External Organisation
Session chairs: Dominic Meek and Alex Baker
Agenda
10.30-11.00: Mr Alex Baker, Trauma and Orthopaedic Consultant Surgeon, Royal Preston Hospital
Cauda Equina Syndrome
This talk provides a practical, pathway-led approach for Extended Clinical Team roles
to recognise, document, escalate and coordinate care for suspected Cauda Equina Syndrome
(CES). Using the GIRFT National Suspected CES Pathway (Sept 2025) and its interactive web
guidance, it focuses on reducing unwarranted variation, avoiding delay, and improving
medicolegal defensibility.
11.00-11.30: Prof.Dominic Meek, Trauma and Orthopaedic Consultant Surgeon,
Queen Elizabeth University Hospital, Glasgow
Periprosthetic fracture pathways: who does what and when
This talk sets out a clear, role-based pathway for managing periprosthetic fractures
(around THA/TKA and other implants), aimed at reducing delay, standardising decision-making,
and improving governance. The emphasis is on the “hand-offs”: early recognition, rapid
imaging, implant identification, senior decision-making, theatre planning, and timely transfer
to a revision-capable centre when needed.
11.30-12.00: Magda Sbai, Consultant in Geriatric and General Internal Medicine,
Guys and St Thomas Hospital
The older complex patient on the orthopaedic trauma ward
This talk provides a practical approach to managing acutely unwell patients on the
orthopaedic trauma ward for the Extended Clinical Team. It covers early recognition
of deterioration (NEWS2 and clinical concern), prompt escalation to senior clinicians and
critical care teams, and the common causes of acute deterioration, including sepsis,
occult haemorrhage, pulmonary embolism, cardiac events, respiratory failure
(including opioid toxicity), and metabolic or renal complications.
Case-based discussions will be used to highlight key learning points and clinical messages.