J. E. M. Wigley

Autopsy of an audit

Christian Schopflin, J. E. M. Wigley, Matt Taylor, Anthony Shepherdson

Christian Schopflin and colleagues implemented an audit that went “spectacularly” wrong. Here, they outline the reasons for the failure

Do surgery journals insist on reporting by CONSORT and PRISMA? A follow-up survey of ‘instructions to authors’

Tanya Smith, Priyantha Kulatilake, Lucy J. Brown, J. E. M. Wigley et autres

AIMS: Guidance has been published on how best to report randomised controlled trials (Consolidated Standards of Reporting Trials - CONSORT) and systematic reviews (Preferred Reporting Items for Systematic Reviews and Meta-analysis - PRISMA). In 2011, we reported a low rate of enforcement …

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Endovascular Aneurysm Repair in Nonagenarians: A Systematic Review

J. E. M. Wigley, Saran Shantikumar, Waseem Hameed, Kathryn J Griffin et autres

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The reporting quality of systematic reviews and meta-analyses in vascular surgery needs improvement: A systematic review

Wei Keith Tan, J. E. M. Wigley, Saran Shantikumar

INTRODUCTION: Systematic reviews and meta-analyses are important in shaping clinical practice, but the underlying quality of these studies is critical. The PRISMA guidelines for the reporting of systematic reviews, published in 2009, aimed to improve the quality of reporting of these studies. …

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Get ahead! Surgery: 100 EMQs for Finals

J. E. M. Wigley, Saran Shantikumar

Fully updated, this new edition of the successful Get ahead! SURGERY 100 EMQs for Finals provides invaluable revision for all medical students preparing for their final examinations. Co-written by Saran Shantikumar, series editor for the Get ahead! series, this book covers the …

Thoracoabdominal herniation – but not as you know it

J. E. M. Wigley, Fergus Noble, Andrew T. King

Thoracoabdominal hernias are uncommon following blunt trauma. If diaphragmatic rupture does occur, the abdominal viscera can herniate into the thorax through the diaphragm. We report a rare case of thoracoabdominal herniation in which the bowel herniated through the lateral abdominal wall, migrating …

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Paper 2 Answers

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

There are several objective signs of airway obstruction. Agitation can result from hypoxia, and hypercarbia can cause obtundation. Cyanosis can be observed in the nail beds and circumoral skin, and indicates hypoxaemia secondary to inadequate ventilation. Accessory muscles are employed in an …

Paper 2 Questions

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

You attend a trauma call for a 32-year-old cyclist and suspect he has airway obstruction.

Paper 3 Answers

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

The gum elastic bougie (GEM) is a 60 cm 15 French-gauge stylette with an angled tip at the distal end. It has 10 cm graduation marks to help verify the position. Tracheal position can be confirmed by: feeling for the clicks as …

Paper 1 Answers

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

Oropharyngeal (or Guedel) tubes are a type of airway adjunct. The correct size is selected by measuring the airway against the patient’s head, either between the corner of the mouth (labial commissure) and the external auditory meatus, or from the angle of …

Get Through

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

Providing over 150 single best answer questions, this comprehensive question and answer guide provides candidates with the practice material necessary to successfully pass trauma examinations such as the ATLS or EMST. � The only SBA practice question title specifically for trauma examination …

Paper 1 Questions

J. E. M. Wigley, Saran Shantikumar, Andrew Paul Monk

An oropharyngeal airway should be sized according to which one of the following descriptions? The measurement between the canines and the angle of the jaw The measurement between the labial commissure and the external auditory meatus The approximate diameter of the patient’s …