University Hospitals Plymouth NHS Trust

Pulmonary embolism is a blood clot on the lung, which can cause death or significant reduced quality of life. Sucking the clot out with a special tube (catheter) is a relatively new procedure that can be performed but doesn't have the data required to properly support its use in some patients. We know this procedure works in patients who have no other options and would almost certainly die without intervention. We currently don't know how well this procedure is tolerated, how well it works and what its complications are in patients who are moderately to severely unwell. The National Institute of Clinical Excellence (NICE), an advisory body, suggests more data is required to support its use in patients who are sick or very sick. This registry aims to support this growing evidence base to workout if the treatment is effective and the associated risks that come with using it. We are collecting data about this procedure and other treatments patients get offered to better inform clinicians and researchers.

Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.

Orthopaedic surgery is one of the largest surgical specialties in the UK, delivering high-volume, high-impact care across trauma and elective pathways. Despite this, the specialty continues to face challenges in recruitment, diversity, inclusivity and perceptions of workload and culture. International literature suggests that impressions formed during undergraduate and early postgraduate training strongly influence specialty choice; however, contemporary UK-specific data on how resident doctors view orthopaedics remain limited. The ORTHO BRO Study is a cross-sectional, anonymous online survey designed to capture UK trainees' perceptions of orthopaedics, compare views between those with and without prior orthopaedic rotations, and explore spontaneous associations. Findings will inform training improvement, inclusivity initiatives, and recruitment strategies.
The study targets UK foundation doctors (F1/F2), core trainees (CT1/CT2), and trust-grade/non-training senior house officers (SHOs) across multiple trusts/foundation schools.