / APLS review / NAI
10)Interpretation and management of Acute Electrolyte disturbances (hyperkaleamia / acid base / hyponatremia / Hypernatremia / DKA / Honk / Acute renal failure )
11) The critically ill patient – Sepsis bundles / BOIC / Post cardiac arrest management / post intubation check list / inotropes / antibiotics in serious sepsis
12) Toxicology – general approach / Specific and common life-threatening overdoses. Seratonin and anticoholinergic syndrome

SUB Structure

“Reversed class room” philosophy – Trainees present short talks for every teaching program ( no talk longer than 15 minutes , usually 5-10 minutes )
“Expert panel” discussion (consultant/SPR/guest )  will discuss afterwards
ideally real life cases will be discussed
A teaching session should have a summary / consensus at the end , so that the information obtained can be used for real life clinical work in ED ( or to pass exams!)
Talks will be posted on the blog each week ( with all patient sensitive information de-identified )

follow this link  (tap the images)  for trustworthy and free internet resources for up to date resources . A good start for any talk you might have to do .

http://lifeinthefastlane.com/foam/