Emergency Medicine

Generic Job Families	Specialist Areas	Functional Requirements	Details/Health and Safety Indicators
Inpatient work			See general inpatient work
Outpatient work			See general outpatient work
	The following specialist activities:	Require good manual dexterity, use of the hands, wrists and upper limbs, good hand eye coordination and occasional upper body strength	May present difficulties for doctors with advanced arthritic/ bone conditions which limit dexterity
Emergency Department shop floor clinical duties	Chest Drains/pleural tap and aspiration
	Use of ultrasound for emergency echocardiogram or for insertion of chest drain	Use of wrists in hyperextended or flexed position
	Arterial Blood gases
	Airway management including bag and mask ventilation	use of upper body strength
	Reduction of fractured bones/Dislocation of large joints. Large joint examination	use of upper body strength. Will also require ability to engage in manual handling
	DC cardioversion
	Incision and drainage of abscess	good hand eye coordination
	Suturing of wounds	use of good hand eye coordination
	ECGs
	Lumbar Puncture
	Major Trauma/incident Advanced Trauma Life support	Psychological resilience to cope with the aftermath of major incident. In addition to requiring use of any of the skills mentioned above. Requires use of both upper limbs and substantial application of force, repetition and awkward movements and adopting awkward static postures. May require ability to sustain for long periods	Risk of post traumatic stress in vulnerable individuals Ability to engage in manual handling May present difficulties for doctors with advanced arthritic/ bone conditions, which limit dexterity
	Exposure prone procedures specific to emergency medicine	Pre-hospital trauma care Acute trauma patients with open tissues Rectal examination in presence of pelvic fracture Internal cardiac massage Deep suturing to arrest haemorrhage	See exposure prone procedures
	Transfer of patient to operating table/log rolling/spinal immobilization	Will require ability to engage in manual handling
	Catheter insertion