Poster ARchive II


We have specialised in helping our medical students to produce their first conference publications/presentations since 2005. And our posters aren’t boring!

2011 was our most successful year yet: we took 8 posters to the National CEM conference in Newcastle in late September, and had a Free Paper presentation as well.

Then three more students had poster presentations at ICEM 2012, posters 2-4 on display here. We are very proud of out 2011/12 Doc-lings!

Our archive of older posters can be viewed HERE

International Conference on Emergency Medicine

ICEM 2012 took place in Dublin.

We were proud to take three posters from Ysbyty Gwynedd ED

For the three ICEM posters (above) massive thanks are once again due to Caroline Field of

CJ Field Design who acted as general design guru to our consultant Linda (who designed all 3 posters this time) as well as photoshopping the disappearing helicopter on the middle poster!

Cheeky poster for a cheeky student group!

We were slightly taken aback when we were contacted by a fourth-year Cardiff student, due to undertake a final-year SCP with us NEXT year, wanting an early project. But, never speechless for long, we packed her and her mates off up Snowdon to spend a splendidly cold Saturday morning peering at the footwear of passing walkers!

Still, it paid off: the resulting poster (left) won a prize at the Exile Medics conference on 17th March.

Although our webmaster still thinks the students picked the wrong design of those they were offered: the alternative is the very blue one below - what do you think, dear website visitor?

Dr Lowri Bowen (ST5 in Anaesthetics) worked with Linda Dykes to produce this work on anaesthetic workload generated by mountain casualties...

Specialty colleagues who are a pleasure to work with in the ED, as is the case with Lowri, may find unexpected benefits... like access to the YG ED Mountain Medicine database.

Put it this way - we don’t share our database with anyone but nice people!

Lowri presented this work as a Free Paper at the Society of Anaesthetists in Wales in October 2011, but also

  1. 8.And last but not least, Linda Dykes our consultant and our StR Krishna teamed up with Dr John Ellerton of Mountain Rescue England and Wales to summarise 22 mountain casualties who had been treated with intra-nasal diamorphine.... this poster is therefore a later version of the one in our Poster Archive that has only 11 cases on it.

The mean reduction in pain score in these casualties was 3.8/10 (SD 1.9) with no reported complications.

  1. 7.James Reader looked at spinal injuries in mountain casualties.

Of 640 cases on the database at the time of his project, 510 were trauma cases and spinal injury was considered possible in 133 (26%).

Information on spinal packaging was available for 212 cases, of which 21 (22%) were not packaged.  Reasons included neck cleared on scene (n=6) , CPR or other time-critical ABC problem (n=5), environment precluded (10) and in 6 cases there wasn’t adequate documentation to figure out what had happened.

Spinal injury was confirmed in 31/133, but most were clinical insignificant transverse process fractures.

  1. 6.Tara Keogh produced an overview of fatalities in mountain casualties in Snowdonia for her poster...

10% of cases on our database were fatalities and 61/65 (94%) were male. Just over half of deaths were due to trauma (57%) with 29% due to medical causes and 12% suicide. Only three casualties in seven years reached hospital alive. And unsurprisingly, most fatalities (58%) were hill-walking, which is no great surprise given the hundreds of thousands of people who enjoy hill-walking in Snowdonia!

  1. 5.This poster certainly generated a lot of attention, unquestionably the most eye catching poster of the 120+ at the conference...!

Basically, Sophie Williams found for her final-year SSC project in Emergency Medicine that there is a statistically significant association between busy-ness of the ED and delays to analgesia in renal colic.

  1. 4.Anna Patricolo looked at whether our performance in handling major trauma improved following the publication of the NCEPOD “Trauma Who Cares” report in 2007.

We certainly have improved - but we’re not there yet. Work in progress!

  1. 3.Shelley Humphreys looked at outcome after head injuries in Snowdonia mountain casualties.

The vast majority of severely head-injured mountain casualties in Snowdonia were dead by the time help arrived, but the four severely head-injured patients who survived to hospital did remarkably well... even though not one of them was accepted for transfer to our regional neurosurgical unit.

2. Olly Jefferson - at the time an RAF medical cadet and member of RAF Valley Mountain Rescue Team - did a comprehensive literature review to try to answer the question as to whether there is anything to be gained by starting antibiotics on the hillside... the answer, certainly for Snowdonia casualties, is no.

  1. 1.Helen Sharpe did her final-year SSC project looking at older casualties in Snowdonia.

17% of our mountain casualties are 60+ years old, and most were injured rather than ill (71%: 29%), although in younger mountain users the proportion who were ill rather than injured was even lower at 17%. Of the older mountain casualties with medical problems, 61% had a relevant PMHx. 

Design Acknowledgments

All the Mountain Medicine posters on this page were designed by our consultant Dr Linda Dykes  (she said she wanted more purple posters...!)  with encouragement from her friend Caroline Field of CJ Field Design who very kindly critiqued the draft versions, helped with graphics (do you like our adaptation of the “old people crossing” road sign?) and was a general supportive superstar. In fact, if it hadn’t been for Caroline’s intervention, then Olly Jefferson’s poster on Open Fractures would have been bright pink, so the RAF Valley MRT have a lot to thank her for! 

Linda did, however, chicken out of tackling the two non-Mountain Medicine posters (“they’re too hard...”!) so “Trauma - We Cared” and “Stuck in the Stone Age” were both designed by Mike Smith of as usual, who is responsible for setting the tradition of fab posters from Bangor ED! 

We hope you enjoyed them. If you would like a pdf of any particular poster emailed to you (our web master hasn’t worked out how to make them available for download yet, sorry!) please email us and ask!


Photo acknowledgements

Background photos for our posters are from a variety of sources - Linda’s own collection, Mark Anderton, James Reader, Beth Griffiths, Tracey Barron, Tom Hecht, Tony Dykes, Al Read of OVMRO, Hugh Godfrey, and a particular thanks to Fiona Moore of RAF Valley MRT who supplied five of the “rescue” and “casualty” photos... we are assured that no member of RAF Valley MRT was harmed in the process of posing for the photos!

Whether, however, Fiona had warned her team colleagues that their bums might be featured so prominently in the Open Fractures poster is not entirely clear.... !

And look - only one poster has a helicopter photo this time. However our friends at “C” flight need not feel left out - if you look closely there is at least one winchman on a hill-side and a radop looking out of the door...!

Snowdon - remarkably cheap!!!!

Students Laura-Beth Pilkington and Lydia Bregman worked really hard on doing a sub-database of Snowdon casualties... Lydia worked out what had happened to them and LB what it cost the local NHS!

Their hard work was rewarded with a poster at an international conference - and the answer is... drum roll... the 278 casualties from Snowdon 2004-2011 cost Ysbyty gwynedd a total of £211,000 - less than half of which was in ED visits.

The total cost to the taxpayer is next to be calculated and the NHS costs pale into insignificance compared to the RAF costs.... 214 of the 278 casualties were evacuated by Sea King helicopter at a cost of several thousand pounds each.

Access to Primary PCI for AMI

Student Dominique Bonnet - supervised by Rob Perry - worked out that there’s no need for patients in rural North West Wales to miss out on the gold-standard treatment for acute myocardial infarction (“heart attacks”) because of the geography of our region.... at the moment, we can only treat with the older treatment of clot-busting drugs, which are good, bot not as good as opening up the blocked artery by angioplasty, often explained as a “dyno-rod” procedure.

The nearest 24-hour angioplasty centre is Liverpool, and patients from North Wales could comfortably be transferred there within the time window for angioplasty to be better than clot busting drugs, if helicopters were used.

Helimed photo courtesy of Jason Williams, Helimed Wales.

Medical Student Projects

Our ST4 Dr Ben Hall and consultant Linda Dykes threw in a tongue-in-cheek abstract about steps to run the perfect medical student project, and were genuinely astonished when it was accepted!

Many thanks to Sqn Ldr Lee Turner of RAF Valley’s 203 Sqn for the stunning Sea King sunset photo and to the various medical students depicted on the poster.... they are a game lot..... future students need to be warned they may appear on posters either half naked, clutched in between a winchman’s thighs or with their bum bulging out from a set of double strops...! 

College of Emergency Medicine Scientific Conference

November 7th 2012, Sheffield

We sent one poster - a joint venture between last years’ Clinical fellows (Scott Beattie and Bethan Owen) and radiology colleagues..

The gist is that conventional free-text CT reports are insufficiently precise to produce an accurate injury severity score in major trauma... half of the cases in our sample had their ISS increased when their CT was re-reported specifically using the Abbreviated Injury Score manual. This has implications for all UK major trauma data, including the Trauma Audit & Research Network.

Bethan (and her 3-month old daughter!) flew the flag for Bangor at the conference!

Exile Medics Conference 17th March 2012

Society of Anaesthetists of Wales October 2011

College of Emergency Medicine National Conference

Newcastle upon Tyne - September 2011

To view our Poster Archive, click here