Want to know what actually happens on our courses? and find out how they went and what was discussed? well, we are going to release short blogs to let you know some of the things that went on... Hope this helps!
Introduction to MSK ultrasound guided injection course - Saturday 19th November 2016
Course tutors: Stuart Wildman, Rob Mast, Dave Baker
On a freezing cold Saturday morning in November we ran our Introduction to MSK ultrasound guided injection course in trendy Shoreditch,London. Another sold out course with a diverse mix of professions including Radiologists, Rheumatologists, Sonographers, Physiotherapists,GP's and Orthopaedic Consultants. This created a very dynamic and busy day with lots of relevant discussions on when you would or would not inject a structure and how to safely approach it. It was an early start for the tutoring team as we had a 7am delivery of the ultrasound equipment! Tea, coffee and biscuits were ready for delegates as they emerged from the frosty morning..and we started promptly at 9am!
One thing we really focussed on for this course was standardising the patient and clinician position. The tutors all agreed that spending time on the overall setup to the procedure does put you in the best position to visualise the needle and ensure a well performed technique. Standardising this for your practice and the environment you work in is a key part of developing guided injection skills. Once again we were supported by Sonosite who also provided blue phantoms for our delegates to use. These alongside the pigs trotters (thanks for storing overnight Dave!) led to a lively hands on session practicing needle visualisation and tendon sheath injections. Delegates were challenged by asking them to create and reduce artefact of their needle, something that is really important to do when in the more pressured situation of injecting an actual patient. Some found needle visualisation more difficult than they anticipated!
As part of this course we always stress the importance of a good level of competency in diagnostic ultrasound, as the steps to perform an injection do require an evaluation of the tissues first and highlighting what you are targeting...difficult if you don't know what you are looking at.
There are some regions which are hot topics for debate currently regarding steroid injections and these were touched on during the course. In particular discussions on lateral elbow ,plantar fascia and lateral hip injections. We will yet again be trawling through the evidence and modifying our teaching content for the next course in February. We always apply a strong clinical reasoning focus to our courses..weighing up the evidence that exists for guided procedures alongside the reality of challenging clinical scenarios we encounter in practice.
We are looking forward to seeing a number of delegates now progress into the Cadaveric MSK ultrasound guided injection course in April 2017.
The next Introductory MSK ultrasound guided injection course will be on the 11th February..in the new year!
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